Comparison of World Health Organization and Demographic and Health Surveys data to estimate sub-national deworming coverage in pre-school aged children
The key metric for monitoring the progress of deworming programs in controlling soil-transmitted helminthiasis (STH) is national drug coverage reported to the World Health Organization (WHO). There is increased interest in utilizing geographically-disaggregated data to estimate sub-national dewormin...
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| description | The key metric for monitoring the progress of deworming programs in controlling soil-transmitted helminthiasis (STH) is national drug coverage reported to the World Health Organization (WHO). There is increased interest in utilizing geographically-disaggregated data to estimate sub-national deworming coverage and equity, as well as gender parity. The Demographic and Health Surveys (DHS) offer a potential source of sub-national data. This study aimed to compare deworming coverage routinely reported to WHO and estimated by DHS in pre-school aged children to inform global STH measurement and evaluation.
We compared sub-national deworming coverage in pre-school aged children reported to WHO and estimated by DHS aligned geospatially and temporally. We included data from Burundi (2016-2017), Myanmar (2015-2016), and the Philippines (2017) based on data availability. WHO provided data on the date and sub-national coverage per mass drug administration reported by Ministries of Health. DHS included maternally-reported deworming status within the past 6 months for each child surveyed. We estimated differences in sub-national deworming coverage using WHO and DHS data, and performed sensitivity analyses.
We compared data on pre-school aged children from 13 of 18 districts in Burundi (N = 6,835 in DHS), 11 of 15 districts in Myanmar (N = 1,462 in DHS) and 16 of 17 districts in the Philippines (N = 7,594 in DHS) following data exclusion. The national deworming coverages estimated by DHS in Burundi, Myanmar, and the Philippines were 75.5% (95% CI: 73.7%-77.7%), 47.0% (95% CI: 42.7%-51.3%), and 48.0% (95% CI: 46.0%-50.0%), respectively. The national deworming coverages reported by WHO in Burundi, Myanmar, and the Philippines were 80.1%, 93.6% and 75.7%, respectively. The mean absolute differences in district-level coverage reported to WHO and estimated by DHS in Burundi, Myanmar, and the Philippines were 9.5%, 41.5%, and 24.6%, respectively. Across countries, coverage reported to WHO was frequently higher than DHS estimates (32 of 40 districts). National deworming coverage from DHS estimates were similar by gender within countries.
Agreement of deworming coverage reported to WHO and estimated by DHS data was heterogeneous across countries, varying from broadly compatible in Burundi to largely discrepant in Myanmar. DHS data could complement deworming data reported to WHO to improve data monitoring practices and serve as an independent sub-national source of coverage data. |
| doi_str_mv | 10.1371/journal.pntd.0008551 |
| format | Article |
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We compared sub-national deworming coverage in pre-school aged children reported to WHO and estimated by DHS aligned geospatially and temporally. We included data from Burundi (2016-2017), Myanmar (2015-2016), and the Philippines (2017) based on data availability. WHO provided data on the date and sub-national coverage per mass drug administration reported by Ministries of Health. DHS included maternally-reported deworming status within the past 6 months for each child surveyed. We estimated differences in sub-national deworming coverage using WHO and DHS data, and performed sensitivity analyses.
We compared data on pre-school aged children from 13 of 18 districts in Burundi (N = 6,835 in DHS), 11 of 15 districts in Myanmar (N = 1,462 in DHS) and 16 of 17 districts in the Philippines (N = 7,594 in DHS) following data exclusion. The national deworming coverages estimated by DHS in Burundi, Myanmar, and the Philippines were 75.5% (95% CI: 73.7%-77.7%), 47.0% (95% CI: 42.7%-51.3%), and 48.0% (95% CI: 46.0%-50.0%), respectively. The national deworming coverages reported by WHO in Burundi, Myanmar, and the Philippines were 80.1%, 93.6% and 75.7%, respectively. The mean absolute differences in district-level coverage reported to WHO and estimated by DHS in Burundi, Myanmar, and the Philippines were 9.5%, 41.5%, and 24.6%, respectively. Across countries, coverage reported to WHO was frequently higher than DHS estimates (32 of 40 districts). National deworming coverage from DHS estimates were similar by gender within countries.
