Document Detail


A quasi-experimental epidemiological model for evaluating public health programmes: efficacy of a Chagas disease control programme in Brazil.
MedLine Citation:
PMID:  7955020     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Reported is the assessment of a model to evaluate the efficacy of public health programmes, using the example of the Chagas Disease Control Programme in the State of Minas Gerais, Brazil. The reduction in Trypanosoma cruzi infection rates in areas where interventions had been carried out for 5 years and 10 years, respectively, were compared with those where there had been no intervention (controls). A random sample of 470 households was selected and blood samples were collected from the 2354 inhabitants, 854 (36.3%) of whom were born after the start of the control programme. The data routinely collected by the control programme were also analysed to correlate the results with the incidence of T. cruzi infection. The programme efficacy was estimated by comparing the infection rates found in the study with those published by the Chagas Disease Serological Study (1975-80). Cross-sectional comparison of the data for the age group 2-6 years indicated that there had been a reduction in T. cruzi infection incidences of 94.7%, 63.2%, and 65%, respectively, in areas where interventions had been carried out for 10 years, 5 years, and in the control areas. Cohort comparison indicated, however, that the reduction (52.6%) occurred only in the intervention-10 area.
Authors:
M Carneiro; C M Antunes
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Bulletin of the World Health Organization     Volume:  72     ISSN:  0042-9686     ISO Abbreviation:  Bull. World Health Organ.     Publication Date:  1994  
Date Detail:
Created Date:  1994-12-29     Completed Date:  1994-12-29     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7507052     Medline TA:  Bull World Health Organ     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  721-8     Citation Subset:  IM    
Affiliation:
National Health Foundation (FNS), Ministry of Health, Minas Gerais, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Animals
Antibodies, Protozoan / isolation & purification
Brazil / epidemiology
Chagas Disease / epidemiology,  parasitology,  prevention & control*
Child
Child, Preschool
Data Collection / methods
Data Interpretation, Statistical
Epidemiologic Methods*
Female
Housing
Humans
Male
Models, Theoretical*
Seroepidemiologic Studies
Trypanosoma cruzi / immunology
Chemical
Reg. No./Substance:
0/Antibodies, Protozoan
Comments/Corrections

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