COMMUNITY MEMBERS' PERCEPTIONS OF MASS DRUG ADMINISTRATION FOR CONTROL OF LYMPHATIC FILARIASIS IN RURAL AND URBAN TANZANIA
Identifieur interne : 000346 ( Pmc/Curation ); précédent : 000345; suivant : 000347COMMUNITY MEMBERS' PERCEPTIONS OF MASS DRUG ADMINISTRATION FOR CONTROL OF LYMPHATIC FILARIASIS IN RURAL AND URBAN TANZANIA
Auteurs : William J. Kisoka [Tanzanie] ; Britt Pinkowsky Tersb L [Danemark] ; Dan W. Meyrowitsch [Danemark] ; Paul E. Simonsen [Danemark] ; Declare L. Mushi [Tanzanie]Source :
- Journal of Biosocial Science [ 0021-9320 ] ; 2015.
Abstract
Lymphatic filariasis is one of several neglected tropical diseases with severely disabling and stigmatizing manifestations that are referred to as ‘neglected diseases of poverty’. It is a mosquito-borne disease found endemically and exclusively in low-income contexts where, concomitantly, general public health care is often deeply troubled and fails to meet the basic health needs of impoverished populations. This presents particular challenges for the implementation of mass drug administration (MDA), which currently is the principal means of control and eventual elimination. Several MDA programmes face the dilemma that they are unable to attain and maintain the required drug coverage across target groups. In recognition of this, a qualitative study was conducted in the Morogoro and Lindi regions of Tanzania to gain an understanding of community experiences with, and perceptions of, the MDA campaign implemented in 2011 by the National Lymphatic Filariasis Elimination Programme. The study revealed a wide variation of perceptions and experiences regarding the aim, rationale and justification of MDA. There were positive sentiments about the usefulness of the drugs, but many study participants were sceptical about the manner in which MDA is implemented. People were particularly disappointed with the limited attempts by implementers to share information and mobilize residents. In addition, negative sentiments towards MDA for lymphatic filariasis reflected a general feeling of desertion and marginalization by the health care system and political authorities. However, the results suggest that if the communities are brought on board with genuine respect for their integrity and informed self-determination, there is scope for major improvements in community support for MDA-based control activities.
Url:
DOI: 10.1017/S0021932015000024
PubMed: 25790081
PubMed Central: 4668335
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Kisoka</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>National Institute for Medical Research</institution>,<addr-line>Dar es Salaam</addr-line>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Tumaini University, Kilimanjaro Christian Medical College</institution>,<addr-line>Moshi</addr-line>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Tersb L, Britt Pinkowsky" sort="Tersb L, Britt Pinkowsky" uniqKey="Tersb L B" first="Britt Pinkowsky" last="Tersb L">Britt Pinkowsky Tersb L</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Global Health Section, Department of Public Health</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Meyrowitsch, Dan W" sort="Meyrowitsch, Dan W" uniqKey="Meyrowitsch D" first="Dan W." last="Meyrowitsch">Dan W. Meyrowitsch</name><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Department of Public Health</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Simonsen, Paul E" sort="Simonsen, Paul E" uniqKey="Simonsen P" first="Paul E." last="Simonsen">Paul E. Simonsen</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Department of Veterinary Disease Biology</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Mushi, Declare L" sort="Mushi, Declare L" uniqKey="Mushi D" first="Declare L." last="Mushi">Declare L. Mushi</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Tumaini University, Kilimanjaro Christian Medical College</institution>,<addr-line>Moshi</addr-line>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25790081</idno><idno type="pmc">4668335</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668335</idno><idno type="RBID">PMC:4668335</idno><idno type="doi">10.1017/S0021932015000024</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000346</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000346</idno><idno type="wicri:Area/Pmc/Curation">000346</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000346</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">COMMUNITY MEMBERS' PERCEPTIONS OF MASS DRUG ADMINISTRATION FOR CONTROL OF LYMPHATIC FILARIASIS IN RURAL