Archives of Gynecology and Obstetrics

, Volume 281, Issue 3, pp 455–460

Exploring the feasibility and possible efficacy of mass treatment and education of young females as schistosomiasis influences the HIV epidemic

  • Linn Elisabeth Lillerud
  • Vibeke Moerken Stuestoel
  • Ragnhild Elisabet Hoel
  • Zacharias Rukeba
  • Eyrun Floerecke Kjetland
Original Article

DOI: 10.1007/s00404-009-1108-y

Cite this article as:
Lillerud, L.E., Stuestoel, V.M., Hoel, R.E. et al. Arch Gynecol Obstet (2010) 281: 455. doi:10.1007/s00404-009-1108-y

Abstract

Purpose

Genital schistosomiasis may be a risk factor for HIV, but chronic lesions in adults may be refractory to standard treatment. We aimed to investigate young girls’ risk factors for gynaecological schistosomiasis, possible protective factors and possibilities for behavioural change and mass treatment in rural Tanzania.

Methods

A standardised questionnaire was used to interview females between 5 and 20 years of age in a small cross-sectional study.

Results

One third of the girls were found to be at risk of acquiring schistosomal infection. Younger and older girls were engaged in more risk behaviour than the 10–14-year-olds. Knowledge of the parasite was associated with less risky water contact, and most of the girls had acquired this knowledge through primary school education.

Conclusion

Mass treatment for gynaecological schistosomiasis should be done in collaboration with the school system as a joint venture with the health system in order to reach non-enrolled girls who may be at particular risk. Research is still needed to assess the preventive effect of treatment on genital lesions and on HIV incidence.

Keywords

AdolescentGenital schistosomiasisSchistosoma haematobiumHIVTreatmentFemale

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Linn Elisabeth Lillerud
    • 1
  • Vibeke Moerken Stuestoel
    • 1
  • Ragnhild Elisabet Hoel
    • 1
  • Zacharias Rukeba
    • 2
  • Eyrun Floerecke Kjetland
    • 1
    • 3
  1. 1.University of OsloOsloNorway
  2. 2.Mchukwi Mission HospitalMchukwiTanzania
  3. 3.Centre for Imported and Tropical Diseases, Department of Infectious DiseasesUllevaal University HospitalOsloNorway