Evidence map›Paper›PMID 40680044›Full record

ArticlePloS one2025

Determinants of acceptability of schistosomiasis mass drug administration among primary school children in Busega District, Northwestern Tanzania.

Irene Yunzu Edward, Patricia Maritim, Choolwe Jacobs, Adam Silumbwe, Hussein Mohamed, Joseph Mumba Zulu, Hikabasa Halwiindi

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Irene Yunzu EdwardDepartment of Medical Sciences and Technology, College of Science and Technical Education, Mbeya University of Science and Technology, Mbeya, Tanzania.ORCID https://orcid.org/0000-0001-9205-9023
Patricia MaritimDepartment of Health Policy and Management, School of Public Health, University of Zambia, Lusaka, Zambia.
Choolwe JacobsDepartment of Epidemiology and Biostatistics, School of Public Health, University of Zambia, Lusaka, Zambia.
Adam SilumbweDepartment of Health Policy and Management, School of Public Health, University of Zambia, Lusaka, Zambia.
Hussein MohamedDepartment of Environmental and Occupational Health, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania.
Joseph Mumba ZuluDepartment of Health Policy and Management, School of Public Health, University of Zambia, Lusaka, Zambia.
Hikabasa HalwiindiDepartment of Community and Family Medicine, School of Public Health, University of Zambia, Lusaka, Zambia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSchistosomiasis is endemic in Tanzania, with a prevalence ranging between 12.7% to 87.6%. Mass drug administration (MDA) with praziquantel is the main recommended choice of preventive treatment for the disease. Low treatment coverage rates (46.6%) in Busega District, Northwestern Tanzania which are far less than the recommended effective coverage rates of ≥ 75% could indicate low acceptability and poor uptake of MDA. This study sought to establish factors associated with acceptability of schistosomiasis mass drug administration among primary school children in Busega District.

methodsA cross-sectional study was conducted among primary school children, randomly selected from six primary schools between 6th March and 29th May 2023. A validated generic questionnaire guided by the Theoretical Framework of Acceptability was used for data collection. The outcome of the study was acceptability of MDA, and the explanatory variables were socio-demographic factors and the seven constructs of the framework such as perceived moral about taking praziquantel, understanding of intervention purpose and affective attitude. Descriptive statistics and logistic regression with robust standard errors were conducted to identify factors associated with acceptability of MDA using STATA version 15.

resultsThe study sample comprised 615 primary school children, 60.16% girls and 39.84% boys. Age distribution ranged from 10 to 17 years with a median age of 13 years. About 55.28% were found to have high acceptability of MDA. Factors significantly associated with acceptability of MDA were; perceived effectiveness (AOR = 2.52; 95%CI = 1.31-4.85; p-value = 0.006), understanding of intervention purpose (AOR = 5.51; 95%CI = 3.16-9.59; p-value<0.0001), self-efficacy (AOR = 2.04; 95% CI = 1.08-3.85; p-value = 0.029), affective attitude (AOR = 5.10; 95% CI = 2.77-9.59; p-value<0.0001), and gender (AOR = 0.59; 95% CI = 0.38-0.94; p-value = 0.027).

conclusionSlightly more than half of primary school children recorded high acceptability of MDA. However, perceived effectiveness, understanding of intervention purpose, self-efficacy, affective attitude, and gender strongly influence acceptability. This underscores the need for tailored, gender-sensitive community sensitization efforts regarding the benefits of MDA. Targeted educational campaigns and peer-led initiatives should be prioritized to increase awareness and acceptance, ultimately improving the effectiveness of the MDA program.

Indexed as

AnthelminticsMass Drug AdministrationPatient Acceptance of Health CarePraziquantelSchistosomiasisAdolescentChildCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleSchoolsStudentsSurveys and QuestionnairesTanzaniaAnthelminticsPraziquantel

Identifiers

PMID40680044
PMCPMC12273910

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.