AND URBAN TANZANIA</title><author><name sortKey="Kisoka, William J" sort="Kisoka, William J" uniqKey="Kisoka W" first="William J." last="Kisoka">William J. Kisoka</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>National Institute for Medical Research</institution>,<addr-line>Dar es Salaam</addr-line>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Tumaini University, Kilimanjaro Christian Medical College</institution>,<addr-line>Moshi</addr-line>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Tersb L, Britt Pinkowsky" sort="Tersb L, Britt Pinkowsky" uniqKey="Tersb L B" first="Britt Pinkowsky" last="Tersb L">Britt Pinkowsky Tersb L</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Global Health Section, Department of Public Health</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Meyrowitsch, Dan W" sort="Meyrowitsch, Dan W" uniqKey="Meyrowitsch D" first="Dan W." last="Meyrowitsch">Dan W. Meyrowitsch</name><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Department of Public Health</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Simonsen, Paul E" sort="Simonsen, Paul E" uniqKey="Simonsen P" first="Paul E." last="Simonsen">Paul E. Simonsen</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Department of Veterinary Disease Biology</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Mushi, Declare L" sort="Mushi, Declare L" uniqKey="Mushi D" first="Declare L." last="Mushi">Declare L. Mushi</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Tumaini University, Kilimanjaro Christian Medical College</institution>,<addr-line>Moshi</addr-line>,<country>Tanzania</country></nlm:aff><country xml:lang="fr">Tanzanie</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="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>Lymphatic filariasis is one of several neglected tropical diseases with severely disabling and stigmatizing manifestations that are referred to as ‘neglected diseases of poverty’. It is a mosquito-borne disease found endemically and exclusively in low-income contexts where, concomitantly, general public health care is often deeply troubled and fails to meet the basic health needs of impoverished populations. This presents particular challenges for the implementation of mass drug administration (MDA), which currently is the principal means of control and eventual elimination. Several MDA programmes face the dilemma that they are unable to attain and maintain the required drug coverage across target groups. In recognition of this, a qualitative study was conducted in the Morogoro and Lindi regions of Tanzania to gain an understanding of community experiences with, and perceptions of, the MDA campaign implemented in 2011 by the National Lymphatic Filariasis Elimination Programme. The study revealed a wide variation of perceptions and experiences regarding the aim, rationale and justification of MDA. There were positive sentiments about the usefulness of the drugs, but many study participants were sceptical about the manner in which MDA is implemented. People were particularly disappointed with the limited attempts by implementers to share information and mobilize residents. In addition, negative sentiments towards MDA for lymphatic filariasis reflected a general feeling of desertion and marginalization by the health care system and political authorities. However, the results suggest that if the communities are brought on board with genuine respect for their integrity and informed self-determination, there is scope for major improvements in community support for MDA-based control activities.</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="Amarillo, M L E" uniqKey="Amarillo M">M. L. E. Amarillo</name></author><author><name sortKey="Belizario, V Y" uniqKey="Belizario V">V. Y. Belizario</name></author><author><name sortKey="Sadiang Abay, J T" uniqKey="Sadiang Abay J">J. T. Sadiang-Abay</name></author><author><name sortKey="Sison, S A M" uniqKey="Sison S">S. A. M. Sison</name></author><author><name sortKey="Dayang, A M S" uniqKey="Dayang A">A. M. S. Dayang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Amazigo, U V" uniqKey="Amazigo U">U. V. Amazigo</name></author><author><name sortKey="Leak, S G A" uniqKey="Leak S">S. G. A. Leak</name></author><author><name sortKey="Zoure, H G M" uniqKey="Zoure H">H. G. M. Zoure</name></author><author><name sortKey="Njepoume, N" uniqKey="Njepoume N">N. Njepoume</name></author><author><name sortKey="Dikassa, P S L" uniqKey="Dikassa P">P. S. L. Dikassa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Babu, B V" uniqKey="Babu