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ORIGINAL ARTICLE
Year : 2015  |  Volume : 1  |  Issue : 3  |  Page : 151-156

Mass drug administration program against lymphatic filariasis: Are we on the path to success? experience from Solapur District, Maharashtra


Department of Community Medicine, B. J. G. M. C, Pune, Maharashtra, India

Correspondence Address:
Malangori Abdulgani Parande
462/C.2, Greenland Complex, Salisbury Park, Gultekdi, Pune - 411 037, Maharashtra
India
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Source of Support: Nil., Conflict of Interest: There are no conflicts of interest.


DOI: 10.4103/2394-7438.166306

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Background: Rate of coverage and consumption is the most crucial factor in the success of MDA program against lymphatic filariasis. The roles of the drug distributors and other health workers cannot be ignored in order to achieve success in MDA coverage and compliance. Materials and Methods: This was a cross-sectional study conducted in Solapur district in January 2015. A sample of 672 participants from four clusters was selected through multistage cluster sampling and interviewed using pretested and prestructured questionnaire. Additionally, MDA drug distributors were also interviewed to understand some of the operational issues encountered in MDA program. Results: The average coverage of MDA in Solapur district was 63.7%, the compliance rate was 75.5%, and effective coverage rate was 48.1%. The important reason for higher rate of noncompliance was unsupervised treatment by the drug distributor, beneficiaries were on empty stomach at the time of distribution of drugs, not received the drugs and not available at the time of drug distributor's visit and in urban area was lack of knowledge about the disease. The important reasons for noncompliance quoted by drug distributors were inadequate training of drug distributor, fear of side effects in beneficiaries, and the empty stomach at the time of drug distributor's visit. The majority of health personnel (69.7%) suggested Booth activity as an ideal method for MDA that is planned on a holiday, and more extensive training well before the planned MDA activity.


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