{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:57:29Z","timestamp":1747173449633,"version":"3.40.5"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T00:00:00Z","timestamp":1686182400000},"content-version":"unspecified","delay-in-days":158,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>Helminthiases cause significant health deficiencies among children. Mass administration of anthelminthic drugs has had significant results to counter these effects. We assessed the effects on and determinants of treatment coverage of community-directed treatment among children in Zambia, using cross-sectional survey data, and using chi-square test and multilevel mixed-effects model. Of 1,416 children, 51.5% were males and 48.5% were females, while 52.7%, were school-age, and 47.3% were preschool-age. Overall treatment coverage was 53.7% (95% confidence interval (CI) 51.1, 56.4). More preschool-age children were treated compared to school-age ones, 65.2% versus 43.4%, P &lt; 0.001. Similarly, more children under community-directed intervention were treated compared to regular mass drug administration (65.2% versus 51.1 %, P &lt; 0.001). Treatment among school-age participants was associated with being male (Adjusted Odds Ratio (AOR 1.83, 95%CI 1.23\u20132.72), receiving community-directed treatment (AOR 5.53; 95%CI 3.41\u20138.97), and shorter distance to health facility (AOR 2.20; 95%CI 1.36\u20133.56). Among preschool-aged participants, treatment was associated with being residents of Siavonga district (AOR 0.03; 95%CI 0.01\u20130.04) and shorter distance to health facility (AOR 0.35; 95%CI 0.21\u20130.59). Community-directed treatment can be used to increase treatment coverage, thereby contribute to 2030 vision of ending epidemics of neglected tropical diseases.<\/jats:p>","DOI":"10.1017\/s0950268823000912","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T08:02:55Z","timestamp":1686211375000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Reach and uptake of mass drug administration for worm infections through health facility-, school-, and community-based approaches in two districts of Zambia: a call for scale-up"],"prefix":"10.1017","volume":"151","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6385-4474","authenticated-orcid":false,"given":"Hikabasa","family":"Halwiindi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lubombo","family":"Chooka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masauso Moses","family":"Phiri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Buumba","family":"Tapisha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sepiso K.","family":"Masenga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jolezya","family":"Mudenda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kingford","family":"Chimfwembe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mwitwa","family":"Mugode","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benson M.","family":"Hamooya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,6,8]]},"reference":[{"key":"S0950268823000912_r16","unstructured":"[16] World Health Organisation (2021) Ending the neglect to attain the sustainable development goals: A road map for neglected tropical diseases 2021\u20132030. Available at: https:\/\/www.who.int\/teams\/control-of-neglected-tropical-diseases\/ending-ntds-together-towards-2030."},{"key":"S0950268823000912_r12","doi-asserted-by":"publisher","DOI":"10.1093\/inthealth\/ihz055"},{"key":"S0950268823000912_r17","doi-asserted-by":"publisher","DOI":"10.1016\/j.inhe.2010.09.003"},{"key":"S0950268823000912_r4","doi-asserted-by":"publisher","DOI":"10.1016\/j.pt.2003.10.002"},{"key":"S0950268823000912_r26","doi-asserted-by":"publisher","DOI":"10.1080\/13648470.1998.9964549"},{"key":"S0950268823000912_r22","doi-asserted-by":"publisher","DOI":"10.1017\/S0031182008000474"},{"key":"S0950268823000912_r3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0000126"},{"key":"S0950268823000912_r13","doi-asserted-by":"publisher","DOI":"10.1186\/1756-3305-5-182"},{"key":"S0950268823000912_r18","first-page":"905836","article-title":"Factors perceived by caretakers as barriers to health care for under-five children in Mazabuka District, Zambia","volume":"2013","author":"Halwindi","year":"2013","journal-title":"International Scholarly Research Notices"},{"key":"S0950268823000912_r1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.13-0612"},{"key":"S0950268823000912_r14","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0006426"},{"key":"S0950268823000912_r24","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0008258"},{"key":"S0950268823000912_r2","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/906520"},{"key":"S0950268823000912_r5","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed4020065"},{"key":"S0950268823000912_r11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0006211"},{"key":"S0950268823000912_r30","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(00)00049-6"},{"key":"S0950268823000912_r32","doi-asserted-by":"publisher","DOI":"10.1186\/s13071-018-2944-z"},{"key":"S0950268823000912_r10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0005037"},{"key":"S0950268823000912_r8","unstructured":"[8] World Health Organization (2006) Preventive chemotherapy in human helminthiasis\u00a0: coordinated use of anthelminthic drugs in control interventions\u00a0: A manual for health professionals and programme managers. ISBN:\u00a0978 92 4 154710 9."},{"key":"S0950268823000912_r29","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-1449-3"},{"key":"S0950268823000912_r15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30171-4"},{"key":"S0950268823000912_r6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0006902"},{"key":"S0950268823000912_r20","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czs129"},{"key":"S0950268823000912_r25","doi-asserted-by":"publisher","DOI":"10.3855\/jidc.9881"},{"key":"S0950268823000912_r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2009.11.011"},{"key":"S0950268823000912_r28","first-page":"113","article-title":"Girl-child education campaigns and enrolment\/retention in Zambian basic schools: Impact analysis","volume":"15","author":"Nkosha","year":"2013","journal-title":"CICE Hiroshima University, Journal of International Cooperation in Education"},{"key":"S0950268823000912_r23","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0141029"},{"key":"S0950268823000912_r21","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2021.1886457"},{"key":"S0950268823000912_r19","unstructured":"[19] World Health Organisation (2004) Deworming for Health and Development: Report of the third global meeting of the partners for parasite control Geneva, 29\u201330 November 2004. Available at https:\/\/www.who.int\/publications-detail-redirect\/WHO-CDS-CPE-PVC-2005.14."},{"key":"S0950268823000912_r27","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932001005697"},{"key":"S0950268823000912_r31","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2008.04.023"},{"key":"S0950268823000912_r7","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-3811-z"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268823000912","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T10:03:49Z","timestamp":1699351429000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268823000912\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":32,"alternative-id":["S0950268823000912"],"URL":"https:\/\/doi.org\/10.1017\/s0950268823000912","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"type":"print","value":"0950-2688"},{"type":"electronic","value":"1469-4409"}],"subject":[],"published":{"date-parts":[[2023]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e183"}}