A systematic review of factors that shape implementation of mass drug administration for lymphatic filariasis in sub-Saharan Africa
Identifieur interne : 000830 ( Main/Exploration ); précédent : 000829; suivant : 000831A systematic review of factors that shape implementation of mass drug administration for lymphatic filariasis in sub-Saharan Africa
Auteurs : Adam Silumbwe [Zambie] ; Joseph Mumba Zulu [Zambie] ; Hikabasa Halwindi [Zambie] ; Choolwe Jacobs [Zambie] ; Jessy Zgambo [Zambie] ; Rosalia Dambe [Zambie] ; Mumbi Chola [Zambie] ; Gershom Chongwe [Zambie] ; Charles Michelo [Zambie]Source :
- BMC Public Health [ 1471-2458 ] ; 2017.
Abstract
Understanding factors surrounding the implementation process of mass drug administration for lymphatic filariasis (MDA for LF) elimination programmes is critical for successful implementation of similar interventions. The sub-Saharan Africa (SSA) region records the second highest prevalence of the disease and subsequently several countries have initiated and implemented MDA for LF. Systematic reviews have largely focused on factors that affect coverage and compliance, with less attention on the implementation of MDA for LF activities. This review therefore seeks to document facilitators and barriers to implementation of MDA for LF in sub-Saharan Africa.
A systematic search of databases PubMed, Science Direct and Google Scholar was conducted. English peer-reviewed publications focusing on implementation of MDA for LF from 2000 to 2016 were considered for analysis. Using thematic analysis, we synthesized the final 18 articles to identify key facilitators and barriers to MDA for LF programme implementation.
The main factors facilitating implementation of MDA for LF programmes were awareness creation through innovative community health education programmes, creation of partnerships and collaborations, integration with existing programmes, creation of morbidity management programmes, motivation of community drug distributors (CDDs) through incentives and training, and management of adverse effects. Barriers to implementation included the lack of geographical demarcations and unregistered migrations into rapidly urbanizing areas, major disease outbreaks like the Ebola virus disease in West Africa, delayed drug deliveries at both country and community levels, inappropriate drug delivery strategies, limited number of drug distributors and the large number of households allocated for drug distribution.
Mass drug administration for lymphatic filariasis elimination programmes should design their implementation strategies differently based on specific contextual factors to improve implementation outcomes. Successfully achieving this requires undertaking formative research on the possible constraining and inhibiting factors, and incorporating the findings in the design and implementation of MDA for LF.
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DOI: 10.1186/s12889-017-4414-5
PubMed: 28532397
PubMed Central: 5441010
Affiliations:
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type="main">A systematic review of factors that shape implementation of mass drug administration for lymphatic filariasis in sub-Saharan Africa</title><author><name sortKey="Silumbwe, Adam" sort="Silumbwe, Adam" uniqKey="Silumbwe A" first="Adam" last="Silumbwe">Adam Silumbwe</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8914 5257</institution-id><institution-id institution-id-type="GRID">grid.12984.36</institution-id><institution>Department of Health Policy and Management, School of Public Health,</institution><institution>University of Zambia,</institution></institution-wrap>PO Box 50110, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>PO Box 50110, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author><author><name sortKey="Zulu, Joseph Mumba" sort="Zulu, Joseph Mumba" uniqKey="Zulu J" first="Joseph Mumba" last="Zulu">Joseph Mumba Zulu</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8914 5257</institution-id><institution-id institution-id-type="GRID">grid.12984.36</institution-id><institution>Department of Health Promotion and Education, School of Public Health,</institution><institution>University of Zambia,</institution></institution-wrap>PO Box 50110, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>PO Box 50110, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author><author><name sortKey="Halwindi, Hikabasa" sort="Halwindi, Hikabasa" uniqKey="Halwindi H" first="Hikabasa" last="Halwindi">Hikabasa Halwindi</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8914 5257</institution-id><institution-id institution-id-type="GRID">grid.12984.36</institution-id><institution>Department of Environmental Health, School of Public Health,</institution><institution>University of Zambia,</institution></institution-wrap>PO