Increasing compliance with mass drug administration programs for lymphatic filariasis in India through education and lymphedema management programs.

PLoS Neglected Tropical Diseases
P T CanteyL M Fox

Abstract

Nearly 45% of people living at risk for lymphatic filariasis (LF) worldwide live in India. India has faced challenges obtaining the needed levels of compliance with its mass drug administration (MDA) program to interrupt LF transmission, which utilizes diethylcarbamazine (DEC) or DEC plus albendazole. Previously identified predictors of and barriers to compliance with the MDA program were used to refine a pre-MDA educational campaign. The objectives of this study were to assess the impact of these refinements and of a lymphedema morbidity management program on MDA compliance. A randomized, 30-cluster survey was performed in each of 3 areas: the community-based pre-MDA education plus community-based lymphedema management education (Com-MDA+LM) area, the community-based pre-MDA education (Com-MDA) area, and the Indian standard pre-MDA education (MDA-only) area. Compliance with the MDA program was 90.2% in Com-MDA+LM, 75.0% in Com-MDA, and 52.9% in the MDA-only areas (p<0.0001). Identified barriers to adherence included: 1) fear of side effects and 2) lack of recognition of one's personal benefit from adherence. Multivariable predictors of adherence amenable to educational intervention were: 1) knowing about the MDA in advance of ...Continue Reading

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Dec 17, 2009·Tropical Medicine & International Health : TM & IH·P T CanteyL M Fox

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Citations

Jan 24, 2014·Parasites & Vectors·Molly Brady, UNKNOWN Global Alliance to Eliminate Lymphatic Filariasis
Apr 15, 2014·Transactions of the Royal Society of Tropical Medicine and Hygiene·Bontha V Babu, Gopalan R Babu
Oct 2, 2014·Transactions of the Royal Society of Tropical Medicine and Hygiene·Sarah MartindaleLouise A Kelly-Hope
Jul 9, 2010·PLoS Neglected Tropical Diseases·David G Addiss
Nov 3, 2010·BMC Medicine·Yaobi ZhangShawn Baker
Aug 14, 2012·Transactions of the Royal Society of Tropical Medicine and Hygiene·Elizabeth A CromwellPaul M Emerson
Feb 7, 2014·Parasites & Vectors·Khampheng PhongluxaPeter Odermatt
Jul 18, 2014·PLoS Neglected Tropical Diseases·Roland OscarMarie Denise Milord
Oct 6, 2016·PLoS Neglected Tropical Diseases·Jean Frantz LemoineMargaret Baker
Jun 12, 2013·The American Journal of Tropical Medicine and Hygiene·Khaled M Abd ElazizGary J Weil
May 12, 2017·PLoS Neglected Tropical Diseases·Nana-Kwadwo BiritwumDominique Kyelem
Nov 23, 2017·The American Journal of Tropical Medicine and Hygiene·Thomas J PetoPhaik Yeong Cheah
Sep 7, 2013·PLoS Neglected Tropical Diseases·David G Addiss
Dec 7, 2019·Global Mental Health·D Geelhand de MerxemR Colebunders
Jul 6, 2019·Malaria Journal·Felipe Leão Gomes MurtaMarcus Vinícius Guimarães Lacerda

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Methods Mentioned

BETA
MDA

Software Mentioned

Com
SAS
EpiInfo
MDA

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