1274. Factors to Consider for the Elimination of Soil-Transmitted Helminthiasis in School Children
Session: Poster Abstract Session: Travel/Tropical Medicine and Parasitology
Saturday, October 22, 2011
Room: Poster Hall B1
Handouts
  • Sinha_IDSA2011 Poster Presentation.pdf (378.5 kB)
  • Background: Soil-Transmitted Helminthiasis (STH) remains a problem in many developing countries despite recent initiatives to control its transmission. The first step in a successful, pilot implementation of a STH elimination program is obtaining background data on the stakeholders’ knowledge, attitudes, and practices (KAP) regarding STH and STH control through improvements in sanitation and hygiene, health education, and mass drug administration (MDA). 

    Methods: Written KAP surveys were obtained from parents (N = 531) and teachers (N = 105) of students in 11 elementary schools in the province of Guimaras, Philippines. Surveys addressed the attitudes towards MDA strategy, the knowledge about STH and its control, the practice of open defecation, and the acceptability of teachers distributing deworming tablets. Statistical analyses were conducted using Microsoft Excel and Minitab 16. Questions were analyzed using frequency distributions, Likert scale analysis, or grouping into common themes.

    Results: Greater than 90% of parents and teachers had a favorable attitude towards the MDA strategy. They believed that STH was a major problem and could recall general principles for STH control. Regarding the MDA procedure, 69.0% of parents and 75.5% of teachers believed stool exams were necessary before treatment. Regarding open defecation, 47.8% of parents and 42.2% of teachers stated that it still occurs in their communities. On teachers administering deworming tablets to children, 37.0% of parents stated that they would not allow the practice and 91.5% of parents feared that teachers would not be able to detect side effects of the medication. Only 48.0% of teachers felt that they would be able to safely give deworming tablets while 81.4% of teachers were afraid of handling potential side effects of the medication.

    Conclusion: Although attitudes towards STH control are largely favorable, misconceptions about the MDA strategy, the practice of open defecation (a major source of STH transmission), and lack of support for teachers giving deworming tablets still exist. Results from this study will be used to create a plan for government action and to plan education efforts to address misconceptions or lack of knowledge to maximize public support for STH control.


    Subject Category: T. Travel/tropical medicine and parasitology

    Divya Sinha1, Francis Totanes, MD2,3, Alex Tuliao, MD2,3, Raezelle Ciro2,3, Bernard Macatangay, MD4 and Vicente Belizario, MD2,5, (1)University of Pittsburgh School of Medicine, Pittsburgh, PA, (2)University of Philippines Manila - National Institutes of Health, Ermita, Philippines, (3)University of Philippines Manila - College of Public Health, Ermita, Philippines, (4)Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pittsburgh, PA, (5)Department of Parasitology, University of Philippines Manila - College of Public Health, Ermita, Philippines

    Disclosures:

    D. Sinha, None

    F. Totanes, None

    A. Tuliao, None

    R. Ciro, None

    B. Macatangay, None

    V. Belizario, None

    Findings in the abstracts are embargoed until 12:01 a.m. EST Thursday, Oct. 20 with the exception of research findings presented at IDSA press conferences.