A Knowledge, Attitudes and Practices Survey Conducted Three Years after Halting Ivermectin Mass Treatment for Onchocerciasis in Guatemala.

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  • Additional Information
    • Author-Supplied Keywords:
      Animals
      Biology and life sciences
      Central America
      Diagnostic medicine
      Diarrhea
      Gastroenterology and hepatology
      Geographical locations
      Guatemala
      Health care
      Health education and awareness
      Helminth infections
      Intestinal parasites
      Invertebrates
      Medicine and health sciences
      Neglected tropical diseases
      Nematoda
      North America
      Onchocerca
      Onchocerca volvulus
      Onchocerciasis
      Organisms
      Parasitic diseases
      Parasitology
      Pathology and laboratory medicine
      People and places
      Physiological processes
      Physiology
      Research and analysis methods
      Research Article
      Research design
      Signs and symptoms
      Survey research
      Surveys
      Tropical diseases
      Vomiting
    • Abstract:
      Background: Mass drug administration (MDA) with ivermectin for onchocerciasis was provided in Guatemala’s Central Endemic Zone (CEZ) over a 24 year period (1988–2011). Elimination of Onchocerca volvulus transmission was declared in 2015 after a three year post MDA surveillance period (2012–2014) showed no evidence of recrudescence. The purpose of the present study was to evaluate the knowledge, attitudes and practices (KAP) towards onchocerciasis and ivermectin among residents in the post endemic CEZ. A major interest in this study was to determine what community residents thought about the end of the ivermectin MDA program. Methodology/Principal Findings: A total of 148 interviews were conducted in November 2014 in four formerly hyperendemic communities using a standard questionnaire on smart phones. The majority (69%) of respondents knew that the MDA program had ended because the disease was no longer present in their communities, but a slight majority (53%) was personally unsure that onchocerciasis had really been eliminated. Sixty-three percent wanted to continue to receive ivermectin because of this uncertainty, or because ivermectin is effective against intestinal worms. Eighty-nine percent of respondents said that they would seek medical attention immediately if a family member had symptoms of onchocerciasis (especially the presence of a nodule), which is a finding very important for ongoing surveillance. Conclusions/Significance: Many respondents wanted to continue receive ivermectin and more than half did not believe onchocerciasis had been eliminated. The ministry of health outreach services should be prepared to address ongoing concerns about onchocerciasis in the post endemic CEZ. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1River Blindness Elimination Program, Lymphatic Filariasis Elimination Program, and Schistosomiasis Control Program, The Carter Center, Atlanta, Georgia, United States of America
      2Center for Health Studies (CHS), Universidad del Valle de Guatemala (UVG), Guatemala City, Guatemala
      3Onchocerciasis Elimination Program for the Americas, The Carter Center, Guatemala City, Guatemala
      4Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America
      5Onchocerciasis Sub-Program, National Ministry of Health, Guatemala City, Guatemala
    • ISSN:
      1935-2727
    • Accession Number:
      10.1371/journal.pntd.0004777
    • Accession Number:
      116388155
  • Citations
    • ABNT:
      JR.RICHARDS, F. O. et al. A Knowledge, Attitudes and Practices Survey Conducted Three Years after Halting Ivermectin Mass Treatment for Onchocerciasis in Guatemala. PLoS Neglected Tropical Diseases, [s. l.], v. 10, n. 6, p. 1–13, 2016. DOI 10.1371/journal.pntd.0004777. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=aph&AN=116388155. Acesso em: 22 out. 2020.
    • AMA:
      Jr.Richards FO, Klein RE, de León O, et al. A Knowledge, Attitudes and Practices Survey Conducted Three Years after Halting Ivermectin Mass Treatment for Onchocerciasis in Guatemala. PLoS Neglected Tropical Diseases. 2016;10(6):1-13. doi:10.1371/journal.pntd.0004777
    • APA:
      Jr.Richards, F. O., Klein, R. E., de León, O., Mendizábal-Cabrera, R., Morales, A. L., Cama, V., Crovella, C. G., Díaz Espinoza, C. E., Morales, Z., Sauerbrey, M., & Rizzo, N. (2016). A Knowledge, Attitudes and Practices Survey Conducted Three Years after Halting Ivermectin Mass Treatment for Onchocerciasis in Guatemala. PLoS Neglected Tropical Diseases, 10(6), 1–13. https://doi.org/10.1371/journal.pntd.0004777
    • Chicago/Turabian: Author-Date:
      Jr.Richards, Frank O., Robert E. Klein, Oscar de León, Renata Mendizábal-Cabrera, Alba Lucía Morales, Vitaliano Cama, Carol G. Crovella, et al. 2016. “A Knowledge, Attitudes and Practices Survey Conducted Three Years after Halting Ivermectin Mass Treatment for Onchocerciasis in Guatemala.” PLoS Neglected Tropical Diseases 10 (6): 1–13. doi:10.1371/journal.pntd.0004777.
    • Harvard:
      Jr.Richards, F. O. et al. (2016) ‘A Knowledge, Attitudes and Practices Survey Conducted Three Years after Halting Ivermectin Mass Treatment for Onchocerciasis in Guatemala’, PLoS Neglected Tropical Diseases, 10(6), pp. 1–13. doi: 10.1371/journal.pntd.0004777.
    • Harvard: Australian:
      Jr.Richards, FO, Klein, RE, de León, O, Mendizábal-Cabrera, R, Morales, AL, Cama, V, Crovella, CG, Díaz Espinoza, CE, Morales, Z, Sauerbrey, M & Rizzo, N 2016, ‘A Knowledge, Attitudes and Practices Survey Conducted Three Years after Halting Ivermectin Mass Treatment for Onchocerciasis in Guatemala’, PLoS Neglected Tropical Diseases, vol. 10, no. 6, pp. 1–13, viewed 22 October 2020, .
    • MLA:
      Jr.Richards, Frank O., et al. “A Knowledge, Attitudes and Practices Survey Conducted Three Years after Halting Ivermectin Mass Treatment for Onchocerciasis in Guatemala.” PLoS Neglected Tropical Diseases, vol. 10, no. 6, June 2016, pp. 1–13. EBSCOhost, doi:10.1371/journal.pntd.0004777.
    • Chicago/Turabian: Humanities:
      Jr.Richards, Frank O., Robert E. Klein, Oscar de León, Renata Mendizábal-Cabrera, Alba Lucía Morales, Vitaliano Cama, Carol G. Crovella, et al. “A Knowledge, Attitudes and Practices Survey Conducted Three Years after Halting Ivermectin Mass Treatment for Onchocerciasis in Guatemala.” PLoS Neglected Tropical Diseases 10, no. 6 (June 24, 2016): 1–13. doi:10.1371/journal.pntd.0004777.
    • Vancouver/ICMJE:
      Jr.Richards FO, Klein RE, de León O, Mendizábal-Cabrera R, Morales AL, Cama V, et al. A Knowledge, Attitudes and Practices Survey Conducted Three Years after Halting Ivermectin Mass Treatment for Onchocerciasis in Guatemala. PLoS Neglected Tropical Diseases [Internet]. 2016 Jun 24 [cited 2020 Oct 22];10(6):1–13. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=aph&AN=116388155