Accelerating onchocerciasis elimination in humanitarian settings: lessons from South Sudan.

Autor:	Siewe Fodjo JN; Global Health Institute, University of Antwerp, Gouverneur Kinsbergen Center, Doornstraat 331, 2610 Wilrijk, Belgium., Jada SR; Amref Health Africa, UN-OCHA Road, Juba, Republic of South Sudan., Rovarini J; Amref Health Africa, UN-OCHA Road, Juba, Republic of South Sudan., Bol YY; Neglected Tropical Diseases Unit, Ministry of Health, Ministries Road Juba, Republic of South Sudan., Carter JY; Amref Health Africa Headquarters, P.O. Box 30125 Nairobi, Kenya., Hadermann A; Global Health Institute, University of Antwerp, Gouverneur Kinsbergen Center, Doornstraat 331, 2610 Wilrijk, Belgium., Lakwo T; Vector Control Division, Ministry of Health, P.O. Box 7272 Kampala, Uganda., Colebunders R; Global Health Institute, University of Antwerp, Gouverneur Kinsbergen Center, Doornstraat 331, 2610 Wilrijk, Belgium.
Jazyk:	angličtina
Zdroj:	International health [Int Health] 2024 Jul 30. Date of Electronic Publication: 2024 Jul 30.
DOI:	10.1093/inthealth/ihae051
Abstrakt:	There is persistent meso- and hyperendemicity of onchocerciasis (river blindness) in South Sudan, a country that has endured armed conflict for many years. In 2018, Amref Health Africa, in collaboration with local communities, the South Sudan Ministry of Health and other stakeholders, initiated some interventions, among which was Innovative Approaches to Reduce the Burden of Disease Caused by Onchocerciasis (IARDO) project. This project implemented several strategies, including identifying areas where onchocerciasis elimination programs need strengthening, switching from annual to biannual community-directed treatment with ivermectin (CDTI), additional ivermectin administration to postpartum women and school children and a community-based 'slash and clear' vector control strategy. These measures resulted in increased CDTI coverage, fewer bites from blackfly vectors and decreased onchocerciasis-related morbidity. The feasibility of these interventions, low cost, national government support and community ownership suggest their long-term sustainability. (© The Author(s) 2024. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.)
Databáze:	MEDLINE
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