Towards elimination of lymphatic filariasis: social mobilization issues and challenges in mass drug administration with anti-filarial drugs in Tamil Nadu, South India.
Identifieur interne : 003045 ( Main/Merge ); précédent : 003044; suivant : 003046Towards elimination of lymphatic filariasis: social mobilization issues and challenges in mass drug administration with anti-filarial drugs in Tamil Nadu, South India.
Auteurs : B. Nandha [Inde] ; K. Krishnamoorthy ; P. JambulingamSource :
- Health education research [ 1465-3648 ] ; 2013.
Descripteurs français
- KwdFr :
- Agents de santé communautaire (organisation et administration), Albendazole (administration et posologie), Albendazole (ressources et distribution), Albendazole (usage thérapeutique), Animaux, Calendrier d'administration des médicaments, Diéthylcarbamazine (administration et posologie), Diéthylcarbamazine (usage thérapeutique), Filaricides (administration et posologie), Filaricides (ressources et distribution), Filaricides (usage thérapeutique), Filariose lymphatique (), Filariose lymphatique (traitement médicamenteux), Filariose lymphatique (épidémiologie), Humains, Inde (épidémiologie), Ivermectine (administration et posologie), Ivermectine (ressources et distribution), Ivermectine (usage thérapeutique), Maladies endémiques (), Microfilaria (), Microfilaria (croissance et développement), Observance du traitement médicamenteux (), Observance du traitement médicamenteux (psychologie), Participation communautaire, Politique de santé, Programmes nationaux de santé (organisation et administration), Santé mondiale, Services de médecine préventive (main d’œuvre), Services de médecine préventive (organisation et administration), Services de santé communautaires (main d’œuvre), Services de santé communautaires (organisation et administration), Visites à domicile, Éradication de maladie (), Éradication de maladie (normes).
- MESH :
- administration et posologie : Albendazole, Diéthylcarbamazine, Filaricides, Ivermectine.
- croissance et développement : Microfilaria.
- main d’œuvre : Services de médecine préventive, Services de santé communautaires.
- normes : Éradication de maladie.
- organisation et administration : Agents de santé communautaire, Programmes nationaux de santé, Services de médecine préventive, Services de santé communautaires.
- psychologie : Observance du traitement médicamenteux.
- ressources et distribution : Albendazole, Filaricides, Ivermectine.
- traitement médicamenteux : Filariose lymphatique.
- usage thérapeutique : Albendazole, Diéthylcarbamazine, Filaricides, Ivermectine.
- épidémiologie : Filariose lymphatique, Inde.
- Animaux, Calendrier d'administration des médicaments, Filariose lymphatique, Humains, Maladies endémiques, Microfilaria, Observance du traitement médicamenteux, Participation communautaire, Politique de santé, Santé mondiale, Visites à domicile, Éradication de maladie.
English descriptors
- KwdEn :
- Albendazole (administration & dosage), Albendazole (supply & distribution), Albendazole (therapeutic use), Animals, Community Health Services (manpower), Community Health Services (organization & administration), Community Health Workers (organization & administration), Community Participation, Diethylcarbamazine (administration & dosage), Diethylcarbamazine (therapeutic use), Disease Eradication (methods), Disease Eradication (standards), Drug Administration Schedule, Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (prevention & control), Endemic Diseases (prevention & control), Filaricides (administration & dosage), Filaricides (supply & distribution), Filaricides (therapeutic use), Global Health, Health Policy, House Calls, Humans, India (epidemiology), Ivermectin (administration & dosage), Ivermectin (supply & distribution), Ivermectin (therapeutic use), Medication Adherence (psychology), Medication Adherence (statistics & numerical data), Microfilariae (drug effects), Microfilariae (growth & development), National Health Programs (organization & administration), Preventive Health Services (manpower), Preventive Health Services (organization & administration).
- MESH :
- chemical , administration & dosage : Albendazole, Diethylcarbamazine, Filaricides, Ivermectin.
- chemical , supply & distribution : Albendazole, Filaricides, Ivermectin.
- chemical , therapeutic use : Albendazole, Diethylcarbamazine, Filaricides, Ivermectin.
- drug effects : Microfilariae.
- drug therapy : Elephantiasis, Filarial.
- epidemiology : Elephantiasis, Filarial, India.
- growth & development : Microfilariae.
- manpower : Community Health Services, Preventive Health Services.
- methods : Disease Eradication.
- organization & administration : Community Health Services, Community Health Workers, National Health Programs, Preventive Health Services.
- prevention & control : Elephantiasis, Filarial, Endemic Diseases.
- psychology : Medication Adherence.
- standards : Disease Eradication.
- statistics & numerical data : Medication Adherence.
- Animals, Community Participation, Drug Administration Schedule, Global Health, Health Policy, House Calls, Humans.
