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Implementation and evaluation of a health-promotion strategy for control of Taenia solium infections in northern Tanzania.

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Title: Implementation and evaluation of a health-promotion strategy for control of Taenia solium infections in northern Tanzania.
Authors: Ngowi, H. A.1 h_ngowi@yahoo.com, Mlangwa, J. E. D.1, Mlozi, M. R. S.2, Tolma, E. L.3, Kassuku, A. A.4, Carabin, H.5, Willingham III, A. L.6
Source: International Journal of Health Promotion & Education. 2009, Vol. 47 Issue 1, p24-34. 11p. 1 Diagram, 1 Chart.
Subject Terms: *Health education, Taenia, Infection prevention, Cysticercosis, Livestock inspection, Farmers, Swine, Prevention
Geographic Terms: Tanzania
Abstract: Introduction Education of pig farmers on health and pig management practices can have an important contribution to the control of Taenia solium infections in endemic areas, leading to potential for providing long-term control of the parasite. In this paper, we describe the application of a health promotion model to implement and evaluate evidence-based strategies for control of T. solium infections in northern Tanzania. Design and methods We used the PRECEDE- PROCEED model as a guide to implement two previously planned health-promotion strategies (enhancing the quality provided by the public health extension services, and conducting seminars for smallholder pig farmers). We carried out a randomised-controlled field trial to evaluate the effectiveness of the intervention. Results Process evaluation revealed a good strategy delivery and a moderate participation of the smallholder pig farmers in the training. The impact evaluation revealed a significant reduction of consumption of pork infected with cysticercosis by the intervention (reduction by 20 per cent, P = 0.005). The outcome evaluation revealed a reduction of the incidence rate of porcine cysticercosis by 43 per cent by the intervention. Conclusion The PRECEDE-PROCEED model may provide an efficient means for designing, implementing, and evaluating effective strategies for control of T. solium infections in any endemic setting. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Health Promotion & Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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DbLabel: Education Research Complete
An: 37199093
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PubType: Academic Journal
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  Data: Implementation and evaluation of a health-promotion strategy for control of Taenia solium infections in northern Tanzania.
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  Data: <searchLink fieldCode="AR" term="%22Ngowi%2C+H%2E+A%2E%22">Ngowi, H. A.</searchLink><relatesTo>1</relatesTo><i> h_ngowi@yahoo.com</i><br /><searchLink fieldCode="AR" term="%22Mlangwa%2C+J%2E+E%2E+D%2E%22">Mlangwa, J. E. D.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Mlozi%2C+M%2E+R%2E+S%2E%22">Mlozi, M. R. S.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Tolma%2C+E%2E+L%2E%22">Tolma, E. L.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Kassuku%2C+A%2E+A%2E%22">Kassuku, A. A.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Carabin%2C+H%2E%22">Carabin, H.</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Willingham+III%2C+A%2E+L%2E%22">Willingham III, A. L.</searchLink><relatesTo>6</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Health+Promotion+%26+Education%22">International Journal of Health Promotion & Education</searchLink>. 2009, Vol. 47 Issue 1, p24-34. 11p. 1 Diagram, 1 Chart.
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  Data: *<searchLink fieldCode="DE" term="%22Health+education%22">Health education</searchLink><br /><searchLink fieldCode="DE" term="%22Taenia%22">Taenia</searchLink><br /><searchLink fieldCode="DE" term="%22Infection+prevention%22">Infection prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Cysticercosis%22">Cysticercosis</searchLink><br /><searchLink fieldCode="DE" term="%22Livestock+inspection%22">Livestock inspection</searchLink><br /><searchLink fieldCode="DE" term="%22Farmers%22">Farmers</searchLink><br /><searchLink fieldCode="DE" term="%22Swine%22">Swine</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink>
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  Data: Introduction Education of pig farmers on health and pig management practices can have an important contribution to the control of Taenia solium infections in endemic areas, leading to potential for providing long-term control of the parasite. In this paper, we describe the application of a health promotion model to implement and evaluate evidence-based strategies for control of T. solium infections in northern Tanzania. Design and methods We used the PRECEDE- PROCEED model as a guide to implement two previously planned health-promotion strategies (enhancing the quality provided by the public health extension services, and conducting seminars for smallholder pig farmers). We carried out a randomised-controlled field trial to evaluate the effectiveness of the intervention. Results Process evaluation revealed a good strategy delivery and a moderate participation of the smallholder pig farmers in the training. The impact evaluation revealed a significant reduction of consumption of pork infected with cysticercosis by the intervention (reduction by 20 per cent, P = 0.005). The outcome evaluation revealed a reduction of the incidence rate of porcine cysticercosis by 43 per cent by the intervention. Conclusion The PRECEDE-PROCEED model may provide an efficient means for designing, implementing, and evaluating effective strategies for control of T. solium infections in any endemic setting. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Health Promotion & Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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