Integration of prevention and control measures for female genital schistosomiasis, HIV and cervical cancer
Female genital schistosomiasis as a result of chronic infection with (commonly known as bilharzia) continues to be largely ignored by national and global health policy-makers. International attention for large-scale action against the disease focuses on whether it is a risk factor for the transmissi...
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| Veröffentlicht in: | Bulletin of the World Health Organization 2020-09, Vol.98 (9), p.615-624 |
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| creator | Engels, Dirk Hotez, Peter J Ducker, Camilla Gyapong, Margaret Bustinduy, Amaya L Secor, William E Harrison, Wendy Theobald, Sally Thomson, Rachael Gamba, Victoria Masong, Makia C Lammie, Patrick Govender, Kreeneshni Mbabazi, Pamela S Malecela, Mwelecele N |
| description | Female genital schistosomiasis as a result of chronic infection with
(commonly known as bilharzia) continues to be largely ignored by national and global health policy-makers. International attention for large-scale action against the disease focuses on whether it is a risk factor for the transmission of human immunodeficiency virus (HIV). Yet female genital schistosomiasis itself is linked to pain, bleeding and sub- or infertility, leading to social stigma, and is a common issue for women in schistosomiasis-endemic areas in sub-Saharan Africa. The disease should therefore be recognized as another component of a comprehensive health and human rights agenda for women and girls in Africa, alongside HIV and cervical cancer. Each of these three diseases has a targeted and proven preventive intervention: antiretroviral therapy and pre-exposure prophylaxis for HIV; human papilloma virus vaccine for cervical cancer; and praziquantel treatment for female genital schistosomiasis. We discuss how female genital schistosomiasis control can be integrated with HIV and cervical cancer care. Such a programme will be part of a broader framework of sexual and reproductive health and rights, women's empowerment and social justice in Africa. Integrated approaches that join up multiple public health programmes have the potential to expand or create opportunities to reach more girls and women throughout their life course. We outline a pragmatic operational research agenda that has the potential to optimize joint implementation of a package of measures responding to the specific needs of girls and women. |
| doi_str_mv | 10.2471/BLT.20.252270 |
| format | Article |
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(commonly known as bilharzia) continues to be largely ignored by national and global health policy-makers. International attention for large-scale action against the disease focuses on whether it is a risk factor for the transmission of human immunodeficiency virus (HIV). Yet female genital schistosomiasis itself is linked to pain, bleeding and sub- or infertility, leading to social stigma, and is a common issue for women in schistosomiasis-endemic areas in sub-Saharan Africa. The disease should therefore be recognized as another component of a comprehensive health and human rights agenda for women and girls in Africa, alongside HIV and cervical cancer. Each of these three diseases has a targeted and proven preventive intervention: antiretroviral therapy and pre-exposure prophylaxis for HIV; human papilloma virus vaccine for cervical cancer; and praziquantel treatment for female genital schistosomiasis. We discuss how female genital schistosomiasis control can be integrated with HIV and cervical cancer care. Such a programme will be part of a broader framework of sexual and reproductive health and rights, women's empowerment and social justice in Africa. Integrated approaches that join up multiple public health programmes have the potential to expand or create opportunities to reach more girls and women throughout their life course. We outline a pragmatic operational research agenda that has the potential to optimize joint implementation of a package of measures responding to the specific needs of girls and women.</description><identifier>ISSN: 0042-9686</identifier><identifier>EISSN: 1564-0604</identifier><identifier>DOI: 10.2471/BLT.20.252270</identifier><identifier>PMID: 33012861</identifier><language>eng</language><publisher>Switzerland: World Health Organization</publisher><subject>Antiretroviral agents ; Antiretroviral therapy ; Attention ; Bleeding ; Cancer ; Cancer vaccines ; Cervical cancer ; Cervix ; Chronic infection ; Chronic pain ; Disease ; Disease transmission ; Empowerment ; Exposure ; Females ; Girls ; Health care policy ; Health policy ; HIV ; Human immunodeficiency virus ; Human papillomavirus ; Human rights ; Infections ; Infertility ; Integration ; Intervention ; Life course ; Medical treatment ; Operations research ; Organizational research ; Pain ; Policy & Practice ; Policy making ; Praziquantel ; Prevention ; Prevention programs ; Prophylaxis ; Public health ; Reproductive health ; Reproductive rights ; Risk analysis ; Risk factors ; Schistosoma haematobium ; Schistosomiasis ; Sexually transmitted diseases ; Social justice ; STD ; Stigma ; Storms (meteorology) ; Vaccines ; Viruses ; Women ; Womens health ; Womens rights</subject><ispartof>Bulletin of the World Health Organization, 2020-09, Vol.98 (9), p.615-624</ispartof><rights>(c) 2020 The authors; licensee World Health Organization.</rights><rights>Copyright World Health Organization Sep 2020</rights><rights>(c) 2020 The authors; licensee World Health Organization. