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      African Programme for Onchocerciasis Control (APOC): sociological study in three foci of central Africa before the implementation of treatments with ivermectin (Mectizan).

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          Abstract

          The African Programme for Onchocerciasis Control (APOC) has put in place a study to assess the long-term impact of the community-directed treatments with ivermectin on various clinical and entomological indicators of onchocerciasis. As the results obtained would depend on community participation in the treatments, surveys were also conducted at the study sites to assess the people's knowledge, attitudes and practices regarding onchocerciasis and its treatment. This article presents the anthropological observations made before the implementation of the treatments in three sites: one in the Central African Republic, and two in the Democratic Republic of Congo. The information collected shows that the populations have a relatively poor knowledge of the manifestations and mode of transmission of onchocerciasis. The communities' attitudes towards those individuals afflicted with the disease vary from one site to another. Regarding treatment, the populations use both traditional and 'modern' treatments, but the beneficial effects of ivermectin are not well known. The differences recorded between the sites surveyed demonstrate that the messages to be delivered to the populations before the distributions should take into account the local epidemiological and socio-anthropological context.

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          Author and article information

          Journal
          Trans R Soc Trop Med Hyg
          Transactions of the Royal Society of Tropical Medicine and Hygiene
          Elsevier BV
          0035-9203
          0035-9203
          Jul 2007
          : 101
          : 7
          Affiliations
          [1 ] Centre de coordination des recherches et de la documentation en sciences sociales pour l'Afrique sub-saharienne (CERDAS), Université de Kinshasa, BP 836, Kinshasa IX, République Démocratique du Congo.
          Article
          S0035-9203(07)00074-0
          10.1016/j.trstmh.2007.03.007
          17433391
          333f68d2-61ad-4992-a020-fe2c3c5d20e8
          History

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