Factors influencing implementation of mass drug administration for lymphatic filariasis elimination: a mixed-method study in Odisha, India

被引:1
作者
Ratna, P. [1 ]
Sinha, Abhinav [1 ]
Pati, Sanghamitra [1 ]
Sahoo, Prakash Kumar [1 ]
机构
[1] ICMR Reg Med Res Ctr, Bhubaneswar, Odisha, India
关键词
lymphatic filariasis; coverage; compliance; mass drug administration; India; COVERAGE; DISTRICT; PROGRAM;
D O I
10.3389/fphar.2024.1297954
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background: Lymphatic filariasis (LF) persists as a public health problem in India. Despite more than ten rounds of mass drug administration (MDA), LF continues to be endemic in the Dhenkanal district of Odisha. Hence, we assessed the coverage and compliance of the MDA program and explored the factors affecting it in the Dhenkanal district.Methods: An explanatory mixed-method study was conducted, wherein for the quantitative survey, 552 participants aged 2 years and above were recruited following a multistage cluster random sampling during February 2022. In-depth interviews were conducted among purposively selected key stakeholders and program implementers. Descriptive statistics were used to report coverage and compliance, along with a 95% confidence interval. Qualitative data were analyzed using a thematic approach.Results: We observed coverage of 99.28% and compliance of 85.87% for MDA drugs. Supervised drug administration proved to be a major pillar in increasing compliance. There was difficulty in administering drugs in urban areas due to gated societies, the absence of individuals during the day, and the perspective toward healthcare providers. Participants reported a lack of confidence in drug distributors and a fear of side effects as major causes for non-compliance.Conclusion: There is a need to strengthen MDA, especially in urban areas. An urban-specific strategy, along with surveillance, behavioral change communication, and the involvement of multi-disciplinary teams, is required.
引用
收藏
页数:8
相关论文
共 30 条
  • [1] Neglected tropical diseases and the sustainable development goals: an urgent call for action from the front line
    Addisu, Ayenew
    Adriaensen, Wim
    Balew, Arega
    Asfaw, Mekuria
    Diro, Ermias
    Djirmay, Amadou Garba
    Gebree, Desalegn
    Seid, Getahun
    Begashaw, Hailemariam
    Harries, Anthony D.
    Adugna, Abera Hirpa
    Jejaw, Zeleke Ayalew
    Kamau, Edward Mberu
    Kelbo, Tigist
    Manzi, Marcel
    Daniel, Dana Medebo
    Moloo, Ashok
    Olliaro, Piero
    Owiti, Philip
    Reeder, John C.
    Senkoro, Mbazi
    Takarinda, Kuda
    Terry, Robert
    Timire, Collins
    Tucho, Samson
    Tweya, Hannock
    Wendemagegn, Yeshanehe
    Verdonck, Kristien
    Vogt, Florian
    van Henten, Saskia
    van Griensven, Johan
    Worku, Bekele
    Zolfo, Maria
    Zachariah, Rony
    [J]. BMJ GLOBAL HEALTH, 2019, 4 (01):
  • [2] Agrawal V K, 2006, Med J Armed Forces India, V62, P359, DOI 10.1016/S0377-1237(06)80109-7
  • [3] Coverage, compliance and some operational issues of mass drug administration during the programme to eliminate lymphatic filariasis in Orissa, India
    Babu, B
    Kar, SK
    [J]. TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2004, 9 (06) : 702 - 709
  • [4] Coverage of, and compliance with, mass drug administration under the programme to eliminate lymphatic filariasis in India: a systematic review
    Babu, Bontha V.
    Babu, Gopalan R.
    [J]. TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, 2014, 108 (09) : 538 - 549
  • [5] Factors responsible for coverage and compliance in mass drug administration during the programme to eliminate lymphatic filariasis in the East Godavari District, South India
    Babu, BV
    Satyanarayana, K
    [J]. TROPICAL DOCTOR, 2003, 33 (02) : 79 - 82
  • [6] Coverage of mass drug administration for elimination of lymphatic filariasis in urban Nagpur, Central India: A mixed method study
    Banerjee, Sitikantha
    Bandyopadhyay, Kajari
    Khan, Mubashshera F.
    Akkilagunta, Sujiv
    Selvaraj, Kalaiselvi
    Tripathy, Jaya P.
    Solanki, Ranjan
    Kushwaha, Arvind S.
    Deshmukh, Pradeep
    [J]. JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE, 2019, 8 (09) : 3009 - 3014
  • [7] Bennett S., 2023, World Health Stat. Q, V44, P98
  • [8] Bhatia V, 2018, INDAN J COMMUNITY HE, V30, P287
  • [9] New global targets for NTDs in the WHO roadmap 2021-2030
    Casulli, Adriano
    [J]. PLOS NEGLECTED TROPICAL DISEASES, 2021, 15 (05):
  • [10] Chakraborty Sumanta, 2022, Trop Parasitol, V12, P105, DOI 10.4103/tp.tp_32_21