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CONTROL OF SCHISTOSOMIASIS IN THE GEZIRA IRRIGATION SCHEME, SUDAN

Published online by Cambridge University Press:  29 February 2016

Mutamad Amin*
Affiliation:
Research and Grants Unit, Ahfad University for Women, Omdurman, Sudan
Hwiada Abubaker
Affiliation:
School of Psychology and Pre-School Education, Ahfad University for Women, Omdurman, Sudan
*
1 Corresponding author. Email: mutamedamin@gmail.com

Summary

This paper analyses the changing patterns of infection with Schistosoma mansoni and S. haematobium in the Gezira Irrigation Scheme, Sudan. Taking a historical perspective, it shows the way in which factors such as ecology, biology, social and economic variables and politics have shaped patterns of infection, and how different kinds of strategies have been developed to control schistosomal infection over time. Wider political and economic issues at both national and international levels have shaped these strategies, influencing the prevalence and intensity of schistosomal infection at a local level. By highlighting the inter-play between the above-mentioned factors, the article reflects on the wisdom of prioritizing community-directed mass drug administration for the control of schistosomiasis in Gezira and elsewhere. The review demonstrates that not all efforts to control schistosomiasis are sustainable. A comprehensive control strategy involving political commitment, community participation and socioeconomic development is important for sustainable control of schistosomal infection.

Type
Research Article
Copyright
Copyright © Cambridge University Press, 2016 

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