B">B. V. Babu</name></author><author><name sortKey="Mishra, S" uniqKey="Mishra S">S. Mishra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bhullar, N" uniqKey="Bhullar N">N. Bhullar</name></author><author><name sortKey="Maikere, J" uniqKey="Maikere J">J. Maikere</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boyd, A" uniqKey="Boyd A">A. Boyd</name></author><author><name sortKey="Won, K Y" uniqKey="Won K">K. Y. Won</name></author><author><name sortKey="Mcclintock, S K" uniqKey="Mcclintock S">S. K. McClintock</name></author><author><name sortKey="Donovan, C V" uniqKey="Donovan C">C. V. Donovan</name></author><author><name sortKey="Laney, S J" uniqKey="Laney S">S. J. Laney</name></author><author><name sortKey="Williams, S A" uniqKey="Williams S">S. A. Williams</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Graneheim, U H" uniqKey="Graneheim U">U. H. Graneheim</name></author><author><name sortKey="Lundman, B" uniqKey="Lundman B">B. Lundman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gunawardena, S" uniqKey="Gunawardena S">S. Gunawardena</name></author><author><name sortKey="Ismail, M" uniqKey="Ismail M">M. Ismail</name></author><author><name sortKey="Bradley, M" uniqKey="Bradley M">M. Bradley</name></author><author><name sortKey="Karunaweera, N" uniqKey="Karunaweera N">N. Karunaweera</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gyapong, J O" uniqKey="Gyapong J">J. O. Gyapong</name></author><author><name sortKey="Kumaraswami, V" uniqKey="Kumaraswami V">V. Kumaraswami</name></author><author><name sortKey="Biswas, G" uniqKey="Biswas G">G. Biswas</name></author><author><name sortKey="Ottesen, E A" uniqKey="Ottesen E">E. A. Ottesen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kisinza, W N" uniqKey="Kisinza W">W. N. Kisinza</name></author><author><name sortKey="Kisoka, W J" uniqKey="Kisoka W">W. J. Kisoka</name></author><author><name sortKey="Mutalemwa, P P" uniqKey="Mutalemwa P">P. P. Mutalemwa</name></author><author><name sortKey="Njau, J" uniqKey="Njau J">J. Njau</name></author><author><name sortKey="Tenu, F" uniqKey="Tenu F">F. Tenu</name></author><author><name sortKey="Nkya, T" uniqKey="Nkya T">T. Nkya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kisoka, W J" uniqKey="Kisoka W">W. J. Kisoka</name></author><author><name sortKey="Simonsen, P E" uniqKey="Simonsen P">P. E. Simonsen</name></author><author><name sortKey="Malecela, M N" uniqKey="Malecela M">M. N. Malecela</name></author><author><name sortKey="Tersboel, B P" uniqKey="Tersboel B">B. P. Tersboel</name></author><author><name sortKey="Mushi, D L" uniqKey="Mushi D">D. L. Mushi</name></author><author><name sortKey="Meyrowitsch, D W" uniqKey="Meyrowitsch D">D. W. Meyrowitsch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krentel, A" uniqKey="Krentel A">A. Krentel</name></author><author><name sortKey="Fischer, P U" uniqKey="Fischer P">P. U. Fischer</name></author><author><name sortKey="Weil, G J" uniqKey="Weil G">G. J. Weil</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kvale, S" uniqKey="Kvale S">S. Kvale</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kyelem, D" uniqKey="Kyelem D">D. Kyelem</name></author><author><name sortKey="Biswas, G" uniqKey="Biswas G">G. Biswas</name></author><author><name sortKey="Bockarie, M J" uniqKey="Bockarie M">M. J. Bockarie</name></author><author><name sortKey="Bradley, M H" uniqKey="Bradley M">M. H. Bradley</name></author><author><name sortKey="El Setouhy, M" uniqKey="El Setouhy M">M. El-Setouhy</name></author><author><name sortKey="Fischer, P U" uniqKey="Fischer P">P. U. Fischer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcmahon, J E" uniqKey="Mcmahon J">J. E. McMahon</name></author><author><name sortKey="Magayuka, S A" uniqKey="Magayuka S">S. A. Magayuka</name></author><author><name sortKey="Kolstrup, N" uniqKey="Kolstrup N">N. Kolstrup</name></author><author><name sortKey="Mosha, F W" uniqKey="Mosha F">F. W. Mosha</name></author><author><name sortKey="Bushrod, F M" uniqKey="Bushrod F">F. M. Bushrod</name></author><author><name sortKey="Abaru, D E" uniqKey="Abaru D">D. E. Abaru</name></author><author><name sortKey="Bryan, J H" uniqKey="Bryan J">J. H. Bryan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Malecela, M N" uniqKey="Malecela M">M. N. Malecela</name></author><author><name sortKey="Lazarus, W M" uniqKey="Lazarus W">W. M. Lazarus</name></author><author><name sortKey="Mwingira, U" uniqKey="Mwingira U">U. Mwingira</name></author><author><name sortKey="Mwakitalu, E" uniqKey="Mwakitalu E">E. Mwakitalu</name></author><author><name