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The National Schistosomiasis Control Programme in Mali, objectives, organization, results
U K Brinkmann1, C Werler, M Traoré
1Programme de Lutte contre la Schistosomiase et de Développement des Soins de Santé Primaire, Deutsche Gesellschaft für Technische Zusammenarbeit, Bamako, Mali.
Tropical Medicine and Parasitology : Official Organ of Deutsche Tropenmedizinische Gesellschaft and of Deutsche Gesellschaft Fur Technische Zusammenarbeit (GTZ)
|June 1, 1988
Summary
Schistosomiasis control in Mali began regionally in 1978 and nationally in 1982, employing mass chemotherapy and health education. Integration into basic health services was delayed by environmental and logistical challenges.
Area of Science:
- Public Health
- Tropical Medicine
- Infectious Disease Epidemiology
Background:
- Schistosomiasis control initiatives in Mali commenced in 1978, evolving into a national program by 1982.
- The control strategy was structured into distinct Preparation, Intervention, and Maintenance phases.
Purpose of the Study:
- To outline the phased implementation of schistosomiasis control in Mali.
- To detail the criteria for district inclusion in control activities.
- To describe the intervention methods and challenges faced.
Main Methods:
- District selection based on Schistosoma haematobium/mansoni prevalence (>20%) or intensive infection rates (>5%).
- Interventions included mass chemotherapy with praziquantel, sanitation, and health education.
- Control activities were initially centrally managed, with delayed integration into basic health services.
Main Results:
- The program targeted 136 villages across key areas including Bandiagara, Office du Niger, Haute Vallée Baguineda, and Sélingué dam zone.
- Challenges such as drought, famine, and logistical issues impacted full integration.
- Cost-benefit analysis of interventions was under investigation.
Conclusions:
- The schistosomiasis control program in Mali utilized a phased approach with specific diagnostic and intervention criteria.
- Despite initial successes, full integration into the national health system faced significant obstacles.
- The study highlights the complexities of implementing large-scale parasitic disease control programs in resource-limited settings.