Coverage Evaluation Survey of Mass Drug Administration Strategy to Eliminate Lymphatic Filariasis in North Karnataka Region. Are We on Track?

N A Gururaj, Ramesh Ramesh, G A Ajaykumar, K Ravikumar, B G Devendrappa

Abstract


Background: Lymphatic filariasis (LF) is a major public health problem in India next only to malaria. India is one of 72 endemic countries globally. India has the target for filariasis elimination by 2020 using mass drug administration (MDA) campaign which is a WHO-recommended strategy for elimination. Despite, decades after launching nationwide MDA campaign, uncertainity prevails over its coverage and compliance. The objectives of the present study were to estimate the coverage and compliance of MDA against LF and reasons for non-consumption of drugs in the endemic Bidar district. Methodology: A community-based cross-sectional study was conducted in the month of October 2018 in Bidar district using multi-stage cluster sampling technique. A total of 1157 subjects were interviewed. Data collection was done by personal interview method after obtaining informed consent using a standard, validated questionnaire prescribed in the program. Data thus collected entered into Microsoft Excel sheet and analyzed using SPSS software. Results: A total of 1157 subjects residing in 218 houses were interviewed. The majority of the study subjects 951 (79.1%) were in the age group of more than 15 years with predominantly males 613 (51.0%). The coverage rate and compliance rate of MDA were 73.1% and 75.1%, respectively. The effective compliance rate and coverage compliance gap were 57.2% and 17%, respectively. Only 47% of subjects consumed drugs in the presence of a drug distributor. A total of 219 subjects did not consume drugs. About 51.85% told drug distributor not visited, and 4.9% told out of the station. Conclusions: The MDA coverage and compliance in the study district are inadequate There is need for motivation of drug distributors to sustain gains achieved in the previous rounds and intensive IEC activities to improve community participation.

Key words: Compliance, coverage, filariasis, mass drug administration


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