Coverage and compliance MDA programme for lymphatic filariasis in Bidar district,Karnataka, India |
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| Authors: | Dharukaswami. Mallayya. Koradhanyamath Praveen Kulkarni Ramesh Holla |
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| Affiliation: | 1. National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, People’s Republic of China;2. Key Laboratory of Parasite and Vector Biology, MOH; WHO Collaborating Centre for Malaria, Schistosomiasis and Filariasis, Shanghai, People’s Republic of China;3. Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland;4. University of Basel, Basel, Switzerland;5. Duke Global Health Institute, Duke University, Durham, NC, USA;6. Chinese Preventive Medicine Association, Beijing, People’s Republic of China; Chinese Center for Disease Control and Prevention, Beijing, People’s Republic of China |
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| Abstract: | ObjectiveTo describe the socio demographic characteristics of beneficiaries of the Mass Drug Administration (MDA) programme, to assess the coverage, compliance and causes for noncompliance towards MDA in the district, to assess the awareness regarding elephantiasis among beneficiaries and to assess the knowledge of drug distributors towards the filariasis and MDA programme.MethodsThis cross sectional study was conducted in 3 rural and 1 urban clusters in Bidar district for the period of 1 week. 50 houses were selected in each cluster by systematic random sampling method and data was collected in a structured proforma by interview technique.ResultsMajority of beneficiaries were at the age group of 15-60 years (72.3%) and male (53%). The overall coverage of MDA in Bidar district was 62.3%. Compliance among those who had received the tablets was 60.4%. Coverage and compliance was more in rural areas compared to urban. The most common reason quoted for not consuming drugs was fear of adverse effects (72.2%) The incidence of adverse events was 0.2%. Even though 75% of them were aware of the disease elephantiasis, only 45.4% had knowledge regarding MDA programme. The knowledge of drug distributors towards MDA and filariasis was found to be adequate.ConclusionCoverage and compliance towards MDA in Bidar district was poor. The coverage and compliance in rural areas was higher compared to the urban areas. |
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