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Evaluation of hookworm control program in southern Thailand

V Chongsuvivatwong1, S Pas-Ong, W Ngoathammatasna

  • 1Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.

The Southeast Asian Journal of Tropical Medicine and Public Health
|December 1, 1994
PubMed
Summary

A hookworm control program in Thailand showed good drug treatment coverage, especially in children, but highlighted gaps in health education awareness, particularly among older adults. Continued efforts are needed to improve overall program effectiveness.

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Area of Science:

  • Public Health
  • Infectious Disease Control
  • Tropical Medicine

Background:

  • Hookworm infections pose a significant public health challenge in rural endemic areas.
  • Mass drug administration and health education are key strategies for controlling hookworm.

Purpose of the Study:

  • To evaluate the coverage and effectiveness of a hookworm control program in southern Thailand.
  • To assess health education reach and mass treatment compliance two years post-implementation.

Main Methods:

  • Three studies were conducted: interviews with 2567 individuals (school children, adults, elderly) on awareness and compliance, stool sample analysis of 4434 subjects, and interviews with 82 health planners and workers.
  • Random sampling of villages and subjects ensured representative data collection.

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Main Results:

  • Latrine availability was high (80%), but some admitted open defecation (27-47%).
  • Hookworm awareness varied significantly by age group (70-95% in children, 25-58% in elderly).
  • Drug treatment coverage was substantial (82-91% in children, 54-59% in elderly).

Conclusions:

  • The hookworm control program demonstrated effective drug treatment coverage, particularly in school-aged children.
  • Health education requires targeted improvement for older populations to enhance program impact.
  • Addressing behavioral factors like open defecation remains crucial for sustained control.