Integrated monitoring and evaluation and environmental risk factors for urogenital schistosomiasis and active trachoma in Burkina Faso before preventative chemotherapy using sentinel sites
2011

Monitoring Schistosomiasis and Trachoma in Burkina Faso

Sample size: 3324 publication 10 minutes Evidence: moderate

Author Information

Author(s): Koukounari Artemis, Touré Seydou, Donnelly Christl A, Ouedraogo Amadou, Yoda Bernadette, Ky Cesaire, Kaboré Martin, Bosqué-Oliva Elisa, Basáñez María-Gloria, Fenwick Alan, Webster Joanne P

Primary Institution: Schistosomiasis Control Initiative, Department of Infectious Diseases Epidemiology, Imperial College London, UK

Hypothesis

Can integrated survey designs effectively monitor urogenital schistosomiasis and active trachoma in Burkina Faso?

Conclusion

Both urogenital schistosomiasis and trachoma are prevalent public health issues in Burkina Faso, and their monitoring can be effectively conducted simultaneously at sentinel sites.

Supporting Evidence

  • The overall prevalence of S. haematobium was found to be 11.79%.
  • The prevalence of active trachoma was 13.30%.
  • Altitude was identified as a significant predictor of S. haematobium infection.
  • There were significant negative associations between active trachoma signs and minimum temperature and air pressure.

Takeaway

This study looked at how common two diseases, schistosomiasis and trachoma, are in school children in Burkina Faso and found that both are serious problems that can be checked at the same time.

Methodology

The study analyzed baseline data from 3,324 children aged 7-11 years across 21 sentinel sites using hierarchical binomial logistic regression models.

Potential Biases

Observer error may have affected the sensitivity and specificity of clinical diagnoses.

Limitations

The study may underestimate trachoma prevalence as it only included school-aged children and did not account for younger children who may also be infected.

Participant Demographics

Children aged 7-11 years from 21 sentinel sites across 11 regions in Burkina Faso.

Statistical Information

P-Value

0.168

Confidence Interval

95% CI: 10.70-12.89 for S. haematobium; 12.14-14.45 for trachoma

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2334-11-191

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