Integrated health messaging for multiple neglected zoonoses: Approaches, challenges and opportunities in Morocco

Ducrotoy, Marie J.; Azami, Hind Yahyaoui; Berbri, Ikhlass El; Bouslikhane, Mohammed; Fihri, Ouafaa Fassi; Boué, Franck; Pétavy, A. F.; Dakkak, A.; Welburn, Susan C.; Bardosh, Kevin

doi:10.1016/j.actatropica.2015.08.011

Cited by 13 publications

(20 citation statements)

References 24 publications

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“…here the administration of the education session before the questionnaire for logistical convenience posed then problems in the interpretation of answers to some questions of the questionnaire). A pilot testing of the risk factors questionnaire and the inclusion of a social scientist in the team are also advisable to better adapt epidemiological tools to the habits and structure of the target communities, improve attendance from all age groups and genders and advise on the social acceptability of different sampling methods [34]. …”

Section: Discussionmentioning

confidence: 99%

Human cystic echinococcosis in Morocco: Ultrasound screening in the Mid Atlas through an Italian-Moroccan partnership

Chebli

Idrissi

Benazzouz³

et al. 2017

PLoS Negl Trop Dis

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BackgroundCystic echinococcosis (CE) is a neglected parasitic zoonosis with considerable socioeconomic impact on affected pastoral communities. CE is endemic throughout the Mediterranean, including Morocco, where the Mid Atlas is the most prevalent area for both human and animal infection. The highest hospital annual incidence of human CE is recorded in the provinces of Ifrane and El Hajeb. However, hospital-based statistics likely underestimate the real prevalence of infection, as a proportion of cases never reach medical attention or official records.Methodology/Principal findingsIn 2012, a project on clinical management of CE in Morocco was launched with the aims of estimating the prevalence of human abdominal CE in selected rural communes of the above mentioned provinces using ultrasound (US) screening and training local physicians to implement US-based focused assessment and rational clinical management of CE according to the WHO-IWGE Expert Consensus. A total of 5367 people received abdominal US during four campaigns in April-May 2014. During the campaigns, 24 local general practitioners received >24 hours of hands-on training and 143 health education sessions were organized for local communities. We found an overall CE prevalence of 1.9%, with significantly higher values in the rural communes of Ifrane than El Hajeb (2.6% vs 1.3%; p<0.001). CE cysts were predominantly in inactive stage, especially in older age groups. However, active cysts were present also in adults, indicating acquisition of infection at all ages. Province of residence was the only risk factor consistently associated with CE infection.Conclusions/SignificanceOur results show a high prevalence and on-going, likely environmental transmission of CE in the investigated provinces of Morocco, supporting the implementation of control activities in the area by national health authorities and encouraging the acceptance and divulgation of diagnosis and treatment algorithms based on imaging for CE at both national and local level.

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Section: Discussionmentioning

confidence: 99%

Human cystic echinococcosis in Morocco: Ultrasound screening in the Mid Atlas through an Italian-Moroccan partnership

Chebli

Idrissi

Benazzouz³

et al. 2017

PLoS Negl Trop Dis

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“…One intervention session was held in the school, after obtaining the permission of the school headmaster, because it has been shown that the access and receptivity level is higher in schools. The villagers were also given a hand-out bag containing soap, tea, sugar and coffee and sandal to ensure participation [25]. The investigators were trained on the subject matter and interpersonal and communication skills to ensure that they were able to connect with the villagers effectively [25].…”

Section: Methodsmentioning

confidence: 99%

“…The villagers were also given a hand-out bag containing soap, tea, sugar and coffee and sandal to ensure participation [25]. The investigators were trained on the subject matter and interpersonal and communication skills to ensure that they were able to connect with the villagers effectively [25]. A post intervention survey was conducted five months later to determine the level of success of the project.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…There have been several reported successful intervention programmes on zoonotic diseases and neglected tropical diseases [24][25][26] in communities where illiteracy or low levels of literacy is prevalent. In a pilot project in Chile, a 'One Health' approach was used to detect, treat and prevent zoonotic infections and it was found that an integrated multidisciplinary programme was valuable in preventing, diagnosing and treating zoonotic infections [24][25][26][27]. One Health is a collaborative effort of multiple disciplines working locally, nationally and globally to attain optimal health in a holistic manner for people, animals and environment [28][29][30] leading to health improvement and optimisation of risk mitigation simultaneously across all domains [31].…”

Section: Introductionmentioning

confidence: 99%

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Instilling Good Knowledge, Attitude and Practices among the Indigenous People of Malaysia Concerning Dog Associated Zoonotic Infections

Rashid

Fong

Rani

et al. 2018

Preprint

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The indigenous people of peninsular Malaysia are a marginalized group; they are socio economically deprived and have low levels of education. One such group is the Jahai, who commonly used dogs for hunting, but have recently started to move away from traditional hunter-gatherer lifestyle, resulting in the dogs to multiply in numbers and roam as strays in the village. The community is now at risk of dog associated zoonotic infections. Studies have shown that health education and promotion can improve knowledge, attitude and practices of dog associated infections. However most of the studies were done among dog owners and in communities with fairly good education levels. A holistic approach using One Health concept was used to instil good knowledge, attitude and practices of the Jahai community concerning dog associated zoonotic infections. This non-experimental pre and post-test intervention study was conducted among Jahai villagers aged 12 years and above living in a village located in the Belum forest in Malaysia. The findings of this study showed the effectiveness of a multidisciplinary team using One Health concept to successfully improve knowledge, attitude and practices related to dog associated zoonotic infections.. CC-BY 4.0 International license It is made available under a was not peer-reviewed) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity.

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Cystic Echinococcosis in the Mediterranean

et al. 2017

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Integrated health messaging for multiple neglected zoonoses: Approaches, challenges and opportunities in Morocco

Cited by 13 publications

References 24 publications

Human cystic echinococcosis in Morocco: Ultrasound screening in the Mid Atlas through an Italian-Moroccan partnership

Human cystic echinococcosis in Morocco: Ultrasound screening in the Mid Atlas through an Italian-Moroccan partnership

Instilling Good Knowledge, Attitude and Practices among the Indigenous People of Malaysia Concerning Dog Associated Zoonotic Infections

Cystic Echinococcosis in the Mediterranean

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