An Evaluation of Coverage and Compliance of Mass Drug Administration 2006 for Elimination of Lymphatic Filariasis in Endemic Areas of Gujarat
Identifieur interne : 003783 ( Ncbi/Checkpoint ); précédent : 003782; suivant : 003784An Evaluation of Coverage and Compliance of Mass Drug Administration 2006 for Elimination of Lymphatic Filariasis in Endemic Areas of Gujarat
Auteurs : Pradeep Kumar [Inde] ; Pb Prajapati [Inde] ; Deepak Saxena [Inde] ; Abhay B. Kavishwar [Inde] ; George Kurian [Inde]Source :
- Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine [ 0970-0218 ] ; 2008.
Abstract
Mass drug administration (MDA) means once-in-a-year administration of diethyl carbamazine (DEC) tablet to all people (excluding children under 2 years, pregnant women and severely ill persons) in identified endemic areas. It aims at cessation of transmission of lymphatic filariasis.
What has been the coverage and compliance of MDA in Gujarat during the campaign in December 2006?
Cross-sectional population based house-to-house visit.
Urban and rural areas in Gujarat identified as endemic for filariasis where MDA 2006 was undertaken.
Percentage and proportions.
Twenty-six clusters, each comprising 32 households from six endemic districts, yielded an eligible population of 4164. The coverage rate was 85.2% with variation across different areas. The compliance with drug ingestion was 89% with a gap of 11% to be targeted by intensive IEC. The effective coverage (75.8%) was much below the target (85%). Side effects of DEC were minimum, transient and drug-specific. Overall coverage was marginally better in rural areas. The causes of poor coverage and compliance have been discussed and relevant suggestions have been made.
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DOI: 10.4103/0970-0218.39242
PubMed: 19966995
PubMed Central: 2782227
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Kavishwar</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Department of Community Medicine, Government Medical College, Surat - 395 001, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Community Medicine, Government Medical College, Surat - 395 001</wicri:regionArea><wicri:noRegion>Surat - 395 001</wicri:noRegion></affiliation></author><author><name sortKey="Kurian, George" sort="Kurian, George" uniqKey="Kurian G" first="George" last="Kurian">George Kurian</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of NVBDCP, Gandhinagar - 382 010, Gujarat, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of NVBDCP, Gandhinagar - 382 010, Gujarat</wicri:regionArea><wicri:noRegion>Gujarat</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine</title><idno type="ISSN">0970-0218</idno><idno type="eISSN">1998-3581</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Mass drug administration (MDA) means once-in-a-year administration of diethyl carbamazine (DEC) tablet to all people (excluding children under 2 years, pregnant women and severely ill persons) in identified endemic areas. It aims at cessation of transmission of lymphatic filariasis.</p></sec><sec id="st2"><title>Objective:</title><p>What has been the coverage and compliance of MDA in Gujarat during the campaign in December 2006?</p></sec><sec id="st3"><title>Study Design:</title><p>Cross-sectional population based house-to-house visit.</p></sec><sec id="st4"><title>Setting:</title><p>Urban and rural areas in Gujarat identified as endemic for filariasis where MDA 2006 was undertaken.</p></sec><sec id="st5"><title>Study Variables:</title><p><italic>Exploratory</italic> - Rural and urban districts; <italic>Outcome</italic> - coverage, compliance, actual coverage, side effects.</p></sec><sec id="st6"><title>Analysis:</title><p>Percentage and proportions.</p></sec><sec id="st7"><title>Results:</title><p>Twenty-six clusters, each comprising 32 households from six endemic districts, yielded an eligible population of 4164. The coverage rate was 85.2% with variation across different areas. The compliance with drug ingestion was 89% with a gap of 11% to be targeted by intensive IEC. The effective coverage (75.8%) was much below the target (85%). Side effects of DEC were minimum, transient and drug-specific. Overall coverage was marginally better in rural areas. The causes of poor coverage and compliance have been discussed and relevant suggestions have been made.