3006.1: Monday, November 13, 2000 - Board 5

Abstract #16399

Schistosomiasis control: A school health project in Kwale, Kenya

Abla Mawudeku1, Salim Sohani, MD, MPH2, Henry Nyamu2, Stella Barasa, MSc2, and Absolom Shisoka2. (1) Environmental and Occupational Health / International Health, George Washington University, P.O. Box 25405, Washington, DC 20007-8405, (703)449-1991, abla42@hotmail.com, (2) Aga Khan Health Services, Kenya, P.O. Box 83013, Mombasa, Kenya

Schistosomiasis, known also as Bilharziasis, is one of the most widespread helminthic infections worldwide. It is second only to malaria in terms of the most prevalent tropical diseases. Schistosomiasis is prevalent in 74 tropical developing countries, where over 200 million persons are infected of which approximately 88 million are below the age of 15 years. According to World Health Organization (WHO), 80% of infected people reside in Africa. The most intense schistosomiasis infections are among children between the ages of five and 15 years. Children of school age have therefore been identified as the target group for intervention. In Kenya, the Aga Khan Health Services (AKHS,K) in partnership with the Ministry of Health at the District levels and the Coast Provincial Medical Office, is assisting in developing a sustainable model of health care that provides effective and essential services to communities in expanding cities and remote rural areas. Since its inception, the service has successfully provided an effective and efficient approach to utilizing minimal resources for the benefit of the local community. The schistosomiasis intervention program is an example of such efforts. In collaboration with Project Implementation Committees, Village Health Committees, Government Schools, and Government Dispensaries, a schistosomiasis control program was implemented in 13 primary schools in the District of Kwale. A total of 3,228 primary school children between the ages of six and 15 years were screened and 2,991 (93%) children found to be infected with S. haemotobium were treated and health education on schistosomiasis prevention was provided.

Learning Objectives: 1. To be able to list the factors contributing to schistosomiasis infection. 2. To be able to identify individuals most susceptible to infection. 3. To be able to develop a school health project involving the community

Keywords: School Health, Screening

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Aga Khan Health Services, Kenya
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA