02152nas a2200325   4500000000100000008004100001653001500042653002500057653002100082653002400103653001500127653000900142653003500151653001200186653001100198653002100209653001100230653002100241653001000262653001500272100001500287700001400302700001500316700001500331245012100346300001000467490000800477520132700485022001401812       2007                            d10aUzbekistan10aSecondary Prevention10aRural Population10aProspective Studies10aPrevalence10aMale10aIntestinal Diseases, Parasitic10aHygiene10aHumans10aHealth Promotion10aFemale10aChild, Preschool10aChild10aAdolescent1 aGungoren B1 aLatipov R1 aRegallet G1 aMusabaev E00aEffect of hygiene promotion on the risk of reinfection rate of intestinal parasites in children in rural Uzbekistan.  a564-90 v1013 a<p>A controlled prospective cohort study was designed to assess the effectiveness of hygiene promotion on the risk of reinfection by intestinal parasites in children in 276 rural Uzbek households over a 1-year period. The study included three groups: seasonality (no medicine, no hygiene promotion activity), treatment (medicine provided, no hygiene promotion activity) and hygiene promotion (medicine provided and hygiene promotion activity). The Participatory Hygiene and Sanitation Transformation methodology was utilized as the key tool in hygiene promotion activities. Three hygiene behaviors were targeted: hand washing with soap, safe feces disposal and boiling drinking water. On average, more than 80% of all children tested were infected with Enterobius vermicularis, Hymenolepis nana, Ascaris lumbricoides, Giardia lamblia or Entamoeba coli. There were statistically significant differences between the three groups for the risk of reinfection rate: the risk of reinfection by parasites was 30% lower in the hygiene promotion group than in the treatment group and 37% lower than in the seasonality group. If properly designed and carried out, hygiene promotion is an effective tool in reducing the risk of intestinal parasite reinfection in children, thus improving children's health in rural communities.</p>
  a0035-9203