Agreement of deworming coverage reported to WHO and estimated by DHS data was heterogeneous across countries, varying from broadly compatible in Burundi to largely discrepant in Myanmar. DHS data could complement deworming data reported to WHO to improve data monitoring practices and serve as an independent sub-national source of coverage data.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0008551</identifier><identifier>PMID: 32804925</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Anthelmintics ; Anthelmintics - therapeutic use ; Burundi ; Chemotherapy ; Child, Preschool ; Children ; Children & youth ; Communicable diseases in children ; Countries ; Data ; Databases, Factual ; Demographics ; Demography ; Disease prevention ; Distribution ; Drug dosages ; Drug therapy ; Drugs ; Environmental monitoring ; Female ; Gender ; Health aspects ; Health Surveys ; Helminthiasis ; Helminthiasis - transmission ; Humans ; Infant ; Low income groups ; Male ; Management ; Medicine ; Medicine and Health Sciences ; Monitoring ; Myanmar ; Pediatric research ; People and Places ; Philippines ; Polls & surveys ; Preschool children ; Primary care ; Public health ; Research and Analysis Methods ; Sensitivity analysis ; Soil ; Surveys ; Tropical diseases ; World Health Organization</subject><ispartof>PLoS neglected tropical diseases, 2020-08, Vol.14 (8), p.e0008551</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Lo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Lo et al 2020 Lo et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c624t-8bb0e118e27d968bb1d3d04175d4e10257277817baa59d4b49238864120be5be3</citedby><cites>FETCH-LOGICAL-c624t-8bb0e118e27d968bb1d3d04175d4e10257277817baa59d4b49238864120be5be3</cites><orcidid>0000-0002-4872-0774</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7462292/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7462292/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32804925$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Diemert, David Joseph</contributor><creatorcontrib>Lo, Nathan C</creatorcontrib><creatorcontrib>Gupta, Ribhav</creatorcontrib><creatorcontrib>Addiss, David G</creatorcontrib><creatorcontrib>Bendavid, Eran</creatorcontrib><creatorcontrib>Heft-Neal, Sam</creatorcontrib><creatorcontrib>Mikhailov, Alexei</creatorcontrib><creatorcontrib>Montresor, Antonio</creatorcontrib><creatorcontrib>Mbabazi, Pamela Sabina</creatorcontrib><title>Comparison of World Health Organization and Demographic and Health Surveys data to estimate sub-national deworming coverage in pre-school aged children</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><description>The key metric for monitoring the progress of deworming programs in controlling soil-transmitted helminthiasis (STH) is national drug coverage reported to the World Health Organization (WHO). There is increased interest in utilizing geographically-disaggregated data to estimate sub-national deworming coverage and equity, as well as gender parity. The Demographic and Health Surveys (DHS) offer a potential source of sub-national data. This study aimed to compare deworming coverage routinely reported to WHO and estimated by DHS in pre-school aged children to inform global STH measurement and evaluation.
We compared sub-national deworming coverage in pre-school aged children reported to WHO and estimated by DHS aligned geospatially and temporally. We included data from Burundi (2016-2017), Myanmar (2015-2016), and the Philippines (2017) based on data availability. WHO provided data on the date and sub-national coverage per mass drug administration reported by Ministries of Health. DHS included maternally-reported deworming status within the past 6 months for each child surveyed. We estimated differences in sub-national deworming coverage using WHO and DHS data, and performed sensitivity analyses.
We compared data on pre-school aged children from 13 of 18 districts in Burundi (N = 6,835 in DHS), 11 of 15 districts in Myanmar (N = 1,462 in DHS) and 16 of 17 districts in the Philippines (N = 7,594 in DHS) following data exclusion. The national deworming coverages estimated by DHS in Burundi, Myanmar, and the Philippines were 75.5% (95% CI: 73.7%-77.7%), 47.0% (95% CI: 42.7%-51.3%), and 48.0% (95% CI: 46.0%-50.0%), respectively. The national deworming coverages reported by WHO in Burundi, Myanmar, and the Philippines were 80.1%, 93.6% and 75.7%, respectively. The mean absolute differences in district-level coverage reported to WHO and estimated by DHS in Burundi, Myanmar, and the Philippines were 9.5%, 41.5%, and 24.6%, respectively. Across countries, coverage reported to WHO was frequently higher than DHS estimates (32 of 40 districts). National deworming coverage from DHS estimates were similar by gender within countries.
