WILL MASS DRUG ADMINISTRATION ELIMINATE LYMPHATIC FILARIASIS? EVIDENCE FROM NORTHERN COASTAL TANZANIA
Identifieur interne : 003D55 ( Main/Merge ); précédent : 003D54; suivant : 003D56WILL MASS DRUG ADMINISTRATION ELIMINATE LYMPHATIC FILARIASIS? EVIDENCE FROM NORTHERN COASTAL TANZANIA
Auteurs : Melissa Parker [Royaume-Uni] ; Tim Allen [Royaume-Uni]Source :
- Journal of Biosocial Science [ 0021-9320 ] ; 2012.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (), Acceptation des soins par le patient (psychologie), Adulte, Adulte d'âge moyen, Enfant, Femelle, Filaricides (administration et posologie), Filaricides (usage thérapeutique), Filariose lymphatique (), Filariose lymphatique (traitement médicamenteux), Humains, Mâle, Promotion de la santé (), Tanzanie (épidémiologie), Éradication de maladie ().
- MESH :
- administration et posologie : Filaricides.
- psychologie : Acceptation des soins par le patient.
- traitement médicamenteux : Filariose lymphatique.
- usage thérapeutique : Filaricides.
- épidémiologie : Tanzanie.
- Acceptation des soins par le patient, Adulte, Adulte d'âge moyen, Enfant, Femelle, Filariose lymphatique, Humains, Mâle, Promotion de la santé, Éradication de maladie.
English descriptors
- KwdEn :
- Adult, Child, Disease Eradication (methods), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (prevention & control), Female, Filaricides (administration & dosage), Filaricides (therapeutic use), Health Promotion (methods), Humans, Male, Middle Aged, Patient Acceptance of Health Care (psychology), Patient Acceptance of Health Care (statistics & numerical data), Tanzania (epidemiology).
- MESH :
- chemical , administration & dosage : Filaricides.
- geographic , epidemiology : Tanzania.
- drug therapy : Elephantiasis, Filarial.
- methods : Disease Eradication, Health Promotion.
- prevention & control : Elephantiasis, Filarial.
- psychology : Patient Acceptance of Health Care.
- statistics & numerical data : Patient Acceptance of Health Care.
- chemical , therapeutic use : Filaricides.
- Adult, Child, Female, Humans, Male, Middle Aged.
Abstract
This article documents understandings and responses to mass drug administration (MDA) for the treatment and prevention of lymphatic filariasis among adults and children in northern coastal Tanzania from 2004 to 2011. Assessment of village-level distribution registers, combined with self-reported drug uptake surveys of adults, participant observation and interviews, revealed that at study sites in Pangani and Muheza districts the uptake of drugs was persistently low. The majority of people living at these highly endemic locations either did not receive or actively rejected free treatment. A combination of social, economic and political reasons explain the low uptake of drugs. These include a fear of treatment (attributable, in part, to a lack of trust in international aid and a questioning of the motives behind the distribution); divergence between biomedical and local understandings of lymphatic filariasis; and limited and ineffective communication about the rationale for mass treatment. Other contributory factors are the reliance upon volunteers for distribution within villages and, in some locations, strained relationships between different groups of people within villages as well as between local leaders and government officials. The article also highlights a disjuncture between self-reported uptake of drugs by adults at a village level and the higher uptake of drugs recorded in official reports. The latter informs claims that elimination will be a possibility by 2020. This gives voice to a broader problem: there is considerable pressure for those implementing MDA to report positive results. The very real challenges of making MDA work are pushed to one side – adding to a rhetoric of success at the expense of engaging with local realities. It is vital to address the kind of issues raised in this article if current attempts to eliminate lymphatic filariasis in mainland coastal Tanzania are to achieve their goal.
