Effects, equity, and cost of school-based and community-wide treatment strategies for soil-transmitted helminths in Kenya: A cluster-randomised controlled trial
The Lancet Apr 25, 2019
Pullan RL, et al. - School-based deworming programs may lower morbidity related to soil-transmitted helminths in children but may have no impact on transmission in the wider community, so researchers investigated how different large-scale treatment tactics influence community soil-transmitted helminth infection. They randomly assigned (1:1:1) 120 community units (clusters) serving 150,000 households in Kenya in this cluster-randomized controlled trial to receive albendazole through annual school-based treatment targeting of 2–14-year old children or annual or biannual community-wide treatment targeting all ages. Study outcomes suggest a higher efficacy of community-wide treatment in lowering hookworm prevalence and intensity vs school-based treatment. Treating every 6 months seems to have a little additional benefit.
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