Development of a health education intervention strategy using an implementation research method to control taeniasis and cysticercosis in Burkina Faso  

作　　者：Helena Ngowi Ivan Ozbolt Athanase Millogo Veronique Dermauw Telesphore Some Paul Spicer Lori L.Jervis Rasmane Ganaba Sarah Gabriel Pierre Dorny Helene Carabin 

机构地区：[1]Department of Veterinary Medicine and Public Health,Sokoine University of Agriculture,P.O.Box 3021,Morogoro,Tanzania [2]Department of Anthropology,University of Oklahoma,Norman,OK,USA [3]Language Department,Citizen Potawatomi Nation,Shawnee,OK,USA [4]Sourou Sanou University Teaching Hospital,Bobo-Dioulasso,Burkina Faso [5]Department of Biomedical Sciences,Institute of Tropical Medicine,Antwerp,Belgium [6]Agriculutral and Research Training Agency for Africa(AFRICSante),Bobo-Dioulasso,Burkina Faso [7]Department of Anthropology and Center for Applied Social Research,University of Oklahoma,Oklahoma City,OK,USA [8]Department of Biostatistics and Epidemiology,College of Public Health,Oklahoma University Health Sciences Center,Oklahoma City,OK,USA

出　　处：《Infectious Diseases of Poverty》2017年第1期833-847,共15页贫困所致传染病（英文）

基　　金：This work was conducted with support from the National Institute of Neurological Disorders and Stroke and the Fogarty International Center of the National Institutes of Health under the Brain Disorders in the Developing World:Research Across the Lifespan program,grant R01NS064901(http://www.fic.nih.gov/Programs/Pages/brain-disorders.aspx);The funders had no role in study design,data collection and analysis,interpretation of data,preparation of the paper,or decision to publish the data.

摘　　要：Background:Taeniasis and cysticercosis are two diseases caused by Taenia solium,a parasite transmitted between humans and pigs,leading to considerable economic loss and disabilities.Transmission of the parasite is linked to environmental and behavioural factors such as inadequate sanitation and hygiene,poor pig management,and consumption of infected pork.This study used implementation research method to design a health education intervention strategy for reducing T.solium infections in Burkina Faso,a country endemic for the parasite.Methods:Eighteen group discussions were conducted with 8-18 participants each in three villages.In addition,structured interviews were conducted among 4777 participants and 2244 pig owners,who were selected through cluster random sampling in 60 villages of three provinces of Burkina Faso.Both approaches assessed knowledge and practices related to T.solium.The information obtained was used to develop a community-adapted health education intervention strategy to control taeniasis and cysticercosis in Burkina Faso.Results:The group discussions revealed that participants had a poor quality of life due to the diseases as well as inadequate access to latrines,safe water,and healthcare services.In addition,it was found that pig production was an important economic activity,especially for women.Furthermore,financial and knowledge constraints were important limitations to improved pig management and latrine construction.The survey data also showed that open defecation and drinking unboiled water were common behaviours,enhanced by a lack of knowledge regarding the transmission of the parasite,perceived financial barriers to the implementation of control measures,lack of public sensitization,as well as a lack of self-efficacy towards control of the parasite.Nevertheless,the perceived financial benefits of controlling porcine cysticercosis could be emphasized by an education program that discourages open defecation and encourages drinking safe water.The final intervention strategy included a Part

关 键 词：Taenia solium control plan TAENIASIS CYSTICERCOSIS PHAST Burkina Faso 

分 类 号：S82[农业科学—畜牧学]