Coverage and compliance to mass drug administration for lymphatic filariasis elimination in a district of Kerala, India

被引:17
|
作者
Nujum, Zinia T. [1 ]
机构
[1] Coll Med, CERTC, Thiruvananthapuram, Kerala, India
来源
INTERNATIONAL HEALTH | 2011年 / 3卷 / 01期
关键词
Lymphatic filariasis; MDA; Coverage; Compliance; Two stage Cluster sampling; PROGRAM;
D O I
10.1016/j.inhe.2010.12.001
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Mass drug administration (MDA) for lymphatic filariasis elimination is a strategy of administering Diethylcarbamazine (DEC) tablets to all individuals above 2 years of age annually. It has been implemented in India and Kerala since 1997. A high coverage is essential for interruption of transmission in four to six years time, which is the average reproductive life span of the adult worm. The objectives of the study were to estimate the coverage and compliance of MDA for 2007 in Thiruvananthapuram district of Kerala, India; to explore the association of sociodemographic variables with compliance and to find the reasons for noncompliance to the drug. A cross-sectional survey was conducted using the probability proportionate to size cluster sampling technique. Three hundred households were selected for estimation of coverage and all individuals in these households, above two years of age, excluding pregnant and bedridden elderly patients were studied for determining compliance. Coverage was 52.3% (95% Cl 44.3, 60.3). Compliance was 39.5% (95% Cl 34.2, 45.0). Urban coverage was significantly lower than rural coverage. Compliance was not significantly related to any sociodemographic variables, but significantly associated with who the drug administrator was. Major reasons for noncompliance were fear of side effects (30.6%) and not perceiving the need (21.2%). Alternate drug delivery strategies need to be implemented to improve the coverage and compliance. Targeted Information Education and Communication (IEC) focusing on the safety of drugs and the requirement of MDA, is the need of the hour. (C) 2010 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:22 / 26
页数:5
相关论文
共 50 条
  • [41] The role of gender relations in uptake of mass drug administration for lymphatic filariasis in Alor District, Indonesia
    Alison Krentel
    Kaye Wellings
    Parasites & Vectors, 11
  • [42] Assessment of mass drug administration for lymphatic filariasis elimination in the Armori and Chamorshi blocks of Gadchiroli District, Maharashtra: A cross-sectional study
    Inkane, Swapnil
    Gill, Naresh
    Shaikh, Kamran
    Choudhari, Sonali G.
    Maroju, Revathi G.
    JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE, 2024, 13 (06) : 2227 - 2232
  • [43] The Impact of Mass Drug Administration on Lymphatic Filariasis
    Aboagye, Isaac Frimpong
    Addison, Yvonne Abena Afadua
    JOURNAL OF TROPICAL MEDICINE, 2022, 2022
  • [44] Mass drug administration for lymphatic filariasis elimination amidst COVID-19 pandemic in Odisha, India: A step towards achieving SDG-3
    Sinha, Abhinav
    Mohapatra, Sumegha
    Mohanty, Shubhashisha
    Pati, Sanghamitra
    Sahoo, Prakash Kumar
    TROPICAL DOCTOR, 2022, 52 (04) : 556 - 559
  • [45] Evaluation of Mass Drug Administration Coverage for Lymphatic Filariasis in the Lukonga Health Zone in 2022
    Ntumba, Patrick N.
    Akilimali, Pierre Z.
    TROPICAL MEDICINE AND INFECTIOUS DISEASE, 2024, 9 (07)
  • [46] EVALUATION OF MASS DRUG ADMINISTRATION FOR FILARIASIS IN BOUDH DISTRICT, ODISHA
    Acharya, Himansu Prasad
    Pradhan, Subrat Kumar
    Satapathy, Durga Madhab
    Mishra, Rudra Prasanna
    Sinha, Upasana
    JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS, 2018, 7 (13): : 1584 - 1587
  • [47] Lot quality assurance sampling to assess coverage and compliance following mass drug administration to eliminate lymphatic filariasis in Fiji: A methodological approach
    Rinamalo, Milika
    Pezzoli, Lorenzo
    Kama, Mike
    Rafai, Eric
    Kubuabola, Ilisapeci
    Salusalu, Mosese
    Kim, Sung Hye
    PLOS ONE, 2020, 15 (09):
  • [48] Prevalence of lymphatic filariasis in a tea garden worker population of Dibrugarh (Assam), India after six rounds of mass drug administration
    Khan, A. M.
    Dutta, P.
    Sarmah, C. K.
    Baruah, N. K.
    Das, S.
    Pathak, A. K.
    Sarmah, P.
    Hussain, M. E.
    Mahanta, J.
    JOURNAL OF VECTOR BORNE DISEASES, 2015, 52 (04) : 314 - 320
  • [49] Towards elimination of lymphatic filariasis: social mobilization issues and challenges in mass drug administration with anti-filarial drugs in Tamil Nadu, South India
    Nandha, B.
    Krishnamoorthy, K.
    Jambulingam, P.
    HEALTH EDUCATION RESEARCH, 2013, 28 (04) : 591 - 598
  • [50] Reaching endpoints for lymphatic filariasis elimination- results from mass drug administration and nocturnal blood surveys, South Gujarat, India
    Modi, Anjali
    Gamit, Sukesha
    Jesalpura, Bharat S.
    Kurien, George
    Kosambiya, Jayendra K.
    PLOS NEGLECTED TROPICAL DISEASES, 2017, 11 (04):