An evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala

Rao, Gouthami; Blackstock, Anna J.; Derado, Gordana; Cuéllar, Victoria M.; Juliao, Patricia; Alvarez, Maricruz; López, Beatriz; Muñoz, Fredy; Thornton, Andrew; Patel, Jaymin C.; López, Gerard; Rivera, Jose G.; Reyes, Lissette; Arvelo, Wences; Lindblade, Kim A.; Roy, Sharon L.

doi:10.2166/washdev.2021.160

Cited by 3 publications

(1 citation statement)

References 33 publications

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“…Reports were generated and periodically shared among stakeholders, including the health facility and hospital epidemiology staff, and MSPAS officials. In addition to sentinel surveillance, ViCo was also used as a foundation for smaller-scale research studies which tapped into existing surveillance activities to evaluate interventions and diagnostics [ 19 – 21 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the collaborative integrated surveillance system (ViCo) in Guatemala: a qualitative study on lessons learned and future perspectives

Jaramillo

Ning

Cadena³

et al. 2022

BMC Public Health

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Background The collaborative integrated surveillance system known as Vigilancia Integrada Comunitaria (ViCo) was implemented in 2007 to better understand and characterize the burden of diarrheal, respiratory and febrile illnesses in Guatemala. Methods To evaluate the usefulness of ViCo and inform a redesign of the system and new surveillance activities in the Central American region, personnel from the United States Centers for Disease Control and Prevention (CDC) conducted thirty-nine in-depth interviews from June—December 2018 with key stakeholders responsible for the design and implementation of ViCo in Guatemala. A semi-structured questionnaire adapted from the Updated CDC Guidelines for Evaluating Public Health Surveillance Systems was used for data collection. We used a grounded theory approach to explore stakeholder perceptions of ViCo and generate recommendations for improvement. Primary qualitative findings were organized based on thematic areas using ATLAS.ti version 8 software. Results Emergent themes relevant to the usefulness of ViCo were organized across strengths, weaknesses, and recommendations pertaining to the: (1) Size and Complexity of ViCo, (2) Stakeholder Expectations About the Objectives of ViCo, (3) Data Management and Structure of the Information System, (4) Local Control of Data, (5) Integration of ViCo within the Ministry of Health, and, (6) Improvement of the Operational and Design Aspects of ViCo across System, Process, and Output levels. Conclusions Stakeholders perceived ViCo to be useful. They recommended measures to improve system performance and quality, including simplifying the surveillance system, routine data analysis and feedback, and channeling efforts towards integrating surveillance data into the national health information system. To create a well-performing surveillance system and achieve the intended objective of surveillance for public health action, ongoing evaluation and assessment of surveillance activities are necessary.

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Section: Introductionmentioning

confidence: 99%

Evaluation of the collaborative integrated surveillance system (ViCo) in Guatemala: a qualitative study on lessons learned and future perspectives

Jaramillo

Ning

Cadena³

et al. 2022

BMC Public Health

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The impact of a pediatric malnutrition telehealth clinic on anthropometric measurements in children aged 6–59 months in rural Guatemala

Sobczak,

Jennings,

Henderson

et al. 2024

J Am Assoc Nurse Pract

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Background: Guatemala, a country with high rates of pediatric malnutrition, has significant challenges including food and potable water insecurity and a lack of health care providers. Purpose: This study examined the impact of telehealth clinic attendance on pediatric malnutrition scores. Methodology: A sample of 42 Guatemalan children aged 6–59 months with malnutrition were recruited to participate in eight clinic events, including two in-person and six telehealth clinics. Six telehealth clinics were held at 4- to 6-week intervals, bookended by an initial and concluding in-person event. Nonparametric tests were used to analyze changes between baseline and last visit z-scores for height, weight for length, mid-upper arm circumference (MUAC), and body mass index (BMI) and to examine the relationship between the number of telehealth visits and z-score measurements at baseline and last visit. Results: The number of children with severe malnutrition at baseline by weight for length, BMI, and MUAC decreased by the last visit. A decrease occurred in the number of children with stunted height. Changes in z-scores for height, weight for length, BMI, and MUAC between study onset and last visit did not reach statistical significance. Statistically significant relationships existed between clinic attendance and baseline and last visit weight for height/length z-scores and baseline MUAC z-scores. Conclusions: Positive improvements in nutritional status occurred, especially among children with severe malnutrition. Children with severe malnutrition had significantly better telehealth attendance. Implications: Studies with larger sample sizes are needed. Study results indicate that telehealth may be a tool to battle global pediatric malnutrition.

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Use of rivers' water, inadequate hygiene, and sanitation as exposure of internally displaced persons (IDPs) to urogenital schistosomiasis and soil-transmitted helminthiasis in Jalingo Local Government Area (LGA), Taraba State, Nigeria

Binga

Houmsou

Garba

et al. 2022

Journal of Water, Sanitation and Hygiene for Development

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Water- and soil-transmitted helminthiasis in relation to socio-demographic status and risk factors of internally displaced persons in Jalingo Local Government Area (LGA) were determined. The nutritional status was also studied among infected individuals. Urine filtration and Kato-Katz techniques were used to examine urine and faecal samples, respectively. Urogenital schistosomiasis infection was found at a moderate level of 52 (17.6%), whereas a low level of ascariasis and hookworm infections were found at 48 (16.3%) and 8 (2.7%), respectively. People in Jauro Gbadi camp and in the age group between 41 and 50 years had significantly the highest infection with hookworm, 8 (8.2%) (χ2 = 16.70; p = 0.000) and 2 (11.7%)(χ2 = 17.59, p = 0.003), respectively. Farmers were significantly infected with urogenital schistosomiasis (20.1%) (χ2 = 14.03; p = 0.043). Fishing in rivers exposed more individuals to urogenital schistosomiasis with an adjusted odds ratio (aOR) = 8.60 (95% CI: 0.86–85.52; p = 0.046). The lack of hygienic measures exposed more individuals who ‘don't wash their hands before eating’ to soil-transmitted helminthiasis with an aOR = 4.13 (95% CI: 0.77–21.99; p = 0.045). In sanitation, individuals who ‘don't use pit latrines and do use the bush for defaecating’ were exposed to soil-transmitted helminthiasis with an aOR = 2.14 (95% CI: 1.30–3.52; p = 0.002). Farmers were infected with urogenital schistosomiasis. People in the Jauro Gbadi camp and individuals between the age groups of 11 and 50 years had hookworm infection. Use of river water, inappropriate hygiene, and sanitation exposed individuals to infection.

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An evaluation of water, sanitation, and hygiene status and household assets and their associations with soil-transmitted helminthiasis and reported diarrhea in Nueva Santa Rosa, Guatemala

Cited by 3 publications

References 33 publications

Evaluation of the collaborative integrated surveillance system (ViCo) in Guatemala: a qualitative study on lessons learned and future perspectives

Evaluation of the collaborative integrated surveillance system (ViCo) in Guatemala: a qualitative study on lessons learned and future perspectives

The impact of a pediatric malnutrition telehealth clinic on anthropometric measurements in children aged 6–59 months in rural Guatemala

Use of rivers' water, inadequate hygiene, and sanitation as exposure of internally displaced persons (IDPs) to urogenital schistosomiasis and soil-transmitted helminthiasis in Jalingo Local Government Area (LGA), Taraba State, Nigeria

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