Visceral Leishmaniasis control in India through primary health care system : A successful experiment of distric level planning.
A model district action plan for control of Visceral Leishmaniasis a serious public health problem in north-east Bihar was developed in late 1989 and implemented in 1992 in district Vaishali.
A two years implementation resulted in decline in cases and deaths due to Visceral Leishmaniasis to the extent of 65.32% and 46.51% respectively in 1993 as compared to 1992 and 41.13% and 44.93% respectively in 1994 as compared to 1993 with an overall decrease of 79.58% in case and 70.54% in deaths in 1994 as compared to 1992.
The implementation of action plan not only established declining trends in morbidity and mortality due to Visceral Leishmaniasis in the district but also successfully contained the cases unresponsive to first line treatment with Sodium Stibogluconate by reducing the prevalence of such cases from 12.42% in 1992 to 8.59% in 1994.
Various components of the action plan, implementation strategy and consequent impact on disease situation are presented in this paper.
Mots-clés Pascal : Leishmaniose viscérale, Leishmaniose, Protozoose, Parasitose, Infection, Lutte phytosanitaire, Système santé, Soin santé primaire, Homme, Inde, Asie
Mots-clés Pascal anglais : Kala azar, Leishmaniasis, Protozoal disease, Parasitosis, Infection, Pest and disease control, Health system, Primary health care, Human, India, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0393525
Code Inist : 002B05E02B3. Création : 10/04/1997.