Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state:
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/116695 |
Resumo: | BACKGROUND: Brazil is an endemic country for schistosomiasis in the Latin American and Caribbean countries. Pernambuco is a higher-endemic Brazilian state among the 19 states reporting the disease in the country; schistosomiasis affects 102 (55%) of its 185 municipalities. Our objective was to evaluate the effectiveness of the treatment cycles of the SANAR Program (Plan to Reduce and Eliminate Neglected Diseases) in Pernambuco State in Northeast Brazil. METHODS: A cross-sectional population-based study was conducted in 2014 via a household survey in 117 hyperendemic locations in the state of Pernambuco. We compared the schistosomiasis prevalence rates in hyperendemic locations, aggregated by geographical region, before and after the intervention. The dependent variable was a positive stool test result by the Kato-Katz method, and the main exposure variable was the number of treatment cycles (one/two). The covariables were the regions of the state and socioenvironmental, socioeconomic, demographic and behavioral characteristics. RESULTS: In all, 12,969 individuals were interviewed, 8932 of whom had stool tests. Of these, 4969 (55.6%) underwent two cycles of collective treatment. Changes in the environmental conditions since 2011 were minimal. Comparison before (2011) and after (2014) treatment showed an average schistosomiasis prevalence of 18.6%, decreasing to 4.1% and 2.0% in locations with one and two treatment cycles, respectively. In 2014, the highest schistosomiasis prevalence was found in the forest area (2.8%), while the lowest was found in the northern region (1.2%) of the state. The adjusted analysis showed a lower occurrence of schistosomiasis in individuals living in areas with two treatment cycles than in individuals from areas with just one cycle (PR 0.65, 95% CI: 0.47-0.89). CONCLUSIONS: The political decision made in Pernambuco to implement the SANAR Program in 2011 greatly impacted the burden of schistosomiasis. This program was effective in reducing the occurrence of schistosomiasis in hyperendemic areas in Pernambuco, with a stronger response in areas with two cycles of collective treatment. |
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Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state:the SANAR program, 2011-2014Collective treatmentHealth policyParasitic diseasesPrevalenceSchistosomiasisBrazilSDG 3 - Good Health and Well-beingBACKGROUND: Brazil is an endemic country for schistosomiasis in the Latin American and Caribbean countries. Pernambuco is a higher-endemic Brazilian state among the 19 states reporting the disease in the country; schistosomiasis affects 102 (55%) of its 185 municipalities. Our objective was to evaluate the effectiveness of the treatment cycles of the SANAR Program (Plan to Reduce and Eliminate Neglected Diseases) in Pernambuco State in Northeast Brazil. METHODS: A cross-sectional population-based study was conducted in 2014 via a household survey in 117 hyperendemic locations in the state of Pernambuco. We compared the schistosomiasis prevalence rates in hyperendemic locations, aggregated by geographical region, before and after the intervention. The dependent variable was a positive stool test result by the Kato-Katz method, and the main exposure variable was the number of treatment cycles (one/two). The covariables were the regions of the state and socioenvironmental, socioeconomic, demographic and behavioral characteristics. RESULTS: In all, 12,969 individuals were interviewed, 8932 of whom had stool tests. Of these, 4969 (55.6%) underwent two cycles of collective treatment. Changes in the environmental conditions since 2011 were minimal. Comparison before (2011) and after (2014) treatment showed an average schistosomiasis prevalence of 18.6%, decreasing to 4.1% and 2.0% in locations with one and two treatment cycles, respectively. In 2014, the highest schistosomiasis prevalence was found in the forest area (2.8%), while the lowest was found in the northern region (1.2%) of the state. The adjusted analysis showed a lower occurrence of schistosomiasis in individuals living in areas with two treatment cycles than in individuals from areas with just one cycle (PR 0.65, 95% CI: 0.47-0.89). CONCLUSIONS: The political decision made in Pernambuco to implement the SANAR Program in 2011 greatly impacted the burden of schistosomiasis. This program was effective in reducing the occurrence of schistosomiasis in hyperendemic areas in Pernambuco, with a stronger response in areas with two cycles of collective treatment.Instituto de Higiene e Medicina Tropical (IHMT)RUNLuiz Augusto, Facchini,Bruno Pereira, Nunes,Eronildo, Felisberto,da Silva, José Alexandre MenezesJarbas Barbosa, Da Silva Júnior,Elaine, Tomasi, Elaine2021-05-02T22:40:23Z2018-10-252018-10-25T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article11application/pdfhttp://hdl.handle.net/10362/116695engPURE: 11376491https://doi.org/10.1186/s12889-018-6102-5info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:59:22Zoai:run.unl.pt:10362/116695Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:43:12.631196Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: the SANAR program, 2011-2014 |
