What question did this study set out to answer?

To determine the impact of borehole well installation on domestic water utilization patterns and the associated transmission risk of Schistosoma haematobium.

August 1, 1989American Journal of Tropical Medicine and Hygiene

Effects of Borehole Wells on Water Utilization in Schistosoma Haematobium Endemic Communities in Coast Province, Kenya

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Authors

HKHeba El KholyCornell University TST.K.Arap SiongokClinica Universidad de Navarra DKDavy KoechUniversity of Nairobi

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Implication

Community survey demonstrates persistent Schistosoma haematobium transmission despite borehole well introduction in endemic villages, highlighting social barriers to reducing water contact.

Key Points

To determine the impact of borehole well installation on domestic water utilization patterns and the associated transmission risk of Schistosoma haematobium.
Conducted household surveys using a 1:6 sampling ratio before and after borehole well introduction across three endemic villages and two control villages with piped tap water in Kenya.
Tracked specific domestic water contact behaviors, monitored snail intermediate host infection rates, and measured reinfection rates alongside a three-year school-based chemotherapy program.
Well introduction significantly reduced high-risk water usage for drinking, cooking, and dishwashing, but high-risk contact persisted for bathing and clothes washing.
A 21% to 28% incidence of S. haematobium infection persisted among school-aged children despite borehole well access and three years of chemotherapy.
Ecological surveillance of local snail habitats showed no significant decrease in the total number or proportion of S. haematobium-infected snails.

Cite This Study

Kholy et al. (1989) studied this question.

synapsesocial.com/papers/6a707f506ceb2bbd16dfea1a https://doi.org/10.4269/ajtmh.1989.41.212

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Implication

Community survey demonstrates persistent Schistosoma haematobium transmission despite borehole well introduction in endemic villages, highlighting social barriers to reducing water contact.

Effects of Borehole Wells on Water Utilization in Schistosoma Haematobium Endemic Communities in Coast Province, Kenya

Discussion

Member takes

Implication

Key Points

Cite This Study

Effects of Borehole Wells on Water Utilization in Schistosoma Haematobium Endemic Communities in Coast Province, Kenya

Discussion

Member takes

Implication

Key Points

Cite This Study

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