Coverage and compliance of mass drug administration for elimination of lymphatic filariasis: A survey from Medak district of Telangana, INDIA
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 7
Abstract
Introduction: Lymphatic filariasis is the world's second leading cause of long-term disability An important tool for elimination of Lymphatic filariasis is mass drug administration (MDA) with albendazole combined with either ivermectin or diethylcarbamazine citrate (DEC). India’s National Vector Borne Disease Control Programme indicates coverage of MDA (DEC + albendazole) of between 82 and 88%, for the years 2006–2013. Aims and Objective: To assess coverage and compliance of MDA programme and awareness of the community regarding the disease and MDA program. Material and Methodology: The study was conducted by Department of Community Medicine MNR Medical College and Hospital, Sangareddy Dist. Medak. The multistage cluster sampling was adopted for estimation of sample size for the survey. A total of 4 clusters, 3 clusters from rural PHC areas and one from urban town were selected out for the survey on coverage with MDA. A pretested questioner was used to collect data with details of family members, demographic characteristics and information regarding distribution of MDA with dosage, whether consumed or not and if not consumed reasons for non consumption. Data were compiled and analyzed using the SPSS 19.0. Results: A total number of 160 families surveyed with population of 802. The total number of the eligible population surveyed was 749 (93.39%) out of which 53.7% were men and 46.3% were women. The percentage of coverage rate was 75.24% in rural cluster and 68.96% in urban cluster. The overall drug compliance rate was 75.05%. The main reasons for non-compliance were fear of side-effects (54.01%). Conclusion: Hence, it was concluded that MDA program revealed that the major areas of concern were satisfactory coverage and compliance, widespread rural urban variation in performance status, poor social mobilization activities, lack of supervised dosing and lack of knowledge of the community about the disease.
Authors and Affiliations
I S Nazeer, J B Surwade, A H Salgar, Aleem Aleem, G Nagaiah
Keywords
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