title: Evaluation of a programme for control of schistosoma haematobium infection in Yemen.
abstract: An intervention study was conducted in Khamir, north of Sana'a, for control of urinary schistosomiasis using chemotherapy and health education. The validity and cost-effectiveness of reagent strips as a rapid diagnostic tool to screen for Schistosoma haematobium infection was also assessed along with visible haematuria. Prevalence of S. haematobium infection 14 months post-intervention fell from 58.9% to 5.8% and frequency of heavy infection from 40.0% to 18.9%. Health education sessions resulted in significant decrease in the frequency of contact with water sources and greater adherence to preventive measures. Mass chemotherapy plus health education is a feasible and effective method for reducing S. haematobium infection in Yemen. Reagent strips and visible haematuria could be cost-effective in remote areas with limited access to health services.
authors.affiliation: National Schistosomiasis and Endemic Diseases Control Programme, Sana'a, Yemen. nagi112000@yahoo.com
authors.forename: M A M
authors.initials: MA
authors.lastname: Nagi
mesh_terms: D000293:Adolescent; D002648:Child; D003362:Cost-Benefit Analysis; D005240:Feasibility Studies; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000458:organization & administration*; D010270:Parasite Egg Count; D015995:Prevalence; D015397:Program Evaluation; D011934:Reagent Strips / Q000191:economics / Q000592:standards; D012423:Rural Health / Q000706:statistics & numerical data; D012553:Schistosomiasis haematobia / Q000175:diagnosis / Q000453:epidemiology / Q000469:parasitology / Q000517:prevention & control*; D012556:Schistosomicides / Q000627:therapeutic use*; D012572:School Health Services / Q000458:organization & administration*; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D014867:Water / Q000469:parasitology; D015006:Yemen / Q000453:epidemiology
chemical_list: D011934:Reagent Strips; D012556:Schistosomicides; D014867:Water