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Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/5732

Title: Resisting control of neglected tropical diseases: Dilemmas in the mass treatment of schistosomiasis and soil-transmitted helminths in north-west Uganda
Authors: Parker, M
Allen, T
Hastings, J
Keywords: Mansoni infection
Consequences
Epidemiology
Panyagoro
Community
District
Nile
Publication Date: 2008
Publisher: Cambridge University Press
Citation: Journal of Biosocial Science, 40(2): 161-181, 2008
Abstract: A strong case has recently been made by academics and policymakers to develop national programmes for the integrated control of Africa's 'neglected tropical diseases'. Uganda was the first country to develop a programme for the integrated control of two of these diseases: schistosomiasis and soil-transmitted helminths. This paper discusses social responses to the programme in Panyimur, north-west Uganda. It shows that adults are increasingly rejecting free treatment. Resistance is attributed to a subjective fear of side-effects; divergence between biomedical and local understandings of schistosomiasis/bilharzia; as well as inappropriate and inadequate health education. In addition, the current procedures for distributing drugs at a district level are problematic. Additional research was carried out in neighbouring areas to explore the generalizability of findings. Comparable problems have arisen. It is concluded that the national programme will not fulfil its stated objectives of establishing a local demand for mass treatment unless it can establish more effective delivery strategies and promote behavioural change in socially appropriate ways. To do so will require new approaches to social, economic and political aspects of distribution. There are reasons why populations infected with the 'neglected tropical diseases' are themselves neglected. Those reasons cannot just be wished away.
Description: Copyright @ 2007 Cambridge University Press
Sponsorship: This paper is based on fieldwork funded by SCI, Imperial College, under the auspices of the Bill and Melinda Gates Foundation.
URI: http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=1660216&fulltextType=RA&fileId=S0021932007002301
http://bura.brunel.ac.uk/handle/2438/5732
DOI: http://dx.doi.org/10.1017/S0021932007002301
ISSN: 0021-9320
Appears in Collections:Anthropology
School of Social Sciences Research Papers
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