Journal
INTERNATIONAL JOURNAL OF HEALTH PROMOTION AND EDUCATION
Volume 47, Issue 1, Pages 24-34Publisher
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/14635240.2009.10708154
Keywords
Taenia solium control; health promotion evaluation; PRECEDE-PROCEED model; Tanzania
Categories
Funding
- Danish International Development Agency (DANIDA) through the ENRECA Livestock Helminths Research Project
Ask authors/readers for more resources
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.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available