Agreement of deworming coverage reported to WHO and estimated by DHS data was heterogeneous across countries, varying from broadly compatible in Burundi to largely discrepant in Myanmar. DHS data could complement deworming data reported to WHO to improve data monitoring practices and serve as an independent sub-national source of coverage data.</description><subject>Anthelmintics</subject><subject>Anthelmintics - therapeutic use</subject><subject>Burundi</subject><subject>Chemotherapy</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Communicable diseases in children</subject><subject>Countries</subject><subject>Data</subject><subject>Databases, Factual</subject><subject>Demographics</subject><subject>Demography</subject><subject>Disease prevention</subject><subject>Distribution</subject><subject>Drug dosages</subject><subject>Drug therapy</subject><subject>Drugs</subject><subject>Environmental monitoring</subject><subject>Female</subject><subject>Gender</subject><subject>Health aspects</subject><subject>Health Surveys</subject><subject>Helminthiasis</subject><subject>Helminthiasis - transmission</subject><subject>Humans</subject><subject>Infant</subject><subject>Low income groups</subject><subject>Male</subject><subject>Management</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Monitoring</subject><subject>Myanmar</subject><subject>Pediatric research</subject><subject>People and Places</subject><subject>Philippines</subject><subject>Polls & surveys</subject><subject>Preschool children</subject><subject>Primary care</subject><subject>Public health</subject><subject>Research and Analysis Methods</subject><subject>Sensitivity analysis</subject><subject>Soil</subject><subject>Surveys</subject><subject>Tropical diseases</subject><subject>World Health Organization</subject><issn>1935-2735</issn><issn>1935-2727</issn><issn>1935-2735</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNptUl1rFDEUHUSxdfUfiAYE8WXWfE5mXgqlfrRQ6IOKjyEzuTubkknWZKZS_4h_1-zutHSl5CG5N-ec-8EpitcELwmT5ON1mKLXbrnxo1lijGshyJPimDRMlFQy8fTB-6h4kdI1xqIRNXleHDFaY95QcVz8PQvDRkebgkdhhX6G6Aw6B-3GNbqKvfb2jx5t_tTeoE8whD7qzdp2u3jGfZviDdwmZPSo0RgQpNEOegSUprb0O7p2yMDvEAfre9SFG4i6B2Q92kQoU7cOwaGcMahbW2ci-JfFs5V2CV7N96L48eXz97Pz8vLq68XZ6WXZVZSPZd22GAipgUrTVDkihhnMiRSGA8FUSCplTWSrtWgMb_PQrK4rTihuQbTAFsXbve7GhaTmnSZFOWeiobUgGXGxR5igr9Um5tHirQraql0ixF7pONrOgaokbhjBTBgQHGSlJSW84aIjElcEWNY6matN7QCmAz9G7Q5ED3-8Xas-3CjJK0pz74viwywQw68pL1oNNnXgnPYQpm3fTJC6wk2Toe_-gz4-3YzqdR7A-lXIdbutqDqtGM96Tb3te_kIKh8Dg-2Ch5XN-QPC-weE9c4nKbhp64V0COR7YBdDShFW98sgWG19fte12vpczT7PtDcPF3lPujM2-wdlfvol</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Lo, Nathan C</creator><creator>Gupta, Ribhav</creator><creator>Addiss, David G</creator><creator>Bendavid, Eran</creator><creator>Heft-Neal, Sam</creator><creator>Mikhailov, Alexei</creator><creator>Montresor, Antonio</creator><creator>Mbabazi, Pamela Sabina</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7SS</scope><scope>7T2</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>F1W</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>H95</scope><scope>H97</scope><scope>K9.</scope><scope>L.G</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4872-0774</orcidid></search><sort><creationdate>20200801</creationdate><title>Comparison of World Health Organization and Demographic and Health Surveys data to estimate sub-national deworming coverage in pre-school aged children</title><author>Lo, Nathan C ; Gupta, Ribhav ; Addiss, David G ; Bendavid, Eran ; Heft-Neal, Sam ; Mikhailov, Alexei ; Montresor, Antonio ; Mbabazi, Pamela Sabina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c624t-8bb0e118e27d968bb1d3d04175d4e10257277817baa59d4b49238864120be5be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anthelmintics</topic><topic>Anthelmintics - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PLoS neglected tropical diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lo, Nathan C</au><au>Gupta, Ribhav</au><au>Addiss, David G</au><au>Bendavid, Eran</au><au>Heft-Neal, Sam</au><au>Mikhailov, Alexei</au><au>Montresor, Antonio</au><au>Mbabazi, Pamela Sabina</au><au>Diemert, David Joseph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of World Health Organization and Demographic and Health Surveys data to estimate sub-national deworming coverage in pre-school aged children</atitle><jtitle>PLoS neglected tropical diseases</jtitle><addtitle>PLoS Negl Trop Dis</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>14</volume><issue>8</issue><spage>e0008551</spage><pages>e0008551-</pages><issn>1935-2735</issn><issn>1935-2727</issn><eissn>1935-2735</eissn><abstract>The key metric for monitoring the progress of deworming programs in controlling soil-transmitted helminthiasis (STH) is national drug coverage reported to the World Health Organization (WHO). There is increased interest in utilizing geographically-disaggregated data to estimate sub-national deworming coverage and equity, as well as gender parity. The Demographic and Health Surveys (DHS) offer a potential source of sub-national data. This study aimed to compare deworming coverage routinely reported to WHO and estimated by DHS in pre-school aged children to inform global STH measurement and evaluation.
