Evaluation of coverage of mass drug administration programme conducted in Nalgonda district of Telangana state (original) (raw)
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Glimpses of MDA Compliance Survey in North 24 PGNS of West Bengal
IOSR Journal of Dental and Medical Sciences, 2016
Introduction: Lymphatic filariasis is a major public health problem in India. Since 2004, India adopted WHO's strategy of Mass Drug Administration with DEC and Albendazole to eliminate filariasis. Aims and Objectives: To assess the coverage and compliance of MDA , to document the side effects reported and to identify the factors for non-compliance to MDA. Material and Methods: A cross-sectional study was conducted among the fourrandomly-selected clusters in the district of North 24-Paraganas , West Bengal, India, covering 558 individualsfrom 128 households, using a predesigned pretested schedule. Result and Conclusion: MDA Coverages of both DEC and Albendazole in two Rural and two Urban clusters were97.9%, 95.1%, 98.1% and 27.5% respectively, with overall coverage being 81.9%. The effective coverage was estimated to be 70.7% which is below the cutoff level (≥85 percent) for the programme requirement. 17.9% surveyed household did not receive any drug. These percentages were highest in one of the urban clusters and lowest in both the rural clusters. Non Complianthouseholds were mostly Hindus and were higher in higher Socio Economic Groups and more educated families. There wereonly 2.3 % of the study subjects who had developed at leastone adverse effectafter consumptionand amongst which nausea and drowsiness were most common.
National Journal of Community Medicine, 2012
Background and Objectives: Lymphatic Filariasis has been a major public health problem in India next only to malaria. Government of India during 2004 initiated Mass DrugAdministration (MDA) with annual single dose of DEC tablets to all the population living atthe risk of Filariasis. Mass Drug Administration of Diethyl Carbamazine (DEC) &Albendazole (ALB) was undertaken in 16 districts of Andhra Pradesh on 9th, 10th and 11th December 2011. Present study aimed to evaluate coverage and compliance rate of Mass Drug Administration for lymphatic Filariasisin Nalgonda district of Andhra Pradesh. Methods: Community Based cross-section study was undertaken among four selected clusters of Nalgonda district as per National Vector Borne Disease Control Programme (NVBDCP) guidelines. Information pertaining to coverage and compliance of MDA was gathered from 120 families from 4 clusters by interview technique using structured questionnaire. Results: The average family size was 4.21 and majority of the respondents were males and of more than 15 years of age. The eligibility, coverage and compliance rates were 96.2%, 79.7% and 43.04% respectively. On the spot consumption of tablets was reported by only 22.9% respondents. Most common cause for non-compliance was fear of side effects (47.5%).I E C activity was reported to be seen by only 21.7% respondents. Conclusion: Improving the community compliance in DEC consumption is the major challenge. There is an urgent need for effective MDA strategy with emphasis on Advocacy, social mobilization and monitoring.
Journal of Comprehensive Health
Background: Lymphatic filariasis, commonly known as elephantiasis, is a neglected tropical disease. Evaluation of mass drug administration (MDA) is done internally by the health authorities and externally by independent agencies. This paper reports the findings of evaluation of MDA conducted in Malda district of West Bengal state in May-June 2015. Objectives: To assess the Coverage & Compliance rates of MDA against lymphatic filariasis and to study the factors influencing non-coverage and non-compliance in Malda district. Materials & Methods: A Community based cross-sectional study was conducted in three selected rural blocks and one municipality. Family was the unit of sampling in the current MDA coverage survey. 30 families in each of four clusters were taken as samples. Cluster sampling technique was adopted. The data was collected in a pre-designed semi-structured proforma from 120 households. Results: 564 eligible population 120 families were studied and 50.53% of them were mal...
Background: Lymphatic Filariasis (LF) is the world's second leading cause of long-term disability. Mass Drug Administration (MDA) is the adopted strategy for elimination by which every individual is to be administered an annual single supervised dose of anti-filarial drugs. This process is to be repeated every year for ≥five years with ≥85% actual drug compliance. After last round of MDA in Purba Bardhaman district (2017-18), a coverage evaluation survey was conducted with objectives to assess coverage and compliance, reasons for non-compliance, side effects experienced, awareness about MDA and the constraints in implementing. Materials and Methods: A cross-sectional study was conducted in three villages and one ward of PurbaBardhaman district, selected by multi stage random sampling. In-depth-interviews of MDA implementing stakeholders were done. Data collected by house to house visit using pre-designed schedule. Results: Total 128 households were surveyed consisting of 606 eligible populations. Distribution coverage, compliance, effective coverage and effective supervised coverage were 83.7%, 87.6%, 73.3% and 27.7% respectively. Effective coverage and compliance were lowest in individuals having ≥15 years age. Effective supervised coverage was below 50% in all four clusters. Commonest reason for non-compliance elicited was 'fear of side-effects' (43.8%) and commonest side effect experienced was dizziness (43.3%). 57.03% households were aware about MDA. Extract of interviews with various stakeholders showed lack of dedicated micro-planning, inadequate Information-Education-Communication activities, inadequate community mobilization and knowledge gap of health workers. Conclusion: For successful implementation of MDA, participatory programme implementation planning, coordinated awareness generation and operational research focusing on important aspects is warranted.
