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Published on: August 16, 2011
The Schistosomiasis Control Initiative (SCI): rationale, development and implementation from 2002-2008.
A Fenwick1, J P Webster, E Bosque-Oliva
1Schistosomiasis Control Initiative, Department of Infectious Disease Epidemiology, Imperial College, St. Mary's Campus, Norfolk Place, London W2 1PG, UK. a.fenwick@imperial.ac.uk
Schistosomiasis control programs effectively reduced disease burden in Africa. Preventive chemotherapy strategies show promise for widespread implementation, though further funding is crucial for neglected tropical diseases (NTDs).
Area of Science:
- Tropical medicine
- Infectious diseases
- Public health
Background:
- Schistosomiasis is a major parasitic disease in developing nations, causing significant morbidity and economic impact.
- Despite increased focus, schistosomiasis control efforts in Africa face substantial funding gaps, receiving less than 20% of required resources.
Purpose of the Study:
- To evaluate the rationale, development, and objectives of Schistosomiasis Control Initiative (SCI)-supported programs.
- To assess management approaches, mapping, monitoring, evaluation, and impact of control initiatives.
- To examine drug resistance monitoring and national exit strategies for schistosomiasis control.
Main Methods:
- Review of SCI-supported schistosomiasis control programs across various countries.
- Analysis of management strategies, implementation approaches, and country-specific activities.
- Evaluation of mapping, monitoring, and impact assessment methodologies, including drug resistance surveillance.
Main Results:
- SCI-supported programs have successfully reduced morbidity associated with schistosomiasis.
- National programs utilizing preventive chemotherapy have demonstrated successful implementation in sub-Saharan Africa.
- Research by SCI strengthens the evidence base for effective schistosomiasis control.
Conclusions:
- Schistosomiasis control programs are effective in reducing disease burden.
- Preventive chemotherapy is a viable strategy for national schistosomiasis control programs in sub-Saharan Africa.
- Continued funding and integrated approaches are essential for expanding neglected tropical disease (NTD) control.
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