Objective:The World Health Organization recommends annual preventive chemotherapy with a single dose of praziquantel at≥75%treatment coverage,but as of 2021,the national coverage rate in Nigeria among children falls ...Objective:The World Health Organization recommends annual preventive chemotherapy with a single dose of praziquantel at≥75%treatment coverage,but as of 2021,the national coverage rate in Nigeria among children falls below 10%.This qualitative study sought to explore the barriers and facilitators to implementing large-scale praziquantel mass drug administration(MDA)programs for school-aged children in Nigeria to delineate tools and strategies that could improve the scaling-up and effectiveness of school-based praziquantel MDA programs.Methods:An exploratory qualitative study was conducted with stakeholders with experience in MDAs involving praziquantel or related preventive chemotherapy drugs in Nigeria.Through snowball sampling,30 stakeholders with experience in praziquantel school-based MDA in Nigeria were interviewed.An inductive approach was used to generate broad themes based on the barriers and facilitators identified by the key informants.Results:A total of 45 barriers and 36 facilitators were identified and grouped inductively into eight themes:funding and resources,design and composition of praziquantel tablets,knowledge and awareness mobilization,government,nongovernmental organization,and school engagement,data management,logistics,training,and security.Conclusion:This qualitative study reveals a wide range of barriers and facilitators in the MDA of praziquantel in Nigeria and uncovered critical points along the implementation pathway based on the locus of the barriers and facilitators identified.Collaboration with national,international,and non-profit organizations,and drug education through promotional materials,were the most frequently mentioned facilitators of the MDA program.In addition,insufficient program funding,and the complexity of the supply chain were the most cited barriers.展开更多
This study looked at rapid urbanization and the flood risk it portends with a view to identifying mechanisms for coping in coastal zones of Nigeria. Flooding is one of the various ecological problems that has taken it...This study looked at rapid urbanization and the flood risk it portends with a view to identifying mechanisms for coping in coastal zones of Nigeria. Flooding is one of the various ecological problems that has taken its toll on the quality of the environment, human health, and economic growth in parts of Africa and the coastal zones of Nigeria in particular. Rapid urbanization has been seen to result in changes in land use patterns which can adversely affect the hydrological processes in a catchment leading to a deteriorating water environment. warning systems are identified and discussed in the paper Structural and non-structural approach as well as flood early as flood risks coping mechanisms, It also discusses the policy implications that government through its relevant agencies must be up to its game by monitoring precursors, forecasting of probable floods and notification of alerts, It concludes and recommends that an active involvement of communities at risks is required and public education and awareness of risks should be facilitated through effective dissemination, as well as ensuring that there is a constant preparedness,展开更多
基金the Flourish Collective,a Cluster of Scholarly Prominence at the University of Toronto,Scarborough。
文摘Objective:The World Health Organization recommends annual preventive chemotherapy with a single dose of praziquantel at≥75%treatment coverage,but as of 2021,the national coverage rate in Nigeria among children falls below 10%.This qualitative study sought to explore the barriers and facilitators to implementing large-scale praziquantel mass drug administration(MDA)programs for school-aged children in Nigeria to delineate tools and strategies that could improve the scaling-up and effectiveness of school-based praziquantel MDA programs.Methods:An exploratory qualitative study was conducted with stakeholders with experience in MDAs involving praziquantel or related preventive chemotherapy drugs in Nigeria.Through snowball sampling,30 stakeholders with experience in praziquantel school-based MDA in Nigeria were interviewed.An inductive approach was used to generate broad themes based on the barriers and facilitators identified by the key informants.Results:A total of 45 barriers and 36 facilitators were identified and grouped inductively into eight themes:funding and resources,design and composition of praziquantel tablets,knowledge and awareness mobilization,government,nongovernmental organization,and school engagement,data management,logistics,training,and security.Conclusion:This qualitative study reveals a wide range of barriers and facilitators in the MDA of praziquantel in Nigeria and uncovered critical points along the implementation pathway based on the locus of the barriers and facilitators identified.Collaboration with national,international,and non-profit organizations,and drug education through promotional materials,were the most frequently mentioned facilitators of the MDA program.In addition,insufficient program funding,and the complexity of the supply chain were the most cited barriers.
文摘This study looked at rapid urbanization and the flood risk it portends with a view to identifying mechanisms for coping in coastal zones of Nigeria. Flooding is one of the various ecological problems that has taken its toll on the quality of the environment, human health, and economic growth in parts of Africa and the coastal zones of Nigeria in particular. Rapid urbanization has been seen to result in changes in land use patterns which can adversely affect the hydrological processes in a catchment leading to a deteriorating water environment. warning systems are identified and discussed in the paper Structural and non-structural approach as well as flood early as flood risks coping mechanisms, It also discusses the policy implications that government through its relevant agencies must be up to its game by monitoring precursors, forecasting of probable floods and notification of alerts, It concludes and recommends that an active involvement of communities at risks is required and public education and awareness of risks should be facilitated through effective dissemination, as well as ensuring that there is a constant preparedness,
