Are we nearly there yet? Coverage and compliance of mass drug administration for lymphatic filariasis elimination
Identifieur interne : 002131 ( Main/Exploration ); précédent : 002130; suivant : 002132Are we nearly there yet? Coverage and compliance of mass drug administration for lymphatic filariasis elimination
Auteurs : Neal D. E. AlexanderSource :
- Transactions of the Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- administration et posologie : Diéthylcarbamazine, Filaricides.
- organisation et administration : Mise en oeuvre des programmes de santé.
- Filariose lymphatique, Humains, Éradication de maladie.
English descriptors
- KwdEn :
- MESH :
- chemical , administration & dosage : Diethylcarbamazine, Filaricides.
- organization & administration : Health Plan Implementation.
- prevention & control : Elephantiasis, Filarial.
- Disease Eradication, Humans.
Abstract
Lymphatic filariasis has been targeted for elimination by 2020, and a threshold of 65% coverage of mass drug administration (MDA) has been adopted by the Global Programme to Eliminate Lymphatic Filariasis (GPELF). A recent review by Babu and Babu of 36 studies of MDA for lymphatic filariasis in India found that coverage, defined as receipt of tablets, ranged from 48.8 to 98.8%, while compliance, defined as actual ingestion of tablets, was 22% lower on average. Moreover, the denominator for these coverage figures is the eligible, rather than total, population. By contrast, the 65% threshold, in the original modelling study, refers to ingestion of tablets in the total population. This corresponds to GPELF's use of ‘epidemiological drug coverage’ as a trigger for the Transmission Assessment Surveys (TAS), which indicate whether to proceed to post-MDA surveillance. The existence of less strict definitions of ‘coverage’ should not lead to premature TAS that could impair MDA's sustainability.
Url:
DOI: 10.1093/trstmh/tru204
PubMed: 25575555
PubMed Central: 4321021
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Lymphatic filariasis has been targeted for elimination by 2020, and a threshold of 65% coverage of mass drug administration (MDA) has been adopted by the Global Programme to Eliminate Lymphatic Filariasis (GPELF). A recent review by Babu and Babu of 36 studies of MDA for lymphatic filariasis in India found that coverage, defined as receipt of tablets, ranged from 48.8 to 98.8%, while compliance, defined as actual ingestion of tablets, was 22% lower on average. Moreover, the denominator for these coverage figures is the eligible, rather than total, population. By contrast, the 65% threshold, in the original modelling study, refers to ingestion of tablets in the total population. This corresponds to GPELF's use of ‘epidemiological drug coverage’ as a trigger for the Transmission Assessment Surveys (TAS), which indicate whether to proceed to post-MDA surveillance. The existence of less strict definitions of ‘coverage’ should not lead to premature TAS that could impair MDA's sustainability.</p>
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