Coverage and compliance towards mass drug administration programme against lymphatic filariasis in Vijayapura (Bijapur) district, Karnataka, India

Abstract

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.Results: Out of 120 houses visited in 4 clusters consisting of 398 beneficiaries, the coverage of MDA was 80.3% and 72.5% had consumed the tablets. The coverage compliance gap was 7.8%. 71.7% of the respondents, had awareness regarding elephantiasis. The most common reason quoted by the beneficiaries for not consuming the tablet was lack of information of MDA programme/ Lf (13%) followed by fear of drugs (10%).Conclusions: BCC is the essence of the hour to fulfil the goal of elimination of lymphatic filariasis; there is need for intensive IEC activities addressing the misconceptions among beneficiaries regarding adverse reactions of MDA through mass media, interpersonal communications.

Mass drug administration programme against lymphatic filariasis-an evaluation of coverage and compliance in a northern Karnataka district, India

“…9 However considering the coverage compliance gap an effective coverage rate of only 83.2% was observed in the present study which is lesser than observed by Gudegowda KS et al, in 2016.7 Similar study conducted in Bijapur district by Kulkarni P et al, in 2017 shows a coverage rate of 80.3% and effective coverage rate of 72.5% and Waseem A et al, in 2014 shows a coverage and compliance rate of 81.63% and 79.21% respectively. 10,11 Similar to a previous study conducted by Kulkarni et al in Bijapur district in 2017, the coverage and compliance were significantly higher in rural areas compared to urban areas. Hence it proves the good impact of village level health workers like Anganwadi workers and ASHAs in mobilizing community towards MDA, which is specifically lacking in urban areas.…”

A study on coverage and compliance of mass drug administration for lymphatic filariasis in Prayagraj District, Uttar Pradesh, India

“…Kulkarni et al found coverage to be 80.3% and compliance to be 72.5% in Vijayapura (Bijapur) District of Karnataka which was higher than the present study. 16 Ganapa et al reported coverage rate and compliance rate79.84% and 84.6% respectively in Nalgonda district of Telangana which was also higher than the present study. 17 Kulkarni et al conducted a studyin Bagalkot District Karnataka and found coverage rate was 93.9% and effective coverage rate (compliance) was 83.2%.…”

Mid-term assessment of mass drug administration for elimination of lymphatic filariasis: in Bundelkhand region of Madhya Pradesh

“…16 In contrary to other study conducted by Biradar 13 Kulkarni MM et al in their study found that only 49% of subjects had proper knowledge about the disease. 14…”