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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1996-4-8
|
| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara,
http://linkedlifedata.com/resource/pubmed/keyword/Burundi,
http://linkedlifedata.com/resource/pubmed/keyword/Critique,
http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/Eastern Africa,
http://linkedlifedata.com/resource/pubmed/keyword/French Speaking Africa,
http://linkedlifedata.com/resource/pubmed/keyword/Health,
http://linkedlifedata.com/resource/pubmed/keyword/Health Services,
http://linkedlifedata.com/resource/pubmed/keyword/Integrated Programs,
http://linkedlifedata.com/resource/pubmed/keyword/Organization And Administration,
http://linkedlifedata.com/resource/pubmed/keyword/Parasitic Diseases--prevention and...,
http://linkedlifedata.com/resource/pubmed/keyword/Political Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Primary Health Care,
http://linkedlifedata.com/resource/pubmed/keyword/Program Sustainability,
http://linkedlifedata.com/resource/pubmed/keyword/Programs,
http://linkedlifedata.com/resource/pubmed/keyword/WAR
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0035-9203
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
89
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
599
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:otherAbstract |
PIP: Since 1989 in Burundi, primary health care (PHC) services have integrated schistosomiasis control in Cibitoke, Bubanza, Bujumbura, Bururi, Kirundo, and Makamba provinces, all of which are low-lying areas. Schistosoma mansoni infection is endemic in these provinces. Civil unrest broke out in October 1993 in Burundi. This turmoil tested the sustainability of the integrated program. 15 months after the civil unrest, PHC services in most of these provinces have recovered their output of findings of schistosomiasis cases. Cibitoke province had recovered its output in case findings by the first quarter of 1994 and maintained this recovery through the next two quarters. A new wave of unrest in Cibitoke hampered its efforts in the last quarter of 1994, however. Bubanza and Bujumbura took longer to recover its case finding output but have been able to maintain a respectable level of output since then. Bubanza has not yet totally returned to its pre-unrest levels. Bururi and Makamba have been able to increase its output after the initial downturn in output caused by the unrest. These two provinces were least affected by the civil unrest. Given the fact that Kirundo borders Rwanda and its security has been precarious since the end of 1993, it has achieved satisfactory levels of case finding output. An electoral campaign during the second quarter of 1993 also affected the PHC/schistosomiasis program in Bubanza, Bururi, and Makamba. These findings show that once a schistosomiasis control program has become a routine part of basic health services, it can recover, even after intense civil turmoil. These same political conditions would necessitate discontinuation of a vertical program using mobile teams, likely for a long period.
|
| pubmed:meshHeading | |
| pubmed:articleTitle |
Sustainability of schistosomiasis case detection based on primary health care.
|
| pubmed:affiliation |
Belgian Technical Co-operation, Bujumbura, Burundi.
|
| pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|