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Ms. Ruth Martinez, Schisto Control Program, NDSCP-DOH
   
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SCHISTOSOMIASIS CONTROL PROGRAM IN THE PHILIPPINES

SITUATIONER

SCHISTOSOME SPECIE: Schistosoma japonicum

POPULATION AFFECTED
: 1.9 MILLION FILIPINOS

Disease distribution
:
DISTRIBUTED IN 3 MAIN REGIONS OF LUZON, VISAYAS, MINDANAO
80% OF SNAIL INFESTED AREAS ARE LOCATED IN MINDANAO, 18% IN VISAYAS AND ONLY 2% IN LUZON

THE DISEASE AFFECTS ALMOST ALL PROVINCES IN MINDANAO (EXCEPT THE SULU ARCHIPELAGO AND MISAMIS ORIENTAL)

DISEASE SURVEILLANCE (ACTIVE CASEFINDING) BY FIELD HEALTH SCHISTOSOMIASIS UNITS FOUND 11,079 CASES FROM A TOTAL OF 371,651 PERSONS EXAMINED IN CY-2002

National prevalence – 3%

A TOTAL OF 3,004 WATER BODIES ARE DIRECT SOURCES OF TRANSMISSION

Program Goal
ELIMINATION OF SCHISTOSOMIASIS AS A PUBLIC HEALTH PROBLEM (The National Objective for Health defined elimination as a prevalence of disease of 1 percent or below).

Program Objectives

  • To reduce the disease to 2.5% by end of 2004.
  • To eliminate schistosomiasis in 5 special target areas / provinces of Bohol, Zamboanga del Norte, Surigao del Sur, Davao del Sur and Davao Oriental by end year 2004.
  • To increase the coverage of Mass Treatment to 80% of eligible population in the barangay with prevalence rate of 10% above (baseline is 30%).
  • To increase the percentage of households with sanitary facilities in endemic areas to 72% ( baseline is 60%).
  • To increase the percentage of households with access to safe water in endemic areas to 82% (baseline is 75.5%).
  • Increase the coverage of footbridge construction wooden/concrete) in cercaria infested bodies of water frequented by people to 10% (baseline is 3.5%).
  • Increase the coverage of footbridge construction (wooden/ concrete ) in cercaria infested bodies of water frequented by people to 10% (baseline is 3.5% ,Foreign Assisted Projects).

Program Strategies

  • Morbidity Control: Mass Treatment and Selective treatment.
  • Health technology transfer on schistosomiasis case management and disease surveillance to local health personnel.
  • Strengthening of referral system in strategic areas.
  • Technical Assistance to all stakeholders in trainings, projects development and research.
  • Advocacy / health promotions.
  • Social mobilization / community organization.
  • Forging partnerships with Local Government Units, Non-Government Organizations, Private Organizations- Farmers Organizations, Irrigators associations, BHWs organizations.
  • Networking / Linkaging and Collaboration with the Academe ,National Gov't Agencies-Agriculture, National Irrigations Administration,Education Culture & Sports, Public Works.
  • Snail control through environmental modifications.
  • Vector surveillance.
  • Resource generation through foreign assisted projects / public investment packages.
  • Policy and human resource development.