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Accelerating onchocerciasis elimination in humanitarian settings: lessons from South Sudan
J N Siewe Fodjo1, S R Jada2, J Rovarini2
1Global Health Institute, University of Antwerp, Gouverneur Kinsbergen Center, Doornstraat 331, 2610 Wilrijk, Belgium.
International Health
|July 30, 2024
Summary
South Sudan
Area of Science:
- Tropical medicine
- Infectious disease epidemiology
- Public health interventions
Background:
- Onchocerciasis (river blindness) remains a significant health challenge in South Sudan, exacerbated by prolonged armed conflict.
- Previous control efforts faced limitations in endemic regions.
Purpose of the Study:
- To evaluate the impact of the Innovative Approaches to Reduce the Burden of Disease Caused by Onchocerciasis (IARDO) project in South Sudan.
- To assess the effectiveness of integrated strategies for onchocerciasis control and elimination.
Main Methods:
- Implemented biannual community-directed treatment with ivermectin (CDTI) instead of annual.
- Introduced additional ivermectin for postpartum women and school children.
- Employed a community-based 'slash and clear' vector control strategy.
Main Results:
- Achieved increased CDTI coverage rates.
- Observed a reduction in blackfly vector bites.
- Documented a decrease in onchocerciasis-related morbidity.
Conclusions:
- The IARDO project's integrated approach demonstrated success in reducing onchocerciasis burden.
- Intervention feasibility, low cost, government support, and community ownership indicate potential for long-term sustainability.
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