The Stakeholders' Views on Planting Trees to Control Schistosomiasis in China

China has initiated a tree planting program in epidemic regions of schistosomiasis as a part of efforts to eliminate schistosomiasis. More than 518,900 ha of tree plantations have been planted through the program between 2006 and 2015. However, whether the planting program has fulfilled its mission or not is an open question. In this study, we intended to get the answer from the main stakeholders of the planting program through a large-scale survey. Based on interviews with 80 administrators of the planting program and 1440 farmers in 24 counties and districts in four provinces, we found that most stakeholders viewed the planting program positively. Nearly 92% of farmers and all administrators believed that the planting program had reduced snail densities, while 94.3% of farmers and all administrators believed that the program had lowered the incidences of schistosomiasis. In addition, they reported that the impacts on farmers' living and local environments by the tree planting program were mainly positive. Based on the stakeholders' responses, we conclude that the tree planting program has been perceived by the main stakeholders as an effective environmental control measure of schistosomiasis. However, certain places and people that may be impacted negatively by the program should be given more attention when implementing the program.