Assessment of the diagnostic system of schistosoma infection at rural health unit level, Egypt

ABSTRACT

The study sample was six rural health units and 405 attendants. Assessment of inputs was done through review of documents, charts, interviews, questionnaires and direct observation. Assessment of accuracy of the techniques was done by cross matching the results of urine and stools examination using different techniques [filtration and sedimentation for urine, and Kato-Katz and direct smear for stools]. Results of technicians were compared with that of investigators using the same technique. Two days examinations of urine and stools samples were done by investigators using nucleopore and Kato-Katz, respectively. Environment assessment showed that, political and economic environments were the most influencing components that affect the system of diagnosis. Mean daily workload of urinary examinations per technician ranged between 5.8 and 34.8. That of stools examinations was 5.3 and 32.4. Satisfaction rates ranged between 51.3% and 100% for different rural health units. Strengths and opportunities should be intensified. Weaknesses and threats should be treated