A programme to eliminate lymphatic filariasis in Tamil Nadu state, India: compliance with annual single-dose DEC mass treatment and some related operational aspects.
Identifieur interne : 00A291 ( Main/Exploration ); précédent : 00A290; suivant : 00A292A programme to eliminate lymphatic filariasis in Tamil Nadu state, India: compliance with annual single-dose DEC mass treatment and some related operational aspects.
Auteurs : K D Ramaiah [Inde] ; P K Das ; N C Appavoo ; K. Ramu ; D J Augustin ; K N Kumar ; A V ChandrakalaSource :
- Tropical medicine & international health : TM & IH [ 1360-2276 ] ; 2000.
Descripteurs français
- KwdFr :
- Animaux, Diéthylcarbamazine (usage thérapeutique), Femelle, Filaricides (usage thérapeutique), Filariose lymphatique (), Filariose lymphatique (épidémiologie), Humains, Inde (épidémiologie), Mâle, Observance thérapeutique, Services de médecine préventive (organisation et administration), Wuchereria bancrofti.
- MESH :
- organisation et administration : Services de médecine préventive.
- usage thérapeutique : Diéthylcarbamazine, Filaricides.
- épidémiologie : Filariose lymphatique, Inde.
- Animaux, Femelle, Filariose lymphatique, Humains, Mâle, Observance thérapeutique, Wuchereria bancrofti.
- Wicri :
- geographic : Inde.
English descriptors
- KwdEn :
- Animals, Diethylcarbamazine (therapeutic use), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (prevention & control), Female, Filaricides (therapeutic use), Humans, India (epidemiology), Male, Patient Compliance, Preventive Health Services (organization & administration), Wuchereria bancrofti.
- MESH :
- chemical , therapeutic use : Diethylcarbamazine, Filaricides.
- geographic , epidemiology : India.
- epidemiology : Elephantiasis, Filarial.
- organization & administration : Preventive Health Services.
- prevention & control : Elephantiasis, Filarial.
- Animals, Female, Humans, Male, Patient Compliance, Wuchereria bancrofti.
Abstract
This paper reports on DEC distribution and compliance with treatment in a large-scale annual single-dose mass treatment programme to eliminate lymphatic filariasis in the south Indian state of Tamil Nadu. 76.9% of households (82.5% in rural areas and 58.0% in urban areas) were aware of drug distribution for control of filariasis. DEC was given to 70% (= distribution rate) (range 0-92%) of the population and 53.5% (range 12-89%) complied with treatment. The distribution rate was more than 75% in 74% of the villages and compliance was in the range of 51-75% in 76% of the villages. About 5% of the treated population reported side-effects. Distribution and compliance were higher in rural than urban areas and similar between males and females. Qualitative data showed that some socio-economic factors, logistic and drug-related problems and people's poor knowledge and perceived benefits of treatment played a role in a proportion of the population not receiving or taking the drug. The Tamil Nadu programme showed that large-scale repeated annual DEC mass treatment is feasible and that existing health services are capable of delivering the drug to all communities. While even poor to moderate compliance rates can reduce the vector transmission of infection to some extent, improved drug distribution and compliance with treatment are necessary to consolidate the gains of earlier rounds of treatment and achieve the goal of filariasis elimination within a reasonable time frame.
PubMed: 11169272
Affiliations:
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Ramu</name></author><author><name sortKey="Augustin, D J" sort="Augustin, D J" uniqKey="Augustin D" first="D J" last="Augustin">D J Augustin</name></author><author><name sortKey="Kumar, K N" sort="Kumar, K N" uniqKey="Kumar K" first="K N" last="Kumar">K N Kumar</name></author><author><name sortKey="Chandrakala, A V" sort="Chandrakala, A V" uniqKey="Chandrakala A" first="A V" last="Chandrakala">A V Chandrakala</name></author></analytic><series><title level="j">Tropical medicine & international health : TM & IH</title><idno type="ISSN">1360-2276</idno><imprint><date when="2000" type="published">2000</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Animals</term><term>Diethylcarbamazine (therapeutic use)</term><term>Elephantiasis, Filarial (epidemiology)</term><term>Elephantiasis, Filarial (prevention & control)</term><term>Female</term><term>Filaricides (therapeutic use)</term><term>Humans</term><term>India (epidemiology)</term><term>Male</term><term>Patient Compliance</term><term>Preventive Health Services (organization & administration)</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Animaux</term><term>Diéthylcarbamazine (usage thérapeutique)</term><term>Femelle</term><term>Filaricides (usage thérapeutique)</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (épidémiologie)</term><term>Humains</term><term>Inde (épidémiologie)</term><term>Mâle</term><term>Observance thérapeutique</term><term>Services de médecine préventive (organisation et administration)</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Diethylcarbamazine</term><term>Filaricides</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>India</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Services de médecine préventive</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Preventive Health Services</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Diéthylcarbamazine</term><term>Filaricides</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Filariose lymphatique</term><term>Inde</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Animals</term><term>Female</term><term>Humans</term><term>Male</term><term>Patient Compliance</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Animaux</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Mâle</term><term>Observance thérapeutique</term><term>Wuchereria bancrofti</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Inde</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This paper reports on DEC distribution and compliance with treatment in a large-scale annual single-dose mass treatment programme to eliminate lymphatic filariasis in the south Indian state of Tamil Nadu. 76.9% of households (82.5% in rural areas and 58.0% in urban areas) were aware of drug distribution for control of filariasis. DEC was given to 70% (= distribution rate) (range 0-92%) of the population and 53.5% (range 12-89%) complied with treatment. The distribution rate was more than 75% in 74% of the villages and compliance was in the range of 51-75% in 76% of the villages. About 5% of the treated population reported side-effects. Distribution and compliance were higher in rural than urban areas and similar between males and females. Qualitative data showed that some socio-economic factors, logistic and drug-related problems and people's poor knowledge and perceived benefits of treatment played a role in a proportion of the population not receiving or taking the drug. The Tamil Nadu programme showed that large-scale repeated annual DEC mass treatment is feasible and that existing health services are capable of delivering the drug to all communities. While even poor to moderate compliance rates can reduce the vector transmission of infection to some extent, improved drug distribution and compliance with treatment are necessary to consolidate the gains of earlier rounds of treatment and achieve the goal of filariasis elimination within a reasonable time frame.</div></front></TEI><affiliations><list><country><li>Inde</li></country></list><tree><noCountry><name sortKey="Appavoo, N C" sort="Appavoo, N C" uniqKey="Appavoo N" first="N C" last="Appavoo">N C Appavoo</name><name sortKey="Augustin, D J" sort="Augustin, D J" uniqKey="Augustin D" first="D J" last="Augustin">D J Augustin</name><name sortKey="Chandrakala, A V" sort="Chandrakala, A V" uniqKey="Chandrakala A" first="A V" last="Chandrakala">A V Chandrakala</name><name sortKey="Das, P K" sort="Das, P K" uniqKey="Das P" first="P K" last="Das">P K Das</name><name sortKey="Kumar, K N" sort="Kumar, K N" uniqKey="Kumar K" first="K N" last="Kumar">K N Kumar</name><name sortKey="Ramu, K" sort="Ramu, K" uniqKey="Ramu K" first="K" last="Ramu">K. Ramu</name></noCountry><country name="Inde"><noRegion><name sortKey="Ramaiah, K D" sort="Ramaiah, K D" uniqKey="Ramaiah K" first="K D" last="Ramaiah">K D Ramaiah</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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