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SOCIO-DEMOGRAPHIC FACTORS ASSOCIATED WITH TREATMENT AGAINST SOIL-TRANSMITTED HELMINTH INFECTIONS IN CHILDREN AGED 12–59 MONTHS USING THE HEALTH FACILITY APPROACH ALONE OR COMBINED WITH A COMMUNITY-DIRECTED APPROACH IN A RURAL AREA OF ZAMBIA

Published online by Cambridge University Press:  07 June 2012

H. HALWINDI ,
P. MAGNUSSEN ,
S. SIZIYA ,
D. W. MEYROWITSCH  and
A. OLSEN
H. HALWINDI
Affiliation:
Department of Community Medicine, School of Medicine, University of Zambia, Lusaka, Zambia
P. MAGNUSSEN
Affiliation:
DBL-Centre for Health Research and Development, Department of Veterinary Disease Biology, Faculty of Life Sciences, Frederiksberg C, Denmark
S. SIZIYA
Affiliation:
Department of Community Medicine, School of Medicine, University of Zambia, Lusaka, Zambia
D. W. MEYROWITSCH
Affiliation:
Section of Health Services Research, Department of Public Health, University of Copenhagen, Copenhagen K, Denmark
A. OLSEN
Affiliation:
DBL-Centre for Health Research and Development, Department of Veterinary Disease Biology, Faculty of Life Sciences, Frederiksberg C, Denmark
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Summary

A health facility-based (HF) approach to delivering anthelminthic drugs to children aged 12–59 months in Zambia was compared with an approach where community-directed treatment (ComDT) was added to the HF approach (HF+ComDT). This paper reports on the socio-demographic factors associated with treatment coverage in the HF+ComDT and HF areas after 18 months of implementation. Data were collected by interviewing 288 and 378 caretakers of children aged 12–59 months in the HF+ComDT and HF areas, respectively. Bivariate and multivariate logistic regression analyses were used for data analysis. Statistically significant predictors of a child being treated were: a child coming from the HF+ComDT area, being 12–36 months old, the family having lived in the area for >20 years, coming from a household with only one under-five child and living ≤3 km from the health facility. It is concluded that socio-demographic factors are of public health relevance and affect treatment coverage in both the HF+ComDT and the HF approaches. The implementation and strengthening of interventions like ComDT that bring treatment closer to households will enable more children to have access to treatment.

Type
Research Article
Information
Journal of Biosocial Science , Volume 45 , Issue 1 , January 2013 , pp. 95 - 109
Copyright
Copyright © Cambridge University Press 2012

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