Box 50110, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>PO Box 50110, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author><author><name sortKey="Jacobs, Choolwe" sort="Jacobs, Choolwe" uniqKey="Jacobs C" first="Choolwe" last="Jacobs">Choolwe Jacobs</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8914 5257</institution-id><institution-id institution-id-type="GRID">grid.12984.36</institution-id><institution>Department of Epidemiology and Biostatistics, School of Public Health,</institution><institution>University of Zambia,</institution></institution-wrap>PO Box 50110, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>PO Box 50110, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author><author><name sortKey="Zgambo, Jessy" sort="Zgambo, Jessy" uniqKey="Zgambo J" first="Jessy" last="Zgambo">Jessy Zgambo</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8914 5257</institution-id><institution-id institution-id-type="GRID">grid.12984.36</institution-id><institution>Department of Epidemiology and Biostatistics, School of Public Health,</institution><institution>University of Zambia,</institution></institution-wrap>PO Box 50110, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>PO Box 50110, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author><author><name sortKey="Dambe, Rosalia" sort="Dambe, Rosalia" uniqKey="Dambe R" first="Rosalia" last="Dambe">Rosalia Dambe</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8914 5257</institution-id><institution-id institution-id-type="GRID">grid.12984.36</institution-id><institution>Department of Epidemiology and Biostatistics, School of Public Health,</institution><institution>University of Zambia,</institution></institution-wrap>PO Box 50110, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>PO Box 50110, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author><author><name sortKey="Chola, Mumbi" sort="Chola, Mumbi" uniqKey="Chola M" first="Mumbi" last="Chola">Mumbi Chola</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8914 5257</institution-id><institution-id institution-id-type="GRID">grid.12984.36</institution-id><institution>Department of Epidemiology and Biostatistics, School of Public Health,</institution><institution>University of Zambia,</institution></institution-wrap>PO Box 50110, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>PO Box 50110, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author><author><name sortKey="Chongwe, Gershom" sort="Chongwe, Gershom" uniqKey="Chongwe G" first="Gershom" last="Chongwe">Gershom Chongwe</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8914 5257</institution-id><institution-id institution-id-type="GRID">grid.12984.36</institution-id><institution>Department of Epidemiology and Biostatistics, School of Public Health,</institution><institution>University of Zambia,</institution></institution-wrap>PO Box 50110, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>PO Box 50110, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author><author><name sortKey="Michelo, Charles" sort="Michelo, Charles" uniqKey="Michelo C" first="Charles" last="Michelo">Charles Michelo</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 8914 5257</institution-id><institution-id institution-id-type="GRID">grid.12984.36</institution-id><institution>Department of Epidemiology and Biostatistics, School of Public Health,</institution><institution>University of Zambia,</institution></institution-wrap>PO Box 50110, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>PO Box 50110, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Understanding factors surrounding the implementation process of mass drug administration for lymphatic filariasis (MDA for LF) elimination programmes is critical for successful implementation of similar interventions. The sub-Saharan Africa (SSA) region records the second highest prevalence of the disease and subsequently several countries have initiated and implemented MDA for LF. Systematic reviews have largely focused on factors that affect coverage and compliance, with less attention on the implementation of MDA for LF activities. This review therefore seeks to document facilitators and barriers to implementation of MDA for LF in sub-Saharan Africa.</p></sec><sec><title>Methods</title><p>A systematic search of databases PubMed, Science Direct and Google Scholar was conducted. English peer-reviewed publications focusing on implementation of MDA for LF from 2000 to 2016 were considered for analysis. Using thematic analysis, we synthesized the final 18 articles to identify key facilitators and barriers to MDA for LF programme implementation.