We compared sub-national deworming coverage in pre-school aged children reported to WHO and estimated by DHS aligned geospatially and temporally. We included data from Burundi (2016-2017), Myanmar (2015-2016), and the Philippines (2017) based on data availability. WHO provided data on the date and sub-national coverage per mass drug administration reported by Ministries of Health. DHS included maternally-reported deworming status within the past 6 months for each child surveyed. We estimated differences in sub-national deworming coverage using WHO and DHS data, and performed sensitivity analyses.
We compared data on pre-school aged children from 13 of 18 districts in Burundi (N = 6,835 in DHS), 11 of 15 districts in Myanmar (N = 1,462 in DHS) and 16 of 17 districts in the Philippines (N = 7,594 in DHS) following data exclusion. The national deworming coverages estimated by DHS in Burundi, Myanmar, and the Philippines were 75.5% (95% CI: 73.7%-77.7%), 47.0% (95% CI: 42.7%-51.3%), and 48.0% (95% CI: 46.0%-50.0%), respectively. The national deworming coverages reported by WHO in Burundi, Myanmar, and the Philippines were 80.1%, 93.6% and 75.7%, respectively. The mean absolute differences in district-level coverage reported to WHO and estimated by DHS in Burundi, Myanmar, and the Philippines were 9.5%, 41.5%, and 24.6%, respectively. Across countries, coverage reported to WHO was frequently higher than DHS estimates (32 of 40 districts). National deworming coverage from DHS estimates were similar by gender within countries.
Agreement of deworming coverage reported to WHO and estimated by DHS data was heterogeneous across countries, varying from broadly compatible in Burundi to largely discrepant in Myanmar. DHS data could complement deworming data reported to WHO to improve data monitoring practices and serve as an independent sub-national source of coverage data.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32804925</pmid><doi>10.1371/journal.pntd.0008551</doi><orcidid>https://orcid.org/0000-0002-4872-0774</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2443592851 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Anthelmintics Anthelmintics - therapeutic use Burundi Chemotherapy Child, Preschool Children Children & youth Communicable diseases in children Countries Data Databases, Factual Demographics Demography Disease prevention Distribution Drug dosages Drug therapy Drugs Environmental monitoring Female Gender Health aspects Health Surveys Helminthiasis Helminthiasis - transmission Humans Infant Low income groups Male Management Medicine Medicine and Health Sciences Monitoring Myanmar Pediatric research People and Places Philippines Polls & surveys Preschool children Primary care Public health Research and Analysis Methods Sensitivity analysis Soil Surveys Tropical diseases World Health Organization |
| title | Comparison of World Health Organization and Demographic and Health Surveys data to estimate sub-national deworming coverage in pre-school aged children |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T14%3A07%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20World%20Health%20Organization%20and%20Demographic%20and%20Health%20Surveys%20data%20to%20estimate%20sub-national%20deworming%20coverage%20in%20pre-school%20aged%20children&rft.jtitle=PLoS%20neglected%20tropical%20diseases&rft.au=Lo,%20Nathan%20C&rft.date=2020-08-01&rft.volume=14&rft.issue=8&rft.spage=e0008551&rft.pages=e0008551-&rft.issn=1935-2735&rft.eissn=1935-2735&rft_id=info:doi/10.1371/journal.pntd.0008551&rft_dat=%3Cgale_plos_%3EA634243983%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2443592851&rft_id=info:pmid/32804925&rft_galeid=A634243983&rft_doaj_id=oai_doaj_org_article_670931035de54e76a7214945c17061e3&rfr_iscdi=true |