Viewing entries tagged
deworming

Reflecting on 5 Years of Deworming in Kenya for Saumu, Valentiyne, and 6 million of their peers

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Reflecting on 5 Years of Deworming in Kenya for Saumu, Valentiyne, and 6 million of their peers

At Evidence Action, we determine impact based on data, and in partnership with governments, we reached over 280 million children in 2017 alone through our Deworm the World Initiative. Our focus on scale means we rarely have the opportunity to zoom in on an individual’s experience. So in February, we jumped at the chance to visit these two girls, who we first met on a deworming day in Kenya back in 2013.

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Extending Deworming to the Margins in Kenya

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Extending Deworming to the Margins in Kenya

Parasitic worm infections disproportionately affect people living in poverty, especially those who are difficult to reach with mass drug administration. Evidence Action is committed to supporting innovations that enable treatment for all children at risk of worm infections regardless of their circumstances.Here’s a look at some targeted strategies implemented in Kenya to improve coverage of hard-to-reach children over the past year.

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Essential ingredients: a framework for STH control programming

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Essential ingredients: a framework for STH control programming

Parasitic worms, or soil-transmitted helminths (STH), are among the most prevalent causes of illness among the world’s poorest and most vulnerable populations, especially children. Close to a quarter of the world’s population is infected with at least one species of STH, and globally an estimated 870 million children are at risk of a new infection

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Pakistan’s First Nationwide STH Survey: Determining the Intensity and Prevalence of Worm Infections

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Pakistan’s First Nationwide STH Survey: Determining the Intensity and Prevalence of Worm Infections

To comprehensively determine the burden, intensity, and geographical distribution of STH in Pakistan and to inform an appropriate treatment strategy, Evidence Action’s Deworm the World Initiative collaborated with Interactive Research and Development (IRD), the Indus Hospital, and the Institute of Development and Economic Alternatives (IDEAS) to conduct the first nationwide STH survey in Pakistan in late 2016.

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Take Up: Is it Possible to Cost-Effectively Break Transmission of Parasitic Worms?

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Take Up: Is it Possible to Cost-Effectively Break Transmission of Parasitic Worms?

Regular mass deworming of children once or twice a year has greatly contributed to the reductionin the prevalence of worms in several countries. National, school-based deworming programs are the most efficient and cost-effective way to reach kids, and are a cornerstone of addressing the public health threat of STH and schistosomiasis in a growing number of countries.

But there is a growing recognition that treatment of children alone might not be sufficient to break the transmission of worm infections. Infected adults constitute a latent reservoir of worm eggs and present a significant re-infection risk to children, in particular for hookworm, one of the three STH. So, how do we reduce the reinfection of children by treating adults? Enter Take Up, a new research project of Evidence Action's Deworm the World Initiative. 

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What Does it Take to Treat Millions of Kids? Partners, Speed, and A Willingness to Learn

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What Does it Take to Treat Millions of Kids? Partners, Speed, and A Willingness to Learn

What does it take to become a global leader in tackling debilitating parasitic worms in children?  Speed and willingness to learn from other countries who have already done it.

This is the story of Ethiopia where in January of this year, the Federal Ministry of Health announced a national school-based deworming program that will treat over 80% of at-risk children for parasitic worms (namely, soil-transmitted helminths and schistosomiasis) by 2020. In the course of the next five years, the Ministry of Health will collaborate with teachers and health extension workers to distribute over 100 million worm treatments to at-risk children in all corners of this vast country.

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How Do We Calculate the Cost of Deworming?

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How Do We Calculate the Cost of Deworming?

Evidence Action’s Deworm the World Initiative calculates what it costs to deworm a child in the countries that we work in. You might have seen the ‘cost per child per year’ to treat for parasitic worms cited in our materials and that of others.

So how do we calculate that cost? In the spirit of transparency (and in hopes of clearing up any misconceptions about how we determine our supported deworming programs’ cost per child), let’s talk costing!  Here is how we calculate the cost per child/per year for deworming. 

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Mass Deworming: It's Good Public Policy

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Mass Deworming: It's Good Public Policy

Intestinal worm infections are among the most widespread diseases globally today that affect more than a billion people especially in low-income countries. These parasites--roundworms, hookworms, and whipworms--affect especially school-age children, causing malnutrition, fatigue, and even organ damage and internal bleeding. Periodic and presumptive mass treatment of every child is inexpensive, considered very safe, and is recommended WHO policy in areas where worms are endemic. A number of countries have made school-based deworming part and parcel of their national health and education policies.

Yet, some have argued that the WHO recommendation of mass treatment of everyone in an affected area is not supported by enough evidence.

In a new paper, authors Amrita Ahuja, Sarah Baird, Michael Kremer et al. argue that mass deworming treatment is not only effective for children, supported by ample and growing rigorous evidence, but also smart educational and economic policy for endemic countries.

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The Evidence for Impacts of Deworming Grows

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The Evidence for Impacts of Deworming Grows

Evidence Action engages in a rigorous and systematic approach to identify development interventions that we can turn into programs that benefit millions of people with real and proven results. That is what sets us apart from most global development organizations. All programs that we undertake have a strong evidence base generated from peer-reviewed, rigorous evaluations that demonstrate a clear causal chain, most often in the form of randomized control trials (RCTs). 

Evidence Action engages in a rigorous and systematic approach to identify development interventions that we can turn into programs that benefit millions of people with real and proven results. That is what sets us apart from most global development organizations. All programs that we undertake have a strong evidence base generated from peer-reviewed, rigorous evaluations that demonstrate a clear causal chain, most often in the form of randomized control trials (RCTs).

Evidence Action’s Deworm the World Initiative is a good example of a program that is bolstered by a well-rounded and very strong evidence base that highlights the positive impacts of mass deworming on children’s cognition and education across diverse settings.

And now there is new evidence that further supports that mass deworming works and even has long-term effects.

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Summary of the Deworming Evidence Base

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Summary of the Deworming Evidence Base

There is an interesting on-going discussion around the evidence base for deworming. There is consensus that treating children for intestinal worms is safe and appropriate. The discussion focuses on whether the evidence we have to date, specifically the evidence on education and labor market outcomes, does justify mass treatment programs of the sort supported by our Deworm the World Initiative; that is, programs in which all children in an endemic area are treated, without determining infection status. In this post, we aim to point to some resources that summarize the evidence on this question, provide links to the conversations that inform this discussion, and share why we find deworming to be a sound investment.

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A colorful launch yet again in Delhi

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A colorful launch yet again in Delhi

It was a colorful launch yet again for the second annual mass school-based deworming in Delhi schools by the former Health Minister of the Government of Delhi, Dr. A.K. Walia, and senior government officials. The event was enlivened by the presence of many schoolchildren...

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