***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: The objective of this study was to assess the effect of health education in the control of bilharziasis , as a part of an investigation on anti-urinary bilharziasis campaign in Niger . We carried out a survey in two groups of endemic villages on the Niger , one group of villages where there are  health education campaigns ( target villages ) and a  control village ( no education campaign ) . Five hundred and seventy-seven people were interviewed in the area . The bilharziasis project has been the main source of information on bilharziasis of people in the project zone . The awareness of measures to fight against bilharziasis has been moderate . Indeed , 46.6 % of people interrogated in the project area could n't cite any means for containing bilharziasis . In the area of intervention , 41.5 % of people interrogated were unaware of the intervention of an intermediate host in the transmission of the urinary bilharziasis . The notion of reinfestation remains little known . Behaviours that favour the illness were ignored by 1/3 of people interrogated in the project area . However , there was an increase in knowledge about the illness in the program zone in comparison with the control area . Despite the increase in knowledge level , changes in behaviour in relation to the illness remained low . Risky behaviour continued in about 2/3 of people interrogated . Only 33 % of persons of the project area declared having adopted at least a single good behaviour . Changes of behaviour are slow to take place . Activities of health education must be sustained throughout a long period of time for sustainable profits of control actions to occur Over a period of one school year a study was carried out into the feasibility and effectiveness of introducing active teaching methods into primary schools in Tanzania with a view to enhancing health education . The Lushoto Enhanced Health Education Project had as a focus personal hygiene with reference to the control of schistosomiasis and helminth infections . When a r and omly selected group of children were compared with a comparison group there was evidence of changes in both knowledge and health-seeking behaviour . The passing of messages from children to the community met with mixed results . The observed changes were still evident over 1 year after the project had ended Objective : To determine the association between female genital Schistosoma haematobium infection and  HIV . Design and methods : A cross-sectional study with a 1-year follow-up . Gynecological and laboratory investigations were performed for S. haematobium and HIV . Sexually transmitted infections , demographic and urogenital history were analysed as confounders . The participants were 527 sexually active , non-pregnant , non-menopausal women between the ages of 20 and 49 years . The setting was a rural Zimbabwean community where S. haematobium related lesions were found in 46 % of the women , HIV in 29 % and herpes simplex type- 2 ( HSV-2 ) in 65 % . Results : In permanent residents ( > 3 years residency ) , HIV was found in 41 % ( 29/70 ) of women with laboratory proven genital schistosomiasis as opposed to 26 % HIV positive ( 96/375 ) in the schistosomal ova negative group [ odds ratio ( OR ) , 2.1 ; 95 % confidence interval ( CI ) , 1.2–3.5 ; P = 0.008 . In multivariate analysis S. haematobium infection of the genital mucosa was significantly associated with HIV seropositivity ( adjusted OR , 2.9 ; 95 % CI , 1.11–7.5 ; P = 0.030 ) . All seven women who became HIV positive during the study period ( seroincidence 3.1 % ) had signs of S. haematobium at baseline . In accordance with other studies HIV was significantly associated with HSV-2 ( OR , 3.0 ; 95 % CI , 1.7–5.3 ; P < 0.001 ) , syphilis and human papillomavirus . The highest HIV prevalence ( 45 % ) was found in the 25–29 years age group . Conclusion : Women with genital schistosomiasis had an almost three-fold risk of having HIV in this rural Zimbabwean community . Prospect i ve studies are needed to confirm the association 
    Output:
    
The findings from this review suggest that health education has a beneficial impact on knowledge and underst and ing of schistosomiasis within the target groups .