Gender equity in mass drug administration for neglected tropical diseases: data from 16 countries

被引：19

作者：

Cohn, Daniel A. ^{[1
]}

Kelly, Maureen P. ^{[1
]}

Bhandari, Kalpana ^{[1
]}

Zoerhoff, Kathryn L. ^{[1
]}

Batcho, Wilfrid E. ^{[2
]}

Drabo, Francois ^{[3
]}

Negussu, Nebiyu ^{[4
]}

Marfo, Benjamin ^{[5
]}

Goepogui, Andre ^{[6
]}

Lemoine, Jean-Frantz ^{[7
]}

Ganefa, Sitti ^{[8
]}

Massangaie, Marilia ^{[9
]}

Rimal, Pradip ^{[10
]}

Gnandou, Issa ^{[11
]}

Anagbogu, Ifeoma N. ^{[12
]}

Ndiaye, Mamadou ^{[13
]}

Bah, Yakuba Madina ^{[14
]}

Mwingira, Upendo J. ^{[15
,16
]}

Awoussi, Marcel S. ^{[17
]}

Tukahebwa, Edridah M. ^{[18
]}

Stelmach, Rachel D. ^{[1
]}

Mingkwan, Pia C. ^{[1
]}

Pou, Bolivar ^{[19
]}

Koroma, Joseph B. ^{[20
,21
]}

Rotondo, Lisa A. ^{[1
]}

Kraemer, John D. ^{[1
]}

Baker, Margaret C. ^{[1
]}

机构：

[1] ARTI Int, 701 13th St NW,Suite 750, Washington, DC 20005 USA

[2] Minist Hlth, Natl Communicable Dis Control Program, 01 BP 882, Cotonou, Benin

[3] Natl Neglected Trop Dis Control Program, Dis Control Directorate, Minist Hlth, Ouagadougou, Burkina Faso

[4] Fed Minist Hlth, Neglected Trop Dis Team, Dis Prevent & Control Directorate, Addis Ababa, Ethiopia

[5] Natl NTD Program, Ghana Hlth Serv, Accra, Ghana

[6] Minist Hlth, Natl Prevent & Community Hlth Directorate, Natl Onchocerciasis & Blindness & Neglected Trop, BP 585, Conakry, Guinea

[7] Minist Publ Hlth & Populat, Natl Malaria Control Program, 30 Rue Mercier Laham, Delmas, Haiti

[8] Minist Hlth, Sub Directorate Filariasis & Helminthiasis Contro, Directorate Gen Communicable Dis & Environm, Directorate Gen Communicable Dis & Environm Hlth, Jl Percetakan Negara 29, Jakarta 10560, Indonesia

[9] Minist Hlth, Dept Other Infect Dis, AV Eduardo Mondlane Salvador Allende, Maputo, Mozambique

[10] Minist Hlth, Dept Hlth Serv, Epidemiol & Dis Control Div, Kathmandu, Nepal

[11] Minist Publ Hlth, Natl Bilharzia & SoilTransmitted Helminths Contro, Niamey, Niger

[12] Fed Minist Hlth, Neglected Trop Dis Div, Dept Publ Hlth, CBD, Fed Secretariat Complex Phase 3,Ahmadu Bello Way, Abuja, Nigeria

[13] Minist Hlth & Social Work, Dis Control Directorate, Neglected Trop Dis Control Program, Dakar, Senegal

[14] Minist Hlth & Sanitat, NTD Programme, Freetown, Sierra Leone

[15] Minist Hlth Community Dev Gender Elderly & Childr, Neglected Trop Dis Control Programme, Dar Es Salaam, Tanzania

[16] Natl Inst Med Res, 2448 Barack Obama Dr, Dar Es Salaam, Tanzania

[17] Minist Hlth & Social Welf, Gen Directorate Hlth, Natl Neglected Trop Dis Control Program, Lome, Togo

[18] Minist Hlth, Vector Control Div, Kampala, Uganda

[19] FHI 360, 1825 Connecticut Ave NW, Washington, DC 20009 USA

[20] FHI 360, 1st Floor,Marvel House,148A Giffard Rd, East Cantonments, Accra, Ghana

[21] Georgetown Univ, Dept Hlth Syst Adm, 3700 Reservoir Rd NW, Washington, DC 20057 USA

来源：

INTERNATIONAL HEALTH | 2019年 / 11卷 / 05期

关键词：

equity; gender; mass drug administration; neglected tropical diseases; public health; Sustainable Development Goals; LYMPHATIC FILARIASIS; SCHISTOSOMIASIS; PREVALENCE; HEALTH;

D O I：

10.1093/inthealth/ihz012

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Gender equity in global health is a target of the Sustainable Development Goals and a requirement of just societies. Substantial progress has been made towards control and elimination of neglected tropical diseases (NTDs) via mass drug administration (MDA). However, little is known about whether MDA coverage is equitable. This study assesses the availability of gender-disaggregated data and whether systematic gender differences in MDA coverage exist. Methods: Coverage data were analyzed for 4784 district-years in 16 countries from 2012 through 2016. The percentage of districts reporting gender-disaggregated data was calculated and male-female coverage compared. Results: Reporting of gender-disaggregated coverage data improved from 32% of districts in 2012 to 90% in 2016. In 2016, median female coverage was 85.5% compared with 79.3% for males. Female coverage was higher than male coverage for all diseases. However, within-country differences exist, with 64 (3.3%) districts reporting male coverage >10 percentage points higher than female coverage. Conclusions: Reporting of gender-disaggregated data is feasible. And NTD programs consistently achieve at least equal levels of coverage for women. Understanding gendered barriers to MDA for men and women remains a priority.

引用

页码：370 / 378

页数：9

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