COMMUNITY MEMBERS' PERCEPTIONS OF MASS DRUG ADMINISTRATION FOR CONTROL OF LYMPHATIC FILARIASIS IN RURAL AND URBAN TANZANIA
Identifieur interne : 002056 ( Main/Exploration ); précédent : 002055; suivant : 002057COMMUNITY MEMBERS' PERCEPTIONS OF MASS DRUG ADMINISTRATION FOR CONTROL OF LYMPHATIC FILARIASIS IN RURAL AND URBAN TANZANIA
Auteurs : William J. Kisoka [Tanzanie] ; Britt Pinkowsky Tersb L [Danemark] ; Dan W. Meyrowitsch [Danemark] ; Paul E. Simonsen [Danemark] ; Declare L. Mushi [Tanzanie]Source :
- Journal of Biosocial Science [ 0021-9320 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Caractéristiques de l'habitat, Connaissances, attitudes et pratiques en santé, Femelle, Filaricides (administration et posologie), Filaricides (usage thérapeutique), Filariose lymphatique (), Filariose lymphatique (traitement médicamenteux), Humains, Jeune adulte, Perception sociale, Population rurale, Population urbaine, Recherche qualitative, Tanzanie, Éradication de maladie ().
- MESH :
- administration et posologie : Filaricides.
- traitement médicamenteux : Filariose lymphatique.
- usage thérapeutique : Filaricides.
- Adulte d'âge moyen, Caractéristiques de l'habitat, Connaissances, attitudes et pratiques en santé, Femelle, Filariose lymphatique, Humains, Jeune adulte, Perception sociale, Population rurale, Population urbaine, Recherche qualitative, Tanzanie, Éradication de maladie.
English descriptors
- KwdEn :
- Disease Eradication (methods), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (prevention & control), Female, Filaricides (administration & dosage), Filaricides (therapeutic use), Health Knowledge, Attitudes, Practice, Humans, Middle Aged, Qualitative Research, Residence Characteristics, Rural Population, Social Perception, Tanzania, Urban Population, Young Adult.
- MESH :
- chemical , administration & dosage : Filaricides.
- drug therapy : Elephantiasis, Filarial.
- methods : Disease Eradication.
- prevention & control : Elephantiasis, Filarial.
- chemical , therapeutic use : Filaricides.
- Female, Health Knowledge, Attitudes, Practice, Humans, Middle Aged, Qualitative Research, Residence Characteristics, Rural Population, Social Perception, Tanzania, Urban Population, Young Adult.
Abstract
Lymphatic filariasis is one of several neglected tropical diseases with severely disabling and stigmatizing manifestations that are referred to as ‘neglected diseases of poverty’. It is a mosquito-borne disease found endemically and exclusively in low-income contexts where, concomitantly, general public health care is often deeply troubled and fails to meet the basic health needs of impoverished populations. This presents particular challenges for the implementation of mass drug administration (MDA), which currently is the principal means of control and eventual elimination. Several MDA programmes face the dilemma that they are unable to attain and maintain the required drug coverage across target groups. In recognition of this, a qualitative study was conducted in the Morogoro and Lindi regions of Tanzania to gain an understanding of community experiences with, and perceptions of, the MDA campaign implemented in 2011 by the National Lymphatic Filariasis Elimination Programme. The study revealed a wide variation of perceptions and experiences regarding the aim, rationale and justification of MDA. There were positive sentiments about the usefulness of the drugs, but many study participants were sceptical about the manner in which MDA is implemented. People were particularly disappointed with the limited attempts by implementers to share information and mobilize residents. In addition, negative sentiments towards MDA for lymphatic filariasis reflected a general feeling of desertion and marginalization by the health care system and political authorities. However, the results suggest that if the communities are brought on board with genuine respect for their integrity and informed self-determination, there is scope for major improvements in community support for MDA-based control activities.
Url:
DOI: 10.1017/S0021932015000024
PubMed: 25790081
PubMed Central: 4668335
Affiliations:
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Le document en format XML
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Kisoka</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>National Institute for Medical Research</institution>,<addr-line>Dar es Salaam</addr-line>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Tumaini University, Kilimanjaro Christian Medical College</institution>,<addr-line>Moshi</addr-line>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Tersb L, Britt Pinkowsky" sort="Tersb L, Britt Pinkowsky" uniqKey="Tersb L B" first="Britt Pinkowsky" last="Tersb L">Britt Pinkowsky Tersb L</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Global Health Section, Department of Public Health</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Meyrowitsch, Dan W" sort="Meyrowitsch, Dan W" uniqKey="Meyrowitsch D" first="Dan W." last="Meyrowitsch">Dan W. Meyrowitsch</name><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Department of Public Health</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Simonsen, Paul E" sort="Simonsen, Paul E" uniqKey="Simonsen P" first="Paul E." last="Simonsen">Paul E. Simonsen</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Department of Veterinary Disease Biology</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Mushi, Declare L" sort="Mushi, Declare L" uniqKey="Mushi D" first="Declare L." last="Mushi">Declare L. Mushi</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Tumaini University, Kilimanjaro Christian Medical College</institution>,<addr-line>Moshi</addr-line>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Biosocial Science</title><idno type="ISSN">0021-9320</idno><idno type="eISSN">1469-7599</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Disease Eradication (methods)</term><term>Elephantiasis, Filarial (drug therapy)</term><term>Elephantiasis, Filarial (prevention & control)</term><term>Female</term><term>Filaricides (administration & dosage)</term><term>Filaricides (therapeutic use)</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Middle Aged</term><term>Qualitative Research</term><term>Residence Characteristics</term><term>Rural Population</term><term>Social