The TUMIKIA Project aims to determine whether combining school- and community-based deworming is more effective at controling and eliminating soil-transmitted helminths (STH or intestinal worms) in Kenya than school-based deworming alone. The trial will strengthen the evidence base surrounding STH control and elimination. TUMIKIA stands for 'Tuangamize Minyoo Kenya Imarisha Afya,' which means “eradicate worms in Kenya to improve health,” in Swahili.
Background and study design
Approximately 15 million Kenyans are estimated to be infected with STH - hookworm, Ascaris and Trichuris - and more than 5 million of them are children. The Government of Kenya is committed to eliminating sth following t he current control strategy recommended by the World Health Organization: annual treatment of all school-aged children using albendazole or mebendazole. In Kenya, the National School-Based Deworming Programme (NSBDP) dewormed 5.9 million children aged 2-14 in 2012-2013 and 6.4 million children in 2013-2014 for STH. Building on this success, the Government of Kenya plans to reach other members of the community also infected with STH, building on the government’s recent successes in using community health workers to deliver simple health interventions.
The two-year trial will provide the drug albendazole to all residents from 150 communities in Kwale County on the coast There are three study groups:
- Base: annual school-based deworming (ages 2-14)
- Increased coverage: annual school- and community-based deworming (ages 2-99)
- Increased coverage and frequency: bi-annual school- and community-based deworming (ages 2-99)
For full details, download our research brief. For more information about the NSBDP, read the report for Year 2 (2013-2014). If you'd like more detail, contact trial coordinator katherine [dot] halliday [at] lshtm [dot] ac [dot] uk (Dr. Katherine Halliday).
What 26,000 stool samples can tell us
WASH conditions in schools
Developing training materials
Kwale County Stakeholders Meeting
Kwale County on the coast and Busia and Siaya counties in western Kenya
This trial is part of a growing commitment to control NTDs as outlined in new funding commitments announced at a summit meeting in Paris in April 2014. The Bill & Melinda Gates Foundation also announced a new STH strategy which provides a framework for this trial.