Url:
DOI: 10.1017/S0021932012000466
PubMed: 23014581
PubMed Central: 3666211
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PMC:3666211Le document en format XML
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NORTHERN COASTAL TANZANIA</title><author><name sortKey="Parker, Melissa" sort="Parker, Melissa" uniqKey="Parker M" first="Melissa" last="Parker">Melissa Parker</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Centre for Research in International Medical Anthropology</addr-line>,<institution>Brunel University</institution>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Allen, Tim" sort="Allen, Tim" uniqKey="Allen T" first="Tim" last="Allen">Tim Allen</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of International Development</addr-line>,<institution>London School of Economics</institution>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23014581</idno><idno type="pmc">3666211</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3666211</idno><idno type="RBID">PMC:3666211</idno><idno type="doi">10.1017/S0021932012000466</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">004024</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004024</idno><idno type="wicri:Area/Pmc/Curation">004023</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004023</idno><idno type="wicri:Area/Pmc/Checkpoint">002597</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002597</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">001F42</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001F42</idno><idno type="wicri:Area/PubMed/Curation">001F42</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001F42</idno><idno type="wicri:Area/PubMed/Checkpoint">001F42</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001F42</idno><idno type="wicri:Area/Ncbi/Merge">005166</idno><idno type="wicri:Area/Ncbi/Curation">005166</idno><idno type="wicri:Area/Ncbi/Checkpoint">005166</idno><idno type="wicri:doubleKey">0021-9320:2012:Parker M:will:mass:drug</idno><idno type="wicri:Area/Main/Merge">003D55</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">WILL MASS DRUG ADMINISTRATION ELIMINATE LYMPHATIC FILARIASIS? EVIDENCE FROM
NORTHERN COASTAL TANZANIA</title><author><name sortKey="Parker, Melissa" sort="Parker, Melissa" uniqKey="Parker M" first="Melissa" last="Parker">Melissa Parker</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Centre for Research in International Medical Anthropology</addr-line>,<institution>Brunel University</institution>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Allen, Tim" sort="Allen, Tim" uniqKey="Allen T" first="Tim" last="Allen">Tim Allen</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Department of International Development</addr-line>,<institution>London School of Economics</institution>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</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="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Child</term><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 Promotion (methods)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Acceptance of Health Care (psychology)</term><term>Patient Acceptance of Health Care (statistics & numerical data)</term><term>Tanzania (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient ()</term><term>Acceptation des soins par le patient (psychologie)</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</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>Mâle</term><term>Promotion de la santé ()</term><term>Tanzanie (épidémiologie)</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" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Tanzania</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><term>Health Promotion</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Acceptation des soins par le patient</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Patient Acceptance of Health Care</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Acceptance of Health Care</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" qualifier="épidémiologie" xml:lang="fr"><term>Tanzanie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Child</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Femelle</term><term>Filariose lymphatique</term><term>Humains</term><term>Mâle</term><term>Promotion de la santé</term><term>Éradication de maladie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>This article documents understandings and responses to mass drug administration (MDA) for
the treatment and prevention of lymphatic filariasis among adults and children in northern
coastal Tanzania from 2004 to 2011. Assessment of village-level distribution registers,
combined with self-reported drug uptake surveys of adults, participant observation and
interviews, revealed that at study sites in Pangani and Muheza districts the uptake of
drugs was persistently low. The majority of people living at these highly endemic
locations either did not receive or actively rejected free treatment. A combination of
social, economic and political reasons explain the low uptake of drugs. These include a
fear of treatment (attributable, in part, to a lack of trust in international aid and a
questioning of the motives behind the distribution); divergence between biomedical and
local understandings of lymphatic filariasis; and limited and ineffective communication
about the rationale for mass treatment. Other contributory factors are the reliance upon
volunteers for distribution within villages and, in some locations, strained relationships
between different groups of people within villages as well as between local leaders and
government officials. The article also highlights a disjuncture between self-reported
uptake of drugs by adults at a village level and the higher uptake of drugs recorded in
official reports. The latter informs claims that elimination will be a possibility by
2020. This gives voice to a broader problem: there is considerable pressure for those
implementing MDA to report positive results. The very real challenges of making MDA work
are pushed to one side – adding to a rhetoric of success at the expense of engaging with
local realities. It is vital to address the kind of issues raised in this article if
current attempts to eliminate lymphatic filariasis in mainland coastal Tanzania are to
achieve their goal.</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="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="Allotey, P" uniqKey="Allotey P">P. Allotey</name></author><author><name sortKey="Reidpath, D" uniqKey="Reidpath D">D. Reidpath</name></author><author><name sortKey="Pokhrel, S" uniqKey="Pokhrel S">S. Pokhrel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bockarie, M J" uniqKey="Bockarie M">M. J. Bockarie</name></author><author><name sortKey="Deb, R M" uniqKey="Deb R">R. M. 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Hoeruf</name></author><author><name sortKey="Bockarie, M" uniqKey="Bockarie M">M. Bockarie</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="White, L" uniqKey="White L">L. White</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wingate Saul, P" uniqKey="Wingate Saul P">P. Wingate-Saul</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Yahya, M" uniqKey="Yahya M">M. Yahya</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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