title |
Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: |
spellingShingle |
Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: Luiz Augusto, Facchini, Collective treatment Health policy Parasitic diseases Prevalence Schistosomiasis Brazil SDG 3 - Good Health and Well-being |
title_short |
Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: |
title_full |
Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: |
title_fullStr |
Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: |
title_full_unstemmed |
Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: |
title_sort |
Assessment of a Brazilian public policy intervention to address schistosomiasis in Pernambuco state: |
author |
Luiz Augusto, Facchini, |
author_facet |
Luiz Augusto, Facchini, Bruno Pereira, Nunes, Eronildo, Felisberto, da Silva, José Alexandre Menezes Jarbas Barbosa, Da Silva Júnior, Elaine, Tomasi, Elaine |
author_role |
author |
author2 |
Bruno Pereira, Nunes, Eronildo, Felisberto, da Silva, José Alexandre Menezes Jarbas Barbosa, Da Silva Júnior, Elaine, Tomasi, Elaine |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Instituto de Higiene e Medicina Tropical (IHMT) RUN |
dc.contributor.author.fl_str_mv |
Luiz Augusto, Facchini, Bruno Pereira, Nunes, Eronildo, Felisberto, da Silva, José Alexandre Menezes Jarbas Barbosa, Da Silva Júnior, Elaine, Tomasi, Elaine |
dc.subject.por.fl_str_mv |
Collective treatment Health policy Parasitic diseases Prevalence Schistosomiasis Brazil SDG 3 - Good Health and Well-being |
topic |
Collective treatment Health policy Parasitic diseases Prevalence Schistosomiasis Brazil SDG 3 - Good Health and Well-being |
description |
BACKGROUND: Brazil is an endemic country for schistosomiasis in the Latin American and Caribbean countries. Pernambuco is a higher-endemic Brazilian state among the 19 states reporting the disease in the country; schistosomiasis affects 102 (55%) of its 185 municipalities. Our objective was to evaluate the effectiveness of the treatment cycles of the SANAR Program (Plan to Reduce and Eliminate Neglected Diseases) in Pernambuco State in Northeast Brazil. METHODS: A cross-sectional population-based study was conducted in 2014 via a household survey in 117 hyperendemic locations in the state of Pernambuco. We compared the schistosomiasis prevalence rates in hyperendemic locations, aggregated by geographical region, before and after the intervention. The dependent variable was a positive stool test result by the Kato-Katz method, and the main exposure variable was the number of treatment cycles (one/two). The covariables were the regions of the state and socioenvironmental, socioeconomic, demographic and behavioral characteristics. RESULTS: In all, 12,969 individuals were interviewed, 8932 of whom had stool tests. Of these, 4969 (55.6%) underwent two cycles of collective treatment. Changes in the environmental conditions since 2011 were minimal. Comparison before (2011) and after (2014) treatment showed an average schistosomiasis prevalence of 18.6%, decreasing to 4.1% and 2.0% in locations with one and two treatment cycles, respectively. In 2014, the highest schistosomiasis prevalence was found in the forest area (2.8%), while the lowest was found in the northern region (1.2%) of the state. The adjusted analysis showed a lower occurrence of schistosomiasis in individuals living in areas with two treatment cycles than in individuals from areas with just one cycle (PR 0.65, 95% CI: 0.47-0.89). CONCLUSIONS: The political decision made in Pernambuco to implement the SANAR Program in 2011 greatly impacted the burden of schistosomiasis. This program was effective in reducing the occurrence of schistosomiasis in hyperendemic areas in Pernambuco, with a stronger response in areas with two cycles of collective treatment. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-10-25 2018-10-25T00:00:00Z 2021-05-02T22:40:23Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/116695 |
url |
http://hdl.handle.net/10362/116695 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
PURE: 11376491 https://doi.org/10.1186/s12889-018-6102-5 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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11 application/pdf |
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