Opisthorchiasis and cholangiocarcinoma prevention and control of risk behavior group in the context of health promotion hospitals transfer missions to local administrative
Keywords:
missions transfer, cholangiocarcinoma, Opisthorchiasis, subdistrict health promotion hospitalAbstract
The objective of this study was to compare the results of operations according to the control and prevention plan for Opisthorchiasis and cholangioma (OV-CCA) between the contexts of subdistrict health promoting hospitals, transferring missions to local administrative organization; and those have not yet been transferred; in health region 8,2023. The prospective analytic study was conducted between 1 January and 30 September 2023. The area selected by using purposive sampling. The transferred area was Khok Yai Subdistrict, Non Sang District, Nong Bua Lamphu Province; whereas the non- transferred area was Huai Sai Subdistrict, Phibunrak District, Udon Thani Province.
The results found that personal characteristics of the sample from both areas were similar, including gender; age; education; occupation; history of Opisthorchiasis infection; history of Opisthorchiasis treatment; behavior of eating raw or undercooked white scale freshwater fishes; knowledge, beliefs, behaviors to prevent Opisthorchiasis and cholangiocarcinoma. The operational plans included Opisthorchiasis screening, behavior modification training, Treating treatment for infected people, treatment monitoring, and testing for re-infection. Operations were 100% successful in both areas, except for the non-transferred area where 96.5% of re-infections were tested.
Screening before operation found that Opisthorchiasis prevalence in non -transferred area was statistically significantly higher than that of transferred area (p<0.001). After the operation, it was found that the reinfection rate in transferred area was significantly higher than that of non-transferred area (p<0.001). In conclusion, both areas were able to carry out and achieve goals of the program of Opisthorchiasis and cholangioma prevention and control if there was a clear plan and sufficient resources to support operations. However, behavior modification should be monitored and promoted to be suitable with the context of re-infected groups, especially for the t transferred areas.
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