Evidence map›Paper›PMID 41248941›Full record

ArticleBMJ global health2025

Achieving elimination of soil-transmitted helminthiasis as a public health problem in Mali.

Mahamadou Traore, Fatoumata K Maiga, Modibo Keita, Boubacar Guindo, Moussa Sacko, Salif Seriba Doumbia, Mama Niele Doumbia, Benoit Dembele, Yaya Ibrahim Coulibaly, Cleo Stern and 5 more

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Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Mahamadou TraoreProgramme National de Lutte Contre les Schistosomiases et les Geohelminthes, Ministère de la Santé, Bamako, Mali.
Fatoumata K MaigaProgramme National de Lutte Contre les Schistosomiases et les Geohelminthes, Ministère de la Santé, Bamako, Mali.
Modibo KeitaHelen Keller International, Bamako, Mali.
Boubacar GuindoHelen Keller International, Bamako, Mali.
Moussa SackoNational Institute of Public Health, Bamako, Mali.
Salif Seriba DoumbiaProgramme National de Lutte Contre les Schistosomiases et les Geohelminthes, Ministère de la Santé, Bamako, Mali.
Mama Niele DoumbiaHelen Keller International, Bamako, Mali.
Benoit DembeleRegional Office for Africa, Helen Keller International, Dakar, Senegal.
Yaya Ibrahim CoulibalyNeglected Tropical Diseases Research Unit, Faculty of Medicine and OdontoStomatology, USTTB, Bamako, Mali.
Cleo SternHelen Keller International, New York, NY, USA.
Steven ReidHelen Keller International, New York, NY, USA.
Alexis SernaRTI International, Washington, DC, USA.
Fiona M FlemingUnlimit Health, London, UK.
Angela M WeaverHelen Keller International, New York, NY, USA.
Yaobi ZhangHelen Keller International, New York, NY, USA ictraveller@gmail.com.ORCID 0000-0002-7370-9171

Funding

the Bill and Melinda Gates Foundation 13122
6 · The paper itself

Abstract

introductionMali was endemic for soil-transmitted helminthiasis (STH), mainly hookworms in the southern regions. Following baseline mapping, mass drug administration (MDA) for STH was integrated with MDA for schistosomiasis for school-aged children (SAC) or lymphatic filariasis (LF) for populations aged five and older and vitamin A supplementation for preschool children. Epidemiological evaluations were conducted to assess progress towards eliminating STH as a public health problem.

methodsCross-sectional studies were conducted in schools in 2004-2005 at baseline and in 2014-2019 for integrated evaluation with either schistosomiasis assessments or LF transmission assessment surveys (TAS). Children aged 7-14 years (6-7 years in TAS-STH surveys) were selected through systematic random sampling, and stool samples from selected children were examined using the Kato-Katz method for the eggs of any species of STH. The prevalence of infection and the prevalence of moderate-intensity and heavy-intensity (MHI) infections were calculated.

resultsA total of 13 769 SAC were examined at baseline in 2004-2005, with an overall STH prevalence of 6.3% (95% CI 5.9% to 6.7%). Overall STH prevalence was the highest in Sikasso (22.9%), followed by Segou (9.4%). The prevalence of MHI infections ranged from 0% to 9.0% among the survey sites, with high prevalences (2.9-9.0%) in some communities in the Sikasso region. The predominant species of STH infection was hookworm, with negligible infection by

conclusionThrough over a decade of integrated treatment overcoming major security challenges, Mali may have successfully eliminated STH as a public health problem in all regions, one of the first countries in Africa to achieve this milestone.

Indexed as

Disease EradicationHelminthiasisPublic HealthSoilAdolescentAnimalsAnthelminticsChildCross-Sectional StudiesFecesFemaleHumansMaleMaliMass Drug AdministrationPrevalenceAnthelminticsSoilChemoprophylaxisCross-sectional surveyHealth policyPublic HealthSoil-transmitted helminth infections

Identifiers

PMID41248941
PMCPMC12625936

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