</p></sec><sec><title>Results</title><p>The main factors facilitating implementation of MDA for LF programmes were awareness creation through innovative community health education programmes, creation of partnerships and collaborations, integration with existing programmes, creation of morbidity management programmes, motivation of community drug distributors (CDDs) through incentives and training, and management of adverse effects. Barriers to implementation included the lack of geographical demarcations and unregistered migrations into rapidly urbanizing areas, major disease outbreaks like the Ebola virus disease in West Africa, delayed drug deliveries at both country and community levels, inappropriate drug delivery strategies, limited number of drug distributors and the large number of households allocated for drug distribution.</p></sec><sec><title>Conclusion</title><p>Mass drug administration for lymphatic filariasis elimination programmes should design their implementation strategies differently based on specific contextual factors to improve implementation outcomes. Successfully achieving this requires undertaking formative research on the possible constraining and inhibiting factors, and incorporating the findings in the design and implementation of MDA for LF.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ramaiah, K" uniqKey="Ramaiah K">K Ramaiah</name></author><author><name sortKey="Ottesen, Ea" uniqKey="Ottesen E">EA Ottesen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ton, Tg" uniqKey="Ton T">TG Ton</name></author><author><name sortKey="Mackenzie, C" uniqKey="Mackenzie C">C Mackenzie</name></author><author><name sortKey="Molyneux, Dh" uniqKey="Molyneux D">DH Molyneux</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Perera, M" uniqKey="Perera M">M Perera</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ottesen, Ea" uniqKey="Ottesen E">EA 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Vermund</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ramaiah, Kd" uniqKey="Ramaiah K">KD Ramaiah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krentel, A" uniqKey="Krentel A">A Krentel</name></author><author><name sortKey="Fischer, Pu" uniqKey="Fischer P">PU Fischer</name></author><author><name sortKey="Weil, Gj" uniqKey="Weil G">GJ Weil</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liese, B" uniqKey="Liese B">B Liese</name></author><author><name sortKey="Rosenberg, M" uniqKey="Rosenberg M">M Rosenberg</name></author><author><name sortKey="Schratz, A" uniqKey="Schratz A">A Schratz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lammie, Pj" uniqKey="Lammie P">PJ Lammie</name></author><author><name sortKey="Fenwick, A" uniqKey="Fenwick A">A Fenwick</name></author><author><name sortKey="Utzinger, J" uniqKey="Utzinger J">J Utzinger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Richards, Fo" uniqKey="Richards F">FO Richards</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kolaczinski, Jh" uniqKey="Kolaczinski J">JH Kolaczinski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hopkins, A" uniqKey="Hopkins A">A Hopkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sunish, I" uniqKey="Sunish I">I Sunish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huppatz, C" uniqKey="Huppatz C">C Huppatz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Swanson, Rc" uniqKey="Swanson R">RC Swanson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zulu, Jm" uniqKey="Zulu J">JM Zulu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murray, Cj" uniqKey="Murray C">CJ Murray</name></author><author><name sortKey="Frenk, J" uniqKey="Frenk J">J Frenk</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Zambie</li></country></list><tree><country name="Zambie"><noRegion><name sortKey="Silumbwe, Adam" sort="Silumbwe, Adam" uniqKey="Silumbwe A" first="Adam" last="Silumbwe">Adam Silumbwe</name></noRegion><name sortKey="Chola, Mumbi" sort="Chola, Mumbi" uniqKey="Chola M" first="Mumbi" last="Chola">Mumbi Chola</name><name sortKey="Chongwe, Gershom" sort="Chongwe, Gershom" uniqKey="Chongwe G" first="Gershom" last="Chongwe">Gershom Chongwe</name><name sortKey="Dambe, Rosalia" sort="Dambe, Rosalia" uniqKey="Dambe R" first="Rosalia" last="Dambe">Rosalia Dambe</name><name sortKey="Halwindi, Hikabasa" sort="Halwindi, Hikabasa" uniqKey="Halwindi H" first="Hikabasa" last="Halwindi">Hikabasa Halwindi</name><name sortKey="Jacobs, Choolwe" sort="Jacobs, Choolwe" uniqKey="Jacobs C" first="Choolwe" last="Jacobs">Choolwe Jacobs</name><name sortKey="Michelo, Charles" sort="Michelo, Charles" uniqKey="Michelo C" first="Charles" last="Michelo">Charles Michelo</name><name sortKey="Zgambo, Jessy" sort="Zgambo, Jessy" uniqKey="Zgambo J" first="Jessy" last="Zgambo">Jessy Zgambo</name><name sortKey="Zulu, Joseph Mumba" sort="Zulu, Joseph Mumba" uniqKey="Zulu J" first="Joseph Mumba" last="Zulu">Joseph Mumba Zulu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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