Trend of MDA Coverage and Compliance in the Four Endemic Districts of Jharkhand: A Secondary Data Analysis
Journal Title: Healthline - Year 2014, Vol 5, Issue 1
Abstract
Background: Lymphatic filariasis is one of the world’s leading causes of long term disability. It is not fatal, but it causes debility and imposes social and economic burden to the affected individuals, their families and society. In India, 250 districts have been identified to be endemic for filariasis. In Jharkhand 17 out of 24 districts are declared to be endemic for lymphatic filariasis. The Government of India in 2004 began a nationwide MDA campaign in all endemic districts with an annual dose of DEC with aim of eliminating it as a public health problem by the year 2015. The strategy is to cover more than 85% of the population with the drug continuously for at least five years to eliminate lymphatic filariasis. Objectives: (1) To know the trend of coverage of MDA in selected districts of Jharkhand in last three years. (2) To assess the compliance rate. (3) To know the reasons for poor compliance, if any. Methods: A record based study was done in November 2012, on “Evaluation of MDA for ELF in Jharkhand” conducted by PSM Dept. RIMS Ranchi, with support from NVBDCP. 4 out of 17 endemic districts of Jharkhand i.e. Ranchi (including Khunti), Hazaribagh (including Ramgarh), Gumla and Sahibganj were selected for secondary data analysis. Statistical analysis: District wise comparative tables showing coverage and compliance percentage were generated in MS excel. Results: The MDA coverage and compliance rate are not satisfactory and a matter of great concern as it may not help in achieving MDG. Conclusion: IEC activities should be strengthened further. There are logistic, human resources and behavioural issues which need to be addressed in order to optimize compliance.
Authors and Affiliations
Shamim Haider, Shilpa Karir, Shalini Sunderam, Vivek Kashyap, S Singh
Keywords
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