Abstract
India is a signatory to World Health Assembly resolution for elimination of lymphatic filariasis (LF) and National Health Policy has set the goal of LF elimination by 2015. Annual mass drug administration (MDA) is ongoing in endemic districts since 1996-97. Compliance rate is a crucial factor in achieving elimination and was assessed in three districts of Tamil Nadu for 10th and 11th treatment rounds (TRs). An in-depth study assessed the impact of social mobilization by drug distributors (DDs) in two areas from each of the three districts. Overall coverage and compliance for assessed TRs were 76.3 and 67.7% which is below the optimum level to achieve LF elimination. Modifiable determinants continue to be the reason for non-consumption even in the 11th TR and 20.8% were systematic non-compliers. In 76.4% of the cases, DDs failed to adhere to three mandatory visits as per the guidelines. Number of visits by DDs in relation to low and high MDA coverage areas showed a significant relationship (P ≤ 0.000). MDA is limited to drug distribution alone and efforts by DDs in preparing the community were inadequate. Probable means to meet the challenges in preparation of the community is discussed.
DOI: 10.1093/her/cyt042
PubMed: 23503571
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pubmed:23503571Le document en format XML
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<term>Albendazole (supply & distribution)</term>
<term>Albendazole (therapeutic use)</term>
<term>Animals</term>
<term>Community Health Services (manpower)</term>
<term>Community Health Services (organization & administration)</term>
<term>Community Health Workers (organization & administration)</term>
<term>Community Participation</term>
<term>Diethylcarbamazine (administration & dosage)</term>
<term>Diethylcarbamazine (therapeutic use)</term>
<term>Disease Eradication (methods)</term>
<term>Disease Eradication (standards)</term>
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<term>Elephantiasis, Filarial (epidemiology)</term>
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<term>Endemic Diseases (prevention & control)</term>
<term>Filaricides (administration & dosage)</term>
<term>Filaricides (supply & distribution)</term>
<term>Filaricides (therapeutic use)</term>
<term>Global Health</term>
<term>Health Policy</term>
<term>House Calls</term>
<term>Humans</term>
<term>India (epidemiology)</term>
<term>Ivermectin (administration & dosage)</term>
<term>Ivermectin (supply & distribution)</term>
<term>Ivermectin (therapeutic use)</term>
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<term>Medication Adherence (statistics & numerical data)</term>
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<term>Microfilariae (growth & development)</term>
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<term>Programmes nationaux de santé (organisation et administration)</term>
<term>Santé mondiale</term>
<term>Services de médecine préventive (main d’œuvre)</term>
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<term>Services de santé communautaires (main d’œuvre)</term>
<term>Services de santé communautaires (organisation et administration)</term>
<term>Visites à domicile</term>
<term>Éradication de maladie ()</term>
<term>Éradication de maladie (normes)</term>
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<term>Diethylcarbamazine</term>
<term>Filaricides</term>
<term>Ivermectin</term>
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<term>Filaricides</term>
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<term>Diethylcarbamazine</term>
<term>Filaricides</term>
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<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Albendazole</term>
<term>Diéthylcarbamazine</term>
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<term>India</term>
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<term>Preventive Health Services</term>
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<term>Community Participation</term>
<term>Drug Administration Schedule</term>
<term>Global Health</term>
<term>Health Policy</term>
<term>House Calls</term>
<term>Humans</term>
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<term>Calendrier d'administration des médicaments</term>
<term>Filariose lymphatique</term>
<term>Humains</term>
<term>Maladies endémiques</term>
<term>Microfilaria</term>
<term>Observance du traitement médicamenteux</term>
<term>Participation communautaire</term>
<term>Politique de santé</term>
<term>Santé mondiale</term>
<term>Visites à domicile</term>
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<front><div type="abstract" xml:lang="en">India is a signatory to World Health Assembly resolution for elimination of lymphatic filariasis (LF) and National Health Policy has set the goal of LF elimination by 2015. Annual mass drug administration (MDA) is ongoing in endemic districts since 1996-97. Compliance rate is a crucial factor in achieving elimination and was assessed in three districts of Tamil Nadu for 10th and 11th treatment rounds (TRs). An in-depth study assessed the impact of social mobilization by drug distributors (DDs) in two areas from each of the three districts. Overall coverage and compliance for assessed TRs were 76.3 and 67.7% which is below the optimum level to achieve LF elimination. Modifiable determinants continue to be the reason for non-consumption even in the 11th TR and 20.8% were systematic non-compliers. In 76.4% of the cases, DDs failed to adhere to three mandatory visits as per the guidelines. Number of visits by DDs in relation to low and high MDA coverage areas showed a significant relationship (P ≤ 0.000). MDA is limited to drug distribution alone and efforts by DDs in preparing the community were inadequate. Probable means to meet the challenges in preparation of the community is discussed.</div>
</front>
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