Mass drug administration for lymphatic filariasis elimination in a coastal state of India: a study on barriers to coverage and compliance

作     者：Mohammad A Hussain Ashok K Sitha Subhashisa Swain Shridhar Kadam Sanghamitra Pati 

作者机构：School of Population HealthThe University of QueenslandHerstonBrisbaneQLD 4006Australia Government of OdishaOdishaIndia Public Health Foundation of IndiaIndian Institute of Public HealthBhubaneswarOdishaIndia 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2014年第3卷第1期

页      面：294-301页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：We sincerely thank the Odisha Government for providing financial support to AKS to successfully complete his Postgraduate Diploma in Public Health Management 

主　　题：Lymphatic filariasis Mass drug administration Compliance Consumption Elimination 

摘      要：Background:Lymphatic filariasis is targeted for elimination in India through mass drug administration(MDA)with diethylcarbamazine(DEC)combined with albendazole(ABZ).For the strategy to be effective,65%of those living in endemic areas must be covered by and compliant to *** the MDA 2011 campaign in the endemic district of Odisha,we conducted a survey to assess:(i)the filariasis knowledge in the community,(ii)the coverage and compliance of MDA from the community perspective,and(iii)factors affecting compliance,as well as the operational issues involved in carrying out MDA activities from the drug distributor’s ***:A sample of 691 participants-both male and female,aged two years or above-were selected through multistage stratified sampling and interviewed using a semi-structured ***,drug distributors and the medical officers in charge of the MDA were also interviewed to understand some of the operational issues encountered during ***:Ninety-nine percent of the study participants received DEC and ABZ tablets during MDA,of which only just above a quarter actually consumed the *** cause of non-compliance was mostly due to fear of side effects,lack of awareness of the benefits of MDA,and non-attendance of health staff in the *** of adequate training of drug distributors and poor health communication activities before the MDA campaign commenced and the absence of follow-up by health workers following MDA were a few of the operational difficulties encountered during the MDA ***:Currently MDA is restricted to the distribution of drugs only and the key issues of implementation in compliance,health education,managing side effects,and logistics are not given enough *** is therefore essential to address the issues linked to low compliance to make the program more efficient and achieve the goal of filariasis elimination.