sortKey="Makene, C" uniqKey="Makene C">C. Makene</name></author><author><name sortKey="Mackenzie, C D" uniqKey="Mackenzie C">C. D. Mackenzie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Manderson, L" uniqKey="Manderson L">L. Manderson</name></author><author><name sortKey="Aagaard Hansen, J" uniqKey="Aagaard Hansen J">J. Aagaard-Hansen</name></author><author><name sortKey="Allotey, P" uniqKey="Allotey P">P. Allotey</name></author><author><name sortKey="Gyapong, M" uniqKey="Gyapong M">M. Gyapong</name></author><author><name sortKey="Sommerfelt, J" uniqKey="Sommerfelt J">J. Sommerfelt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Manderson, L" uniqKey="Manderson L">L. Manderson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meyrowitsch, D W" uniqKey="Meyrowitsch D">D. W. Meyrowitsch</name></author><author><name sortKey="Simonsen, P E" uniqKey="Simonsen P">P. E. Simonsen</name></author><author><name sortKey="Makunde, W H" uniqKey="Makunde W">W. H. Makunde</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Michael, E" uniqKey="Michael E">E. Michael</name></author><author><name sortKey="Malecela Lazaro, M N" uniqKey="Malecela Lazaro M">M. N. Malecela-Lazaro</name></author><author><name sortKey="Simonsen, P E" uniqKey="Simonsen P">P. E. Simonsen</name></author><author><name sortKey="Pedersen, E M" uniqKey="Pedersen E">E. M. Pedersen</name></author><author><name sortKey="Barker, G" uniqKey="Barker G">G. Barker</name></author><author><name sortKey="Kumar, A" uniqKey="Kumar A">A. Kumar</name></author><author><name sortKey="Kazura, J W" uniqKey="Kazura J">J. W. Kazura</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Minjas, J N" uniqKey="Minjas J">J. N. Minjas</name></author><author><name sortKey="Kihamia, C N" uniqKey="Kihamia C">C. N. Kihamia</name></author><author><name sortKey="Mwaluko, G M P" uniqKey="Mwaluko G">G. M. P. Mwaluko</name></author><author><name sortKey="Kilama, W L" uniqKey="Kilama W">W. L. Kilama</name></author><author><name sortKey="Mandara, M P" uniqKey="Mandara M">M. P. Mandara</name></author><author><name sortKey="Murru, M" uniqKey="Murru M">M. Murru</name></author><author><name sortKey="Macpherson, C N L" uniqKey="Macpherson C">C. N. L. Macpherson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mutalemwa, P P" uniqKey="Mutalemwa P">P. P. Mutalemwa</name></author><author><name sortKey="Kisinza, W N" uniqKey="Kisinza W">W. N. Kisinza</name></author><author><name sortKey="Kisoka, W J" uniqKey="Kisoka W">W. J. Kisoka</name></author><author><name sortKey="Njau, J" uniqKey="Njau J">J. Njau</name></author><author><name sortKey="Kilima, S P" uniqKey="Kilima S">S. P. Kilima</name></author><author><name sortKey="Nkya, T" uniqKey="Nkya T">T. Nkya</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Njomo, D W" uniqKey="Njomo D">D. W. Njomo</name></author><author><name sortKey="Amanyunzu Nyamongo, M" uniqKey="Amanyunzu Nyamongo M">M. Amanyunzu-Nyamongo</name></author><author><name sortKey="Magambo, J K" uniqKey="Magambo J">J. K. Magambo</name></author><author><name sortKey="Njenga, S M" uniqKey="Njenga S">S. M. Njenga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Offei, M" uniqKey="Offei M">M. Offei</name></author><author><name sortKey="Anto, F" uniqKey="Anto F">F. Anto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ottesen, E A" uniqKey="Ottesen E">E. A. Ottesen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Parker, M" uniqKey="Parker M">M. Parker</name></author><author><name sortKey="Allen, T" uniqKey="Allen T">T. Allen</name></author><author><name sortKey="Hastings, J" uniqKey="Hastings J">J. Hastings</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Parker, M" uniqKey="Parker M">M. Parker</name></author><author><name sortKey="Allen, T" uniqKey="Allen T">T. Allen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Parker, M" uniqKey="Parker M">M. Parker</name></author><author><name sortKey="Allen, T" uniqKey="Allen T">T. Allen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rwegoshora, R T" uniqKey="Rwegoshora R">R. T. Rwegoshora</name></author><author><name sortKey="Pedersen, E M" uniqKey="Pedersen E">E. M. Pedersen</name></author><author><name sortKey="Mukoko, D A" uniqKey="Mukoko D">D. A. Mukoko</name></author><author><name sortKey="Meyrowitsch, D W" uniqKey="Meyrowitsch D">D. W. Meyrowitsch</name></author><author><name sortKey="Masese, N" uniqKey="Masese N">N. Masese</name></author><author><name sortKey="Malecela Lazaro, M N" uniqKey="Malecela Lazaro M">M. N. Malecela-Lazaro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Samsky, A" uniqKey="Samsky