The partners commit to a) implementing and/or upgrading laboratories for the Control of Tropical Diseases, in order to improve health care in the affected population; b) to build capacities in the staff (lab. technicians, clinicians, researchers etc.) that will be responsible for those laboratories; c) to determine the incidence of malaria and SCH in the area, analyzing parameters such as age and sex distribution, and identifying cases of co-infection during two periods of the year (at the end of both dry and rainy season); d) to develop epidemiological studies targeted on vectors of disease (Anopheles mosquitoes and Bulinus snails) circulating in the region of Saint-Louis.
In order to develop targets a) and b) research and diagnostic laboratories will be set up and equipped, under the directions of IUETSPC, L'UGB and the Senegalese Ministry of Health (SMH). The training of scientific and healthcare personnel will be held at IUETSPC at the start, and once the labs have been equipped, on-site in Senegal. Target c) will be conducted by taking blood and urine samples to a number of patients to determine the incidence both pathologies during periods of high and low transmission. Part of the study will take place in Saint-Louis, Senegal, consisting of sampling, diagnosis by microscopy and molecular biology. The socio-demographic survey will be carried out by the Senegalese health/research staff. Secondly, IUETSPC scientists will focus on the molecular characterizations of parasite strains, their virulence and drug-resistance. Similarly, target d) will be developed by the newly trained health/research staff at Senegal and at IUETSPC. This includes the sampling of snails and mosquitoes, potential vectors, from the areas where the diseases have been identified. Altogether, the project will provide better knowledge of the epidemiology and Health status of TDs in the area of Saint-Louis.
Jan-Feb 2015: Protocol design, preparation of materials and documentation needed to equip laboratories.
March 2015: IUETSPC scientists travel to the area selected to conduct the training, coordinate the different tasks set with local staff and transport material.
April-May 2015: First human and vector sampling, overlapping with the end of the dry season.
May-June 2015: Sample analysis at IUETSPC, by Senegalese health/research staff and IUETSPC scientists. This includes training of Senegalese health/research.
July-Oct 2015: Data analysis and integration.
Nov-Dec 2015: Second human and vector sampling, overlapping with the end of the rainy season.
Dec 2015-Jan 2016: Sample analysis at IUETSPC and local laboratories, by Senegalese health/research staff and IUETSPC scientists. This includes training of Senegalese health/research.
Feb-Mar 2016: Data analysis and integration.
April-Sept 2016: Data presentation.
The training will be divided into two categories, research and healthcare. Research courses will target researchers from L'UGB, and will be held at IUETSPC. Health courses will be directed to hospitals and health workers, and will be taught at the University and Hospitals of San Luis.
Malaria is a tropical disease caused by Plasmodium parasites. The WHO estimates that 219 million cases of malaria occurred worldwide in 2010 and about 660,000 people died from the disease, mostly children aged five years and younger. Schistosomiasis (SCH) is a disease of poverty that leads to chronic ill-health, affecting almost 240 million people worldwide. The infection is prevalent in tropical and sub-tropical areas, in poor communities without potable water and adequate sanitation Altogether, Malaria and SCH constitute the major cause of severe morbidity and mortality in Africa.
One of the main problems of Tropical Diseases (TDs) is the underestimation of the real burden of disease, due to lack of competent health information systems in the endemic areas, located in some of the poorest countries of the world. In the case of Malaria, in 2012, routine health information systems detected only 14% of the cases estimated to occur globally (World Malaria Report 2013, WHO). An efficient surveillance system will allow the monitoring and evaluation of the progress achieved towards the targets of TD control, charting the course for their control and elimination.
Both Malaria and SCH are the major endemic diseases of Senegal. Malaria is the first cause of death among children <5 years, higher than pneumonia or diarrhea. Regarding SCH, more than 4 million people require preventive chemotherapy (PC) for SCH in Senegal annually. Only 29% of them received treatment in 2012 (WHO, 2012).
This commitment seeks to improve the basic health indicators, helping to control tropical diseases in Senegal, in order to accomplish its full development, within an inter-regional collaboration framework, to improve citizens' access to health and equality of opportunities.
The Capacity Building for Better Health in Africa project is seeking partners with local capacity and a presence in Senegal. Expertise in strengthening health systems, work with health workers or laboratories is preferred.
Expertise in capacity building for better health, long lasting relationships with UNSAAC Cusco University and UNICV in Cape Verde.