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An evaluation of mass drug administration for lymphatic filariasis in Bidar district, Karnataka

Prasad K N, Anil R.




Abstract

Background: The elimination of lymphatic filariasis in highly endemic countries results in a reduction of prevalence in permanent disabilities from communicable diseases. The qualitative and quantitative performance of mass drug administration (MDA) efforts in attaining the above goal is important.

Objective: To evaluate the MDA as independent assessor in Bidar district for the year 2015 in Karnataka.

Materials and Methods: The community-based, descriptive, and evaluative study was conducted in Bidar district during 28th -30th January 2016. The multistage stratified sampling was used in the selection of three rural and one urban cluster. The number of houses covered was 30 in each cluster. The information was collected in the predesigned questionnaire from each house at their doorstep that included enrolment, coverage, distribution, consumption, and side effects of medicines.

Results: The number of family members in 120 houses was 602. The enrolment of eligible population and the drug distribution was to the extent of 95%. The drug consumption rate and direct observation of treatment were 96% and 39%, respectively. The stock maintenance of medicines was poor. The side effects of medicines were 2% among the study population. The formal report submissions do not exist at the village and primary health center level. The reports were generated in illogical way.

Conclusion: The enrolment, coverage, and consumption rates were satisfactory, but the direct observation of treatment was poor. Majority consumed medicines in divided doses in a day. There was no formal method of submission of MDA reports from village to the district level.

Key words: Evaluation; Mass Drug Administration; Filariasis; Diethylcarbamazine Citrate; Albendazole; Bidar






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