Perception</term><term>Tanzania</term><term>Urban Population</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Caractéristiques de l'habitat</term><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Filaricides (administration et posologie)</term><term>Filaricides (usage thérapeutique)</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (traitement médicamenteux)</term><term>Humains</term><term>Jeune adulte</term><term>Perception sociale</term><term>Population rurale</term><term>Population urbaine</term><term>Recherche qualitative</term><term>Tanzanie</term><term>Éradication de maladie ()</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Disease Eradication</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Filaricides</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Middle Aged</term><term>Qualitative Research</term><term>Residence Characteristics</term><term>Rural Population</term><term>Social Perception</term><term>Tanzania</term><term>Urban Population</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Caractéristiques de l'habitat</term><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Jeune adulte</term><term>Perception sociale</term><term>Population rurale</term><term>Population urbaine</term><term>Recherche qualitative</term><term>Tanzanie</term><term>Éradication de maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>Lymphatic filariasis is one of several neglected tropical diseases with severely disabling and stigmatizing manifestations that are referred to as ‘neglected diseases of poverty’. It is a mosquito-borne disease found endemically and exclusively in low-income contexts where, concomitantly, general public health care is often deeply troubled and fails to meet the basic health needs of impoverished populations. This presents particular challenges for the implementation of mass drug administration (MDA), which currently is the principal means of control and eventual elimination. Several MDA programmes face the dilemma that they are unable to attain and maintain the required drug coverage across target groups. In recognition of this, a qualitative study was conducted in the Morogoro and Lindi regions of Tanzania to gain an understanding of community experiences with, and perceptions of, the MDA campaign implemented in 2011 by the National Lymphatic Filariasis Elimination Programme. The study revealed a wide variation of perceptions and experiences regarding the aim, rationale and justification of MDA. There were positive sentiments about the usefulness of the drugs, but many study participants were sceptical about the manner in which MDA is implemented. People were particularly disappointed with the limited attempts by implementers to share information and mobilize residents. In addition, negative sentiments towards MDA for lymphatic filariasis reflected a general feeling of desertion and marginalization by the health care system and political authorities. However, the results suggest that if the communities are brought on board with genuine respect for their integrity and informed self-determination, there is scope for major improvements in community support for MDA-based control activities.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Allen, T" uniqKey="Allen T">T. Allen</name></author><author><name sortKey="Parker, M" uniqKey="Parker M">M. Parker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Amarillo, M L E" uniqKey="Amarillo M">M. L. E. Amarillo</name></author><author><name sortKey="Belizario, V Y" uniqKey="Belizario V">V. Y. Belizario</name></author><author><name sortKey="Sadiang Abay, J T" uniqKey="Sadiang Abay J">J. T. Sadiang-Abay</name></author><author><name sortKey="Sison, S A M" uniqKey="Sison S">S. A. M. Sison</name></author><author><name sortKey="Dayang, A M S" uniqKey="Dayang A">A. M. S. Dayang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Amazigo, U V" uniqKey="Amazigo U">U. V. Amazigo</name></author><author><name sortKey="Leak, S G A" uniqKey="Leak S">S. G. A. Leak</name></author><author><name sortKey="Zoure, H G M" uniqKey="Zoure H">H. G. M. Zoure</name></author><author><name sortKey="Njepoume, N" uniqKey="Njepoume N">N. Njepoume</name></author><author><name sortKey="Dikassa, P S L" uniqKey="Dikassa P">P. S. L. 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Hotez</name></author><author><name sortKey="Junghanss, T" uniqKey="Junghanss T">T. Junghanss</name></author><author><name sortKey="Kang, G" uniqKey="Kang G">G. Kang</name></author><author><name sortKey="Lalloo, D" uniqKey="Lalloo D">D. Lalloo</name></author><author><name sortKey="White, N J" uniqKey="White N">N. J. White</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Talbot, J T" uniqKey="Talbot J">J. T. Talbot</name></author><author><name sortKey="Viall, A" uniqKey="Viall A">A. Viall</name></author><author><name sortKey="Direny, A" uniqKey="Direny A">A. Direny</name></author><author><name sortKey="De Rochars, M B" uniqKey="De Rochars M">M. B. de Rochars</name></author><author><name sortKey="Addiss, D" uniqKey="Addiss D">D. Addiss</name></author><author><name sortKey="Mathieu, E" uniqKey="Mathieu E">E. Mathieu</name></author><author><name sortKey="Lammie, P J" uniqKey="Lammie P">P. J. Lammie</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Danemark</li><li>Tanzanie</li></country></list><tree><country name="Tanzanie"><noRegion><name sortKey="Kisoka, William J" sort="Kisoka, William J" uniqKey="Kisoka W" first="William J." last="Kisoka">William J. Kisoka</name></noRegion><name sortKey="Kisoka, William J" sort="Kisoka, William J" uniqKey="Kisoka W" first="William J." last="Kisoka">William J. Kisoka</name><name sortKey="Mushi, Declare L" sort="Mushi, Declare L" uniqKey="Mushi D" first="Declare L." last="Mushi">Declare L. Mushi</name></country><country name="Danemark"><noRegion><name sortKey="Tersb L, Britt Pinkowsky" sort="Tersb L, Britt Pinkowsky" uniqKey="Tersb L B" first="Britt Pinkowsky" last="Tersb L">Britt Pinkowsky Tersb L</name></noRegion><name sortKey="Meyrowitsch, Dan W" sort="Meyrowitsch, Dan W" uniqKey="Meyrowitsch D" first="Dan W." last="Meyrowitsch">Dan W. Meyrowitsch</name><name sortKey="Simonsen, Paul E" sort="Simonsen, Paul E" uniqKey="Simonsen P" first="Paul E." last="Simonsen">Paul E. Simonsen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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