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- W342387669 abstract "Reported aretheresults ofastudy ofthepolitical economy, management, andcosts ofthesuccessful Guangxi schistosomiasis eradication programme, spanning 40years from1953to1992. Forthis purpose we analysed all government dataandmemoranda onthepolicy, management, technical support, finance, and thecontrol strategy oftheprogramme. Wealsointerviewed manylocal staff involved intheprogramme over the40-year period andobtained costdatafromannual county-level records onsevenmajor categories of variable costs. Schistosomiasis control inGuangxi beganwith oneofthefirst examples ofcommunity participation and rapid assessment inpublic health history - theuseofpre-franked envelopes toreturn disease questionnaires andsuspect snails fromrural areas. Thisapproach quickly andaccurately delineated theendemic area. ThiswasMaoZedong's massline' incorporating ideas andknowledge frompeasants directly into services runforandbythem, heretheschistosomiasis control programme. Recognition byChina's leaders that schistosomiasis wasagreat economic burden, steadfast prioritizing oftheprogramme over40years, local innovative scientific study, agricultural andenvironmental focus oneradicating thesnail hosts and boosting rural production, andmasscommunity education andsupport wereallkeyfactors inthefinal success. Local leaders motivated programme staff andeveryone involved knewtheobjectives. Theprogrammewasalways multisectoral, with policy developed centrally, andstrategy andcollaboration encouragedandrewarded atthegrass-roots. Thesefeatures explain howavery poorautonomous region suchas Guangxi finally eradicated schistosomiasis, spending less thanUS$0.50perprotected citizen peryear; itis remarkable that thedisease andsnails wereinitially found across alarge areaofcomplex environments and modern drugssuchaspraziquantel werenotavailable formostofthe40-year period. Thelessons from Guangxi canbeadapted elsewhere andshould encourage other areastocontrol endemic schistosomiasis using methods devised tosuit thelocal culture andgeography." @default.
- W342387669 created "2016-06-24" @default.
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- W342387669 date "1998-01-01" @default.
- W342387669 modified "2023-09-23" @default.
- W342387669 title "Eradication ofschistosomiasis inGuangxi, China. Part2:Political economy,management strategy andcosts, 1953-92" @default.
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