Community health workers' experiences and perspectives on mass drug administration for schistosomiasis control in western Kenya
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Date
2012-12Author
Omedo, MO
Matey, EJ
Awiti, A
Ogutu, M
Alaii, J
Karanja, DM
Montgomery, SP
Secor, WE
Mwinzi, PN
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Abstract. The Schistosomiasis Consortium for Operational Research and Evaluation (SCORE) includes communitywide treatment in areas with ≥ 25% prevalence of schistosomiasis along the shores of Lake Victoria using community health workers (CHWs). The CHWs are key drivers in community-owned mass drug administration (MDA) intervention programs. We explored their experiences and perceptions after initial MDA participation. Unstructured open-ended group discussions were conducted after completion of MDA activities. Narratives were obtained from CHWs using a digital audio recorder during the group discussion, transcribed verbatim and translated into English where applicable. Thematic decomposition of data was done using ATLAS.t.i. software. From the perspective of the CHWs, factors influencing MDA compliance included drug side effects, food supply stability, and conspiracy theories about the "real" purpose of treatment. The interest of CHWs to serve as community drug distributors stemmed from both intrinsic and extrinsic factors. Feedback from CHWs can promote more effective MDA in rural Kenyan communities.
URI
http://www.ncbi.nlm.nih.gov/pubmed/23091190http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/57612
Citation
Omedo MO, Matey EJ, Awiti A, Ogutu M, Alaii J, Karanja DM, Montgomery SP, Secor WE, Mwinzi PN.Commubity health workers' experiences and perspectives on mass drug administration for schistosomiasis control in western Kenya:the SCORE project. Am J Trop Med Hyg. 2012 Dec; 87 (6): 1065-72Publisher
University of Nairobi School of Public Health
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- Faculty of Health Sciences (FHS) [10387]