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Improved Perceptions and Practices Related to Schistosomiasis and Intestinal Worm Infections Following PHAST Intervention on Kome Island, North-Western Tanzania

 Joseph R. Mwanga  ;  Godfrey M. Kaatano  ;  Julius E. Siza  ;  Su Young Chang  ;  Yunsuk Ko  ;  Cyril M. Kullaya  ;  Jackson Nsabo  ;  Keeseon S. Eom  ;  Tai-Soon Yong  ;  Jong-Yil Chai  ;  Duk-Young Min  ;  Han-Jong Rim  ;  John M. Changalucha 
 KOREAN JOURNAL OF PARASITOLOGY, Vol.53(5) : 561-569, 2015 
Journal Title
Issue Date
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Communicable Disease Control/methods* ; Disease Transmission, Infectious/prevention & control ; Endemic Diseases/prevention & control* ; Female ; Health Knowledge, Attitudes, Practice* ; Helminthiasis/epidemiology* ; Helminthiasis/prevention & control* ; Helminthiasis/psychology ; Humans ; Intestinal Diseases, Parasitic/epidemiology* ; Intestinal Diseases, Parasitic/prevention & control* ; Intestinal Diseases, Parasitic/psychology ; Islands ; Lakes ; Male ; Middle Aged ; Schistosomiasis/epidemiology* ; Schistosomiasis/prevention & control* ; Schistosomiasis/psychology ; Surveys and Questionnaires ; Tanzania/epidemiology ; Young Adult
Schistosoma mansoni ; Tanzania ; behavior ; control ; intestinal worm ; participatory hygiene and sanitation transformation (PHAST) ; perception ; schistosomiasis
Schistosomiasis and intestinal worm infections are widespread diseases of public health importance in Tanzania. A study on perceptions and practices related to schistosomiasis and intestinal worm infections was undertaken among a community population of Kome Island in Sengerema District, north-western Tanzania, where intestinal schistosomiasis and intestinal worm infections are endemic. Schistosomiasis and intestinal worm-related perceptions and practices were assessed before and 3 years after implementation of a participatory hygiene and sanitation transformation (PHAST) intervention as a control measure. Data were obtained from baseline and post-intervention knowledge, attitudes, and practices (KAP) questionnaire surveys conducted twice in 2009 and 2012 among 82 individuals aged ≥15 years. We found significant increases in respondents' knowledge of the cause, transmission, symptoms, health consequences, and prevention of schistosomiasis and intestinal worm infections after PHAST intervention. The increase in respondents' knowledge on almost all aspects of the said infections was translated into actions to control schistosomiasis and intestinal worm infections. This has not been achieved by chance, but due to well-designed and locally-adapted PHAST intervention. We conclude that despite criticisms, PHAST approach is still useful in empowering communities to control water, sanitation, and hygiene related infectious diseases such as schistosomiasis and intestinal worm infections.
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1. College of Medicine (의과대학) > Dept. of Environmental Medical Biology (환경의생물학교실) > 1. Journal Papers
Yonsei Authors
Yong, Tai Soon(용태순) ORCID logo https://orcid.org/0000-0002-3445-0769
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