Final published version
Licence: CC BY-NC-ND
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - Model-based geostatistical design and analysis of prevalence for soil-transmitted helminths in Kenya
T2 - Results from ten-years of the Kenya national school-based deworming programme
AU - Okoyo, Collins
AU - Minnery, Mark
AU - Orowe, Idah
AU - Owaga, Chrispin
AU - Campbell, Suzy J.
AU - Wambugu, Christin
AU - Olick, Nereah
AU - Hagemann, Jane
AU - Omondi, Wyckliff P.
AU - McCracken, Kate
AU - Montresor, Antonio
AU - Medley, Graham F.
AU - Fronterre, Claudio
AU - Diggle, Peter
AU - Mwandawiro, Charles
PY - 2023/10/31
Y1 - 2023/10/31
N2 - Background Kenya is endemic for soil-transmitted helminths (STH) with over 6 million children in 27 counties currently at-risk. A national school-based deworming programme (NSBDP) was launched in 2012 with a goal to eliminate parasitic worms as a public health problem. This study used model-based geostatistical (MBG) approach to design and analyse the impact of the NSBDP and inform treatment strategy changes. Methods A cross-sectional study was used to survey 200 schools across 27 counties in Kenya. The study design, school selection and analysis followed the MBG approach which incorporated historical data on treatment, morbidity and environmental covariates to efficiently predict the helminths prevalence in Kenya. Results Overall, the NSBDP geographic area prevalence for any STH was estimated to sit between 2 % and 0.999. Species-specific thresholds were between 2 % and 0.999. Conclusions Based on the World Health Organization guidelines, STH treatment requirements can now be confidently refined. Ten counties may consider suspending treatment and implement appropriate surveillance system, while another 10 will require treatment once every two years, and the remaining seven will require treatment once every year.
AB - Background Kenya is endemic for soil-transmitted helminths (STH) with over 6 million children in 27 counties currently at-risk. A national school-based deworming programme (NSBDP) was launched in 2012 with a goal to eliminate parasitic worms as a public health problem. This study used model-based geostatistical (MBG) approach to design and analyse the impact of the NSBDP and inform treatment strategy changes. Methods A cross-sectional study was used to survey 200 schools across 27 counties in Kenya. The study design, school selection and analysis followed the MBG approach which incorporated historical data on treatment, morbidity and environmental covariates to efficiently predict the helminths prevalence in Kenya. Results Overall, the NSBDP geographic area prevalence for any STH was estimated to sit between 2 % and 0.999. Species-specific thresholds were between 2 % and 0.999. Conclusions Based on the World Health Organization guidelines, STH treatment requirements can now be confidently refined. Ten counties may consider suspending treatment and implement appropriate surveillance system, while another 10 will require treatment once every two years, and the remaining seven will require treatment once every year.
U2 - 10.1016/j.heliyon.2023.e20695
DO - 10.1016/j.heliyon.2023.e20695
M3 - Journal article
VL - 9
JO - Heliyon
JF - Heliyon
SN - 2405-8440
IS - 10
M1 - e20695
ER -