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Rev Panam Salud Publica. 2015 Oct;38(4):344-6.

Sustaining a hygiene education intervention to prevent and control geohelminth infections at schools in the Peruvian Amazon.

Author information

Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada.
Division of Clinical Epidemiology, Royal Victoria Hospital Campus, McGill University Health Centre, Montreal, Quebec, Canada,
Asociación Civil Selva Amazónica, Iquitos, Peru.


The World Health Organization currently recommends that school-based deworming programs include health hygiene education as a complementary measure. However, the sustainability and long-term impact of such hygiene education had yet to be assessed. In July 2012, this cross-sectional study was conducted in 18 primary schools in the Peruvian Amazon to gauge continuing adherence to a health hygiene education intervention introduced 2 years earlier to reduce soil-transmitted helminth infections. Due in large part to high teacher turn-over, only 9 of 47 (19.1%) teachers were still implementing the intervention. Health hygiene education interventions must, therefore, be designed to ensure sustainability in order to contribute to the overall effectiveness of school-based deworming programs.

[Indexed for MEDLINE]

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