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© 1991 Oxford University Press

research-article

Community-Based Questionnaires and Health Statistics as Tools for the Cost-Efficient Identification of communities at Risk of Urinary Schistosomiasis

CHRISTIAN LENGELER*, DONALD DE SAVIGNY*, HASSAN MSHINDA*, CHARLES MAYOMBANA*, SEVERINO TAYARI**, CHRISTOPH HATZ*, ANTOINE DEGRÉMONT{dagger} and MARCEL TANNER{dagger},

*Swiss Tropical Institute Field Laboratory PO Box 53, Ifakara, Tanzania.
**District Health Office PO Box 34, Ifakana, Tanzania.
{dagger}Swiss Tropical Institute, Department of Public Health and Epidemiology Socinstrasse 57, CH-4051 Basle, Switzerland.

Reprint requests to: Dr M Tanner, Swiss Tropical Institute, PO Box 4002, Basel, Switzerland.

Self-administered questionnaries, distributed by existing administrative channels to village party chairman, head-teachers and schoolchildren, showed good diegnostic perfomance for the qualitative assessment of unirary schistosomiasis endemicity.

At a cost 34 times below that of the WHO- recommended persitological screening strategy, the schoolchildren's questionnaire allowed the screening of 75 out of 77 school of a rural Tanzanian district in six weeks, and the exclusion of school not at high risk for urinary schistosomiasis with over 90% confidence.

The headteacher and party questinnalres made it possible to assess the perceived important of a spectrum of discease and symptoms, among which was schistosomiasis. The priroty rank of schistosomiasis control was stronglycorreled with the prevalence rate of the disease in the community. The queationnaires also looked for the prioritization of health among other community issues and thus contributed important for planning at district level.

Standardized monthly dieases reports, sent by all primary health services, were also analysed. They allowed a zonal schistosomiasis endemicity classification.

Revised 1 November 1990


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