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Charles Emile Ramarokoto1, Bodo Sahondra Randrianasolo1

  • 1Association K'Olo Vanona.

La Tunisie Medicale
|March 5, 2026
PubMed
Summary

Schistosomiasis prevalence in Madagascar remains high, affecting nearly half of patients, particularly school-aged children in rural areas. Targeted interventions in hard-to-reach villages are crucial for effective control.

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Area of Science:

  • Tropical Medicine
  • Infectious Diseases
  • Public Health Epidemiology

Background:

  • Schistosomiasis control programs in Madagascar since the 1960s have yielded suboptimal results.
  • A shift in strategy occurred around the 1990s, necessitating an evaluation of its impact.

Purpose of the Study:

  • To assess the prevalence and epidemiological patterns of schistosomiasis in Madagascar.
  • To understand the effectiveness of control measures implemented after the 1990s reorientation.

Main Methods:

  • Systematic literature review of schistosomiasis publications from Madagascar.
  • Databases searched: PubMed and Scopus (April 15 - June 15, 2024).
  • Data analysis using Epi Info™ 7.2.5.0, with prevalence calculated as a proportion.

Main Results:

  • The review included 49 articles, with 51% focusing on intestinal schistosomiasis.
  • Overall prevalence: 49.3% for intestinal and 40.2% for urinary schistosomiasis.
  • School-aged children (47.4%) and rural populations (45.6%) are disproportionately affected.

Conclusions:

  • Control measures implemented over the past 30 years show significant impacts on schistosomiasis prevalence.
  • Future interventions should prioritize hard-to-reach rural villages and school-aged children.
Keywords:
EpidemiologyMADAGASCARPrevalenceSchistosomiasis

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