National Journal of Community Medicine, 2017
Background: Lymphatic filariasis (LF) is endemic in 83 countries and territories. In view with the global elimination, mass drug administration (MDA) with single dose of diethyl carbamazine and albendazole tablets was carried out for the eligible population in Nanded district. The study was conducted to assess coverage, compliance and reasons for noncompliance to MDA in Nanded district. Method: A community-based cross-sectional study was done by house-to-house visit in Nanded district. Three rural and one urban clusters of Nanded district, Maharashtra, were selected. A predesigned questionnaire was used to collect information. Drug coverage, compliance, effective coverage, coverage–compliance gap (CCG), reasons for noncompliance were studied. Statistical analysis was done by SPSS version 16. Results: The total numbers of houses surveyed were 120. Coverage rate was 94.40%, and compliance rate, CCG, effective coverage rate was 51.81%, 8.48%, and 48.91%, respectively. The compliance of drugs by eligible population was slightly higher in urban area (95.41%) than the rural area (90.56%). Major reasons for non consumption of drug were empty stomach during Drug distributor (DD) visit. Conclusion: The drug compliance need to be improved. Issues like fear of side effects should be addressed through effective behavior change communication strategies.
International Journal Of Community Medicine And Public Health, 2018
Background: Lymphatic filariasis or elephantiasis is the most debilitating and disfiguring scourge among all diseases. The National Health Policy (2017) has set the goal of elimination of lymphatic filariasis in endemic pockets in India by 2017. The concept of MDA is to approach every individual in the target community and administer annual single dose of anti-filarial drugs. The objectives of the study were to assess the coverage, compliance and causes for noncompliance towards MDA in Vijayapura district and to assess the rates of directly observed treatment, source of information on MDA and incidence of side effects related to MDA Programme.Methods: This cross-sectional study was conducted in one urban and three rural clusters in Vijayapura district of Karnataka. Totally 120 houses were covered with minimum of 30 houses in each of the cluster. Data was collected in a structured proforma by interview technique and entered in Microsoft Excel-2010 and analyzed with SPSS version 22.Re...
International Journal of Community Medicine and Public Health, 2019
Background: Lymphatic filariasis is the second leading cause of disability worldwide accounting for more than 5 million disability adjusted life years annually. It has been a major public health problem in India which leads to irreversible chronic manifestations which are responsible for considerable economic loss and severe physical disability to the affected individuals. Mass drug administration (MDA) means administration of diethylcarbamazine and albendazole tablets to all people (excluding children <2 years, pregnant women, seriously ill persons) in endemic areas once in a year. The objective of the study was to assess coverage, compliance of MDA and awareness about lymphatic filariasis in Tikamgarh district of Madhya Pradesh. Methods: Cross-sectional study was conducted and total 120 households were surveyed in four randomly selected clusters of Tikamgarh district of Madhya Pradesh. Results: Out of total 743 persons 678 (91.25%) persons were eligible for MDA. Coverage rate was 86.57% and compliance rate was 74.27%. The main reason for non-compliance was not having the concerned disease (55.78%) followed by fear of side effect (22.31%). Only 40.83% among the surveyed families were aware about MDA and only 45.83% respondents had heard about lymphatic filariasis. Conclusions: There is coverage and compliance gap and awareness about the lymphatic filariasis and MDA program is limited. Drug compliance need to be improved and awareness need to be raised. MDA program should not be confined to tablet distribution only and due importance should be given to compliance rate.
COMPARISON OF COVERAGE AND COMPLIANCE OF MASS DRUG ADMINISTRATION 2012 IN SURAT, INDIA
National Journal of Community Medicine, 2012
Context: Filariasis, an infectious tropical disease is a major public health problem in India but remains neglected. This study was conducted with an objective to evaluate and compare the coverage and compliance of Mass Drug Administration and associated factors in Urban and Rural area of Surat district, Gujarat, India. Methods and materials: This cross sectional study involved survey of Urban and Rural area of Surat district covering 128 household in each. A pretested questioner was used to collect data regarding administration of Diethyl Carbamazine (DEC) and Albendazole (ALB) to eligible population as a part of routine MDA activity. The data was analysed using Epi info software. Results: The coverage of antifilarial drug was more than 90% in both areas without significant difference. The compliance rate, the effective coverage rate and Coverage Compliance Gap were 82.4% , 76.1 % and 17.6% respectively in urban areas which were better than those in rural areas. Conclusion: The effective coverage rate after taking into account the coverage and compliance was less than the target of 85 percent which is needed for eradication and elimination of Filariasis. The urban areas had higher effective coverage rate than rural areas. More emphasis must be given on spot consumption of the drug.
2014
Introduction: Lymphatic filariasis (LF), commonly known as elephantiasis is a global problem affecting more than 120 million people in 80 countries. It is one of the leading causes of long term permanent disability, accounting for more than 5 million disability adjusted life years (DALYs) annually. Present study was carried out to evaluate the coverage, compliance and reasons for non compliance of MDA in Rewa district of MP. Materials & methods: A Community based cross-sectional Study was conducted for evaluation of coverage and compliance of MDA by Household survey in four selected clusters (three rural and one urban) of Rewa District of Madhya Pradesh as per NVBDCP guidelines. Predesigned questionnaire was used to collect information from 120 families. Household survey was conducted within three weeks of MDA Campaign Results: Out of 667 persons only 618 (92.65%) persons were found eligible for MDA. Coverage rate was 80.42% &Compliance rate was 67.96%. Compliance rate was higher am...