Summary information

Study title

Impact of Increased Praziquantel Frequency on Childhood Fibrosis in Persistent Schistosomiasis Morbidity Hotspots Baseline Parasitology and WASH Infrastructure: 2019 - 2021

Creator

Besigye, F, Uganda Ministry of Health
Adriko, M, Uganda Ministry of Health
Vennervald, B, University of Copenhagen
Tukahebwa, E, Uganda Ministry of Health
Bond, S, Cambridge University Hospitals NHS Foundation Trust
Wilson, S, University of Cambridge

Study number / PID

857375 (UKDA)

10.5255/UKDA-SN-857375 (DOI)

Data access

Restricted

Series

Not available

Abstract

Treatment guidelines for schistosomiasis recommend increasing frequency of preventative chemotherapy (PC) administration of praziquantel to twice per annum in persistent hotspots of transmission, in combination with integrated control strategies. FibroScHot was an individual randomised superiority trial designed to examine twice per annum and four times per annum treatment frequency. It was conducted in two primary schools, Buhirigi and Kaiso, in Hoima District Uganda – a designated Schistosoma mansoni high transmission area in which PC is targeted at children and adults. Schistosoma mansoni egg counts were one of the FibroScHot trial outcomes. Outcomes were measured at baseline (2020 and 2021) prior to commencement of scheduled trial treatments with praziquantel and again at the 2-year outcome visit. The data presented here are the demographic data for the trial participants and egg counts based upon one stool collected at baseline. Also provided are the results from a questionnaire on WASH infrastructure in the surrounding communities that was implemented in November 2019.Schistosomiasis remains a major public health problem in many developing countries, Uganda inclusive. It affects the poorest people, living in remote, marginal and rural areas, and causes life-long disability, disfigurement, reduced economic productivity and social stigma. In Hoima District, communities on the shores of Lake Albert retain high infection intensities levels. This is despite concerted efforts to provide annual community wide preventative chemotherapy through mass drug administration (MDA) programmes, with the latest reported coverage rates for districts with Lake Albert shores being above the WHO target of 75% of those eligible for treatment (currently school aged children and adults). Failure to gain control of infection in primary school children can result in the development of persistent morbidity that can be life threatening in adulthood. Without improved intervention we...
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Topics

Methodology

Data collection period

17/11/2019 - 02/04/2021

Country

Uganda

Time dimension

Not available

Analysis unit

Individual

Universe

Not available

Sampling procedure

Not available

Kind of data

Numeric

Data collection mode

Enrolment into the FibroScHot trial was conducted regardless of Schistosoma mansoni infection status from two schools, Buhirigi and Kaiso in Hoima District, Uganda. Recruitment was initially from the P2 and P3 classes, with later expansion into other classes. Each child was assigned a unique identifier upon enrolment. Age and length of residency in the area were included in the inclusion criteria, along with consent and assent for participation. In total 735 individuals were eligible for inclusion. Biological sex according to the school register was recorded for all participants at enrolment. Due to the COVID-19 pandemic parasitology sampling was split between 2020 and 2021 in Buhirigi Primary. All stool sampling for Kaiso was undertaken in 2021. In total stool samples for Schistosoma mansoni eggs counts were collected from 700 individuals at baseline. Stool samples were processed using the Kato-Katz technique for intestinal schistosome egg counts. When stool sample volume allowed, two slides per stool were prepared. WASH infrastructure availability in the surrounding communities was assessed in November 2019 by implementation of the core questions on household drinking water and sanitation from the 2018 joint monitoring programme (JMP) for water supply and sanitation questionnaire developed by WHO and UNICEF. Prior to implementation the questions were translated into Alur (the main local language). Fifty parents/guardians from Kaiso and 48 parents/guardians from Buhirigi of children attending the P2 class participated. Participants were selected by inviting the parent/guardian of every 4th child on the register. The study code they were provided with was not linked to their child.

Funding information

Grant number

RIA2017NIM-1842

Access

Publisher

UK Data Service

Publication year

2024

Terms of data access

The UK Data Archive has granted a dissemination embargo. The embargo will end on 21 February 2025 and the data will then be available in accordance with the access level selected.

Related publications

Not available