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bhaskar, C" uniqKey="Bhaskar C">C Bhaskar</name></author><author><name sortKey="Harinath" uniqKey="Harinath">Harinath</name></author><author><name sortKey="Reddy, Mv" uniqKey="Reddy M">MV Reddy</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Zagaria, N" uniqKey="Zagaria N">N Zagaria</name></author><author><name sortKey="Savioli, L" uniqKey="Savioli L">L Savioli</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Molyneux, Dh" uniqKey="Molyneux D">DH Molyneux</name></author><author><name sortKey="Zagaria, N" uniqKey="Zagaria N">N Zagaria</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Molyneux, D" uniqKey="Molyneux D">D Molyneux</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ramaiah, Kd" uniqKey="Ramaiah K">KD Ramaiah</name></author><author><name sortKey="Vijay, Kn" uniqKey="Vijay K">KN Vijay</name></author><author><name sortKey="Chandrakala, Av" uniqKey="Chandrakala A">AV Chandrakala</name></author><author><name sortKey="Augustin, Dj" uniqKey="Augustin D">DJ Augustin</name></author><author><name sortKey="Appavoo, Nc" uniqKey="Appavoo N">NC Appavoo</name></author><author><name sortKey="Das, Pk" uniqKey="Das P">PK Das</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ramaih, Kd" uniqKey="Ramaih K">KD Ramaih</name></author><author><name sortKey="Das, Pk" uniqKey="Das P">PK Das</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, P" uniqKey="Kumar P">P Kumar</name></author><author><name sortKey="Kavishwar, Ab" uniqKey="Kavishwar A">AB Kavishwar</name></author><author><name sortKey="Saxena, D" uniqKey="Saxena D">D Saxena</name></author><author><name sortKey="Mahadevwval, D" uniqKey="Mahadevwval D">D Mahadevwval</name></author><author><name sortKey="Rana, M" uniqKey="Rana M">M Rana</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ramaiah, Kd" uniqKey="Ramaiah K">KD Ramaiah</name></author><author><name sortKey="Vijay Kumar, Kn" uniqKey="Vijay Kumar K">KN Vijay Kumar</name></author><author><name sortKey="Ravi, R" uniqKey="Ravi R">R Ravi</name></author><author><name sortKey="Das, Pk" uniqKey="Das P">PK Das</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Washington, Ch" uniqKey="Washington C">CH Washington</name></author><author><name sortKey="Radday, J" uniqKey="Radday J">J Radday</name></author><author><name sortKey="Streit, Tg" uniqKey="Streit T">TG Streit</name></author><author><name sortKey="Boyd, Ha" uniqKey="Boyd H">HA Boyd</name></author><author><name sortKey="Beach, Mj" uniqKey="Beach M">MJ Beach</name></author><author><name sortKey="Addiss, Dg" uniqKey="Addiss D">DG Addiss</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Imonsen, Pe" uniqKey="Imonsen P">PE Imonsen</name></author><author><name sortKey="Meyrowitsch, Dw" uniqKey="Meyrowitsch D">DW Meyrowitsch</name></author><author><name sortKey="Mukoko, Da" uniqKey="Mukoko D">DA Mukoko</name></author><author><name sortKey="Pedersen, Em" uniqKey="Pedersen E">EM Pedersen</name></author><author><name sortKey="Malecela Lazaro, Mn" uniqKey="Malecela Lazaro M">MN Malecela-Lazaro</name></author><author><name sortKey="Rwegoshora, Rt" uniqKey="Rwegoshora R">RT Rwegoshora</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Kumar, Pradeep" sort="Kumar, Pradeep" uniqKey="Kumar P" first="Pradeep" last="Kumar">Pradeep Kumar</name></noRegion><name sortKey="Kavishwar, Abhay B" sort="Kavishwar, Abhay B" uniqKey="Kavishwar A" first="Abhay B" last="Kavishwar">Abhay B. Kavishwar</name><name sortKey="Kurian, George" sort="Kurian, George" uniqKey="Kurian G" first="George" last="Kurian">George Kurian</name><name sortKey="Prajapati, Pb" sort="Prajapati, Pb" uniqKey="Prajapati P" first="Pb" last="Prajapati">Pb Prajapati</name><name sortKey="Saxena, Deepak" sort="Saxena, Deepak" uniqKey="Saxena D" first="Deepak" last="Saxena">Deepak Saxena</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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