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Effectivity of wash/malaria educational community-based intervention in reducing anemia among preschool children from Bengo, Angola

2019-11Conference object Open access
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dc.contributor.authorFançony, Claudia
dc.contributor.authorSoares, Ania
dc.contributor.authorBrito, Miguel
dc.date.accessioned2021-05-15T21:30:52Z
dc.date.available2021-05-15T21:30:52Z
dc.date.issued2019-11
dc.description.abstractExclusive therapeutic approaches promptly clear infections, however, in heavily contaminated environments high reinfections and incidence rates may occur limiting the sustainability of these approaches. Integrating therapeutic and preventive WASH/malaria educational strategies can simultaneously treat infections and reduce disease transmission, resulting in reduced anemia. This study, nested into a major research project investigating the efficacy of educational approaches in reducing anemia, was conducted in 2015 /2016 in CISA's study area, located in Bengo - Angola, and included 312 children randomized to the WASH/Malaria arm. Demographic, socio-economic, Water, Sanitation, Hygiene, and Malaria parental practices, and parasitological and biochemical data were collected at baseline and at 12-month follow-up. These moments were intercalated with 3 monthly domiciliary educational visits aiming at increasing the health literacy of caretakers and collect indicators of changed/improved behavior. T-student, McNemar Test, and Chi-2 tests were used to determine variations on the primary and secondary outcomes. 202 children have completed the study. Despite that, the mean hemoglobin increased levels and total anemia prevalence reduction were not statistically significant (from 11.2g/dL to 11.4g/dL, p=0.21 and from 38.6 to 33.2%, p= 0.21 respectively), an 8.4% reduction in the Iron Deficiency Anemia prevalence was observed (p=0.01). A significant increase in the prevalence of infections was observed, mainly P. falciparum (1.5 to 6.4%), G.lamblia (9.2 to 20.6%), and A. lumbricoides (6.1 to 26.7%). 50.5% of children’s hands and 43.4% of the household’s observations scored 5-6 points for the cleaning state of the nails and for the cleaning state of latrines, respectively. 81.2% of the households scored 0-1 point regarding having water in the latrine to wash hands, 53.3%, 60.1%, and 78.5% were observed to have garbage, loose domestic animals, or puddles in the home surroundings. Neither the reduction of IDA nor the increased infection prevalence were found to be statistically associated with the educational process indicators collected here.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFançony C, Soares A, Brito M. Effectivity of wash/malaria educational community-based intervention in reducing anemia among preschool children from Bengo, Angola. Am J Trop Med Hyg. 2019;101(Suppl 5):578.pt_PT
dc.identifier.doi10.4269/ajtmh.abstract2019pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/13353
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relation.publisherversionhttps://www.ajtmh.org/view/journals/tpmd/101/5_Suppl/article-p1_a.xml?tab_body=pdfpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectTropical diseasept_PT
dc.subjectMalariapt_PT
dc.subjectAnemiapt_PT
dc.subjectPreschool childrenpt_PT
dc.subjectAngolapt_PT
dc.subjectProvíncia do Bengopt_PT
dc.titleEffectivity of wash/malaria educational community-based intervention in reducing anemia among preschool children from Bengo, Angolapt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.endPage578pt_PT
oaire.citation.issueSuppl. 5pt_PT
oaire.citation.startPage578pt_PT
oaire.citation.titleAmerican Journal of Tropical Medicine and Hygienept_PT
oaire.citation.volume101pt_PT
person.familyNameBrito
person.givenNameMiguel
person.identifier.ciencia-id231F-F341-7E93
person.identifier.orcid0000-0001-6394-658X
person.identifier.ridA-7970-2016
person.identifier.scopus-author-id35224551000
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublication4252d8e0-800c-4d67-8b13-0b711d860669
relation.isAuthorOfPublication.latestForDiscovery4252d8e0-800c-4d67-8b13-0b711d860669

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