Mass drug administration coverage evaluation for elimination of lymphatic filariasis in Chhatarpur district of Madhya Pradesh

Marathe, Neera; Chalisgaonkar, Charudatt

doi:10.5455/ijmsph.2015.08032015190

Cited by 8 publications

(12 citation statements)

References 5 publications

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“…Few other recent studies across India revealed varied compliance of MDA ranging from 75.5% to 87.7%. [12131516] Coverage compliance gap (CCG), the proportion of people who did not consume the drug among whom drug was distributed, was 12.1% in present study; which is in line with that observed by Jadhao et al (12.23%)[12] and Kumar et al (12.2%)[19] in similar settings.…”

Section: Discussionsupporting

confidence: 91%

“…[13] Other researchers from Karnataka, Madhya Pradesh and West Bengal also reported the coverage below the required level. [141516] Trend analysis of MDA coverage showed a decline from 80.3% to 77% in the 5 year time interval. [17] Probable reason behind low coverage in present study was that in urban slum setting, dense population with difficult to reach pockets impeded effective communication between providers and beneficiaries.…”

Section: Discussionmentioning

confidence: 99%

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Coverage of mass drug administration for elimination of lymphatic filariasis in urban Nagpur, Central India: A mixed method study

Banerjee

Bandyopadhyay

Khan

et al. 2019

J Family Med Prim Care

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Background and Aims:Mass Drug Administration (MDA) coverage remains an important indicator in elimination of Lymphatic Filariasis (LF), especially in context of recent changes in programme strategies in India, such as incorporation of Ivermectin and involvement of urban Accredited Social Health Activists (ASHAs). This study aimed at assessing the coverage and compliance with MDA of Filariasis as well as exploring perspective of beneficiaries for non-consumption in selected slum area of Nagpur city.Methods:Mixed-method study design comprising of quantitative assessment of MDA coverage, followed by qualitative method to explore the reasons of non-compliance was used in selected slum areas of Nagpur city. Using cluster sampling, 240 households were selected and house-to-house visits were made to interview the eligible participants. In-depth interviews were conducted among selected non-compliant participants.Statistical Analysis:Multivariable logistic regression analysis to identify the factors associated with non-consumption. Thematic analysis was done to obtain the reasons of non-consumption as perceived by the beneficiaries.Results:Among the 1096 individuals studied, distribution and consumption coverage were 55.2% and 48.5%, respectively. Effective supervised consumption was further low (28.9%). Coverage compliance gap (CCG) was 12.1%. Male sex and younger age (2-5 years) were significant socio-demographic determinants of non-consumption. No repeat visit to houses left in first round, fear of side effects, pill burden, poor understanding about the need were important reasons as revealed by qualitative inquiry.Conclusion:Effective pre-campaign awareness, incorporation of context specific drug delivery strategies and strengthening monitoring system are essential for successful MDA implementation.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Coverage of mass drug administration for elimination of lymphatic filariasis in urban Nagpur, Central India: A mixed method study

Banerjee

Bandyopadhyay

Khan

et al. 2019

J Family Med Prim Care

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“…(8) Compared to our study, another study conducted by Chinte L T et al in Latur district of Maharashtra showed higher coverage rate of 95.5%. [9] In our study, significantly higher coverage rate (z score= 9.2645, p value = 0.0001) was found in rural villages (90.97%) as compared to urban areas (57.32%).…”

Section: Discussioncontrasting

confidence: 77%

Mass Drug Administration Coverage Evaluation for Elimination of Lymphatic Filariasis in Nagpur District of Maharashtra

Jadhao¹

2017

JMSCR

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“…9 Jadhao DAR got better result in Nagpur district of Maharashtra (distribution coverage 81.66%). 10 Compliance for both the drugs was found to be 84.6% in this study, the result being better than that observed by Patel et al in two districts of Karnataka in 2010.…”

Section: Discussionmentioning

confidence: 94%

Mass Drug Administration Coverage Evaluation Survey for Lymphatic Filariasis: An Experience from Paschim Bardhaman District, West Bengal

Banerjee

Ray

Bhattacharya

et al. 2018

JCD

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Purpose: The purpose of the present study was to assess the coverage and compliance of mass drug administration (MDA) to identify the factors for non-compliance, to find out the side effects experienced by the consumers and to ascertain the constraints/problems in implementing MDA by the functionaries in Paschim Bardhaman district of West Bengal after the last round of MDA (Dec 2017). Methods:In this cross-sectional coverage evaluation survey, one urban and three rural clusters were selected, using multistage cluster sampling. At least 30 households and 150 eligible subjects were included from each cluster (village/ward). Participants were interviewed using pre-designed and pretested schedule. A qualitative assessment was also done in the form of in-depth interview of different program implementers and participants.Results: Among the 660 eligible populations interviewed, distribution coverage for DEC and both the drugs were 76.4% and 74.8% respectively. For DEC, effective coverage was found to be 64.1%, which was 63.3% for both the drugs. Overall supervised consumption rate was very low (32% for DEC and 30.3% for both the drugs). Insufficient and delayed availability of drugs and IEC materials, budgetary constraints in undertaking IEC activities, poor community mobilization, and negligible supervised administration of drugs by the drug distributers were found to be the key qualitative issues.Conclusions: Supervised consumption of drugs in the presence of drug distributors was found to be grossly neglected in this district. Proper availability of medicines and logistics should be ensured and coordinated, and community awareness should be strengthened for successful implementation of this activity.

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Mass drug administration coverage evaluation for elimination of lymphatic filariasis in Chhatarpur district of Madhya Pradesh

Cited by 8 publications

References 5 publications

Coverage of mass drug administration for elimination of lymphatic filariasis in urban Nagpur, Central India: A mixed method study

Coverage of mass drug administration for elimination of lymphatic filariasis in urban Nagpur, Central India: A mixed method study

Mass Drug Administration Coverage Evaluation for Elimination of Lymphatic Filariasis in Nagpur District of Maharashtra

Mass Drug Administration Coverage Evaluation Survey for Lymphatic Filariasis: An Experience from Paschim Bardhaman District, West Bengal

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