Table 4.
Health facility information on schistosomiasis control
| Characteristic | Health facility | |||
| Koche | Nkope | Monkey Bay | ||
| Proprietor/owner | Mission (Catholic) | Mission (Anglican) | Government (public) | |
| Patient service fee | Paying | Paying | Free of charge | |
| Schools served (distance from school to health facility in km) |
Mtonda | Ulande (7) | Mtakataka (10) | |
| Mbwadzulu (8) | ||||
| Nkope (< 0.5) | Namazizi (5) | |||
| Monkey Bay (< 0.5) | ||||
| Prevalence of schistosomiasis infection among school children |
Mtonda (17.0) | Ulande (18.4) | Mtakataka (20.3) | |
| Mbwadzulu (6.8) | ||||
| Nkope (17.4) | Namazizi (0.0) | |||
| Monkey Bay (9.5) | ||||
| Schistosomiasis diagnostic tests | Clinical | Urine microscopy | Urine microscopy | |
| Availability of praziquantel | All year | Last 3 months | Last 6 months | |
| Control interventions at health facility |
Health education | ✓ | ✓ | ✓ |
| Proper toilets | ✓ | |||
| Proper washing areas | ✓ | |||
| Mass drug administration | ✓ | |||
| Patient treatment | ✓ | |||
| Control interventions in the community |
Health education | ✓ | ✓ | ✓ |
| Mass drug administration | ✓ | ✓ | ||
| Encourage toilet use | ✓ | |||
| Protective wear | ✓ | |||
| Avoid killing small fish | ✓ | |||
| Challenges in implementing interventions |
No drugs for mass administration |
✓ | ||
| Sandy areas | ✓ | |||
| Water scarcity | ✓ | |||
| Entrenched behaviours | ✓ | ✓ | ✓ | |
| Suggestions for control interventions |
More health education | ✓ | ✓ | ✓ |
| Improve drug availability | ✓ | |||
| Mass drug administration every 6 months |
✓ | ✓ | ||
| Encourage toilet use | ✓ | |||