Study of schistosomiasis control based on the equality of public health services II : evaluation on schistosomiasis control service

Abstract

Objective To evaluate the effects of schistosomiasis control service by 2 sorts of implementer for the purpose of bringing schistosomiasis control into the content of equality of public health services.Methods Xiahu and Wanchang villages with similar schistosomiasis endemic situation in Jiangling County were selected as study sites.The implementers were county level of schistosomiasis control as model 1,township health center and village clinic as model 2.The working hours of snail survey and control,disease examination,and treatment were compared by observation method between 2 sorts of implementers.The village clinic staff was interviewed on schistosomiasis control and willingness by focus groups interview.The above data was analysized by strengths weakness opportunity threats (SWOT).Results The residents Xiahu and Wanchang villages were 571 and 618,the calculated human infection rates were 1.72％ and 2.01％,the schistosomiasis endemic situation was similar.In model 1,the working hours of schistosomiasis examination was 2.57,the working hours of treatment was 2.67,the working hours of stool examination was 11.94,the working hours of health education was 2.49.In model 2,the working hours of schistosomiasis examination was 2.82,the working hours of treatment was 3.13,the working hours of health education was 17.78,without ability for stool examination,snail survey and control.90 staff from 10 township health centers and 88 village clinics was interviewed.Among them,29 staff participated in schistosomiasis examination,41 staff participated in treatment,48 staff participated in health education.No staff participated in snail survey and control.The professional of county agency of schistosomiasis control had overall concept of comprehensive control,mastered the knowledge of schistosomiasis control and technique of examination,but had the difficulty for human blood and fecal samples collection in short time and controlling the unhealthy behavior of water contact in real time.Upon the equality of public health services,the individual health records were established by township health center and village clinic,they had rich clinical experience and offered service for chronic and advanced schistosomiasis patients.The village clinic professional could help blood and fecal samples collections.But township health center and village clinic were of inability for snail survey and control as well as examination on pathogens and blood samples.Conclusion For the sake of achievement of people acquiring equality of public health services,the measures of schistosomiasis prevention and control should be incorporated into public health services.The prevention and control activities should be implemented by county schistosomiasis control agencies,township health centers and village clinics. Key words: Schistosomiasis; Control and prevention; Service; Equality