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-2efad7a01bcc5521cca5b2f09afb48c7d4bf021e395ef8b0f8afffe4c6fea2183</citedby><cites>FETCH-LOGICAL-c481t-2efad7a01bcc5521cca5b2f09afb48c7d4bf021e395ef8b0f8afffe4c6fea2183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7463188/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7463188/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27845,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33012861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Engels, Dirk</creatorcontrib><creatorcontrib>Hotez, Peter J</creatorcontrib><creatorcontrib>Ducker, Camilla</creatorcontrib><creatorcontrib>Gyapong, Margaret</creatorcontrib><creatorcontrib>Bustinduy, Amaya L</creatorcontrib><creatorcontrib>Secor, William E</creatorcontrib><creatorcontrib>Harrison, Wendy</creatorcontrib><creatorcontrib>Theobald, Sally</creatorcontrib><creatorcontrib>Thomson, Rachael</creatorcontrib><creatorcontrib>Gamba, Victoria</creatorcontrib><creatorcontrib>Masong, Makia C</creatorcontrib><creatorcontrib>Lammie, Patrick</creatorcontrib><creatorcontrib>Govender, Kreeneshni</creatorcontrib><creatorcontrib>Mbabazi, Pamela S</creatorcontrib><creatorcontrib>Malecela, Mwelecele N</creatorcontrib><title>Integration of prevention and control measures for female genital schistosomiasis, HIV and cervical cancer</title><title>Bulletin of the World Health Organization</title><addtitle>Bull World Health Organ</addtitle><description>Female genital schistosomiasis as a result of chronic infection with
(commonly known as bilharzia) continues to be largely ignored by national and global health policy-makers. International attention for large-scale action against the disease focuses on whether it is a risk factor for the transmission of human immunodeficiency virus (HIV). Yet female genital schistosomiasis itself is linked to pain, bleeding and sub- or infertility, leading to social stigma, and is a common issue for women in schistosomiasis-endemic areas in sub-Saharan Africa. The disease should therefore be recognized as another component of a comprehensive health and human rights agenda for women and girls in Africa, alongside HIV and cervical cancer. Each of these three diseases has a targeted and proven preventive intervention: antiretroviral therapy and pre-exposure prophylaxis for HIV; human papilloma virus vaccine for cervical cancer; and praziquantel treatment for female genital schistosomiasis. We discuss how female genital schistosomiasis control can be integrated with HIV and cervical cancer care. Such a programme will be part of a broader framework of sexual and reproductive health and rights, women's empowerment and social justice in Africa. Integrated approaches that join up multiple public health programmes have the potential to expand or create opportunities to reach more girls and women throughout their life course. We outline a pragmatic operational research agenda that has the potential to optimize joint implementation of a package of measures responding to the specific needs of girls and women.</description><subject>Antiretroviral agents</subject><subject>Antiretroviral therapy</subject><subject>Attention</subject><subject>Bleeding</subject><subject>Cancer</subject><subject>Cancer vaccines</subject><subject>Cervical cancer</subject><subject>Cervix</subject><subject>Chronic infection</subject><subject>Chronic pain</subject><subject>Disease</subject><subject>Disease transmission</subject><subject>Empowerment</subject><subject>Exposure</subject><subject>Females</subject><subject>Girls</subject><subject>Health care policy</subject><subject>Health policy</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Human papillomavirus</subject><subject>Human rights</subject><subject>Infections</subject><subject>Infertility</subject><subject>Integration</subject><subject>Intervention</subject><subject>Life course</subject><subject>Medical treatment</subject><subject>Operations research</subject><subject>Organizational research</subject><subject>Pain</subject><subject>Policy & Practice</subject><subject>Policy making</subject><subject>Praziquantel</subject><subject>Prevention</subject><subject>Prevention programs</subject><subject>Prophylaxis</subject><subject>Public health</subject><subject>Reproductive health</subject><subject>Reproductive rights</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Schistosoma haematobium</subject><subject>Schistosomiasis</subject><subject>Sexually transmitted diseases</subject><subject>Social justice</subject><subject>STD</subject><subject>Stigma</subject><subject>Storms 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| fulltext | fulltext |
| identifier | ISSN: 0042-9686 |
| ispartof | Bulletin of the World Health Organization, 2020-09, Vol.98 (9), p.615-624 |
| issn | 0042-9686 1564-0604 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7463188 |
| source | PAIS Index; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Antiretroviral agents Antiretroviral therapy Attention Bleeding Cancer Cancer vaccines Cervical cancer Cervix Chronic infection Chronic pain Disease Disease transmission Empowerment Exposure Females Girls Health care policy Health policy HIV Human immunodeficiency virus Human papillomavirus Human rights Infections Infertility Integration Intervention Life course Medical treatment Operations research Organizational research Pain Policy & Practice Policy making Praziquantel Prevention Prevention programs Prophylaxis Public health Reproductive health Reproductive rights Risk analysis Risk factors Schistosoma haematobium Schistosomiasis Sexually transmitted diseases Social justice STD Stigma Storms (meteorology) Vaccines Viruses Women Womens health Womens rights |
| title | Integration of prevention and control measures for female genital schistosomiasis, HIV and cervical cancer |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T10%3A26%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Integration%20of%20prevention%20and%20control%20measures%20for%20female%20genital%20schistosomiasis,%20HIV%20and%20cervical%20cancer&rft.jtitle=Bulletin%20of%20the%20World%20Health%20Organization&rft.au=Engels,%20Dirk&rft.date=2020-09-01&rft.volume=98&rft.issue=9&rft.spage=615&rft.epage=624&rft.pages=615-624&rft.issn=0042-9686&rft.eissn=1564-0604&rft_id=info:doi/10.2471/BLT.20.252270&rft_dat=%3Cproquest_pubme%3E2440935249%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2440935249&rft_id=info:pmid/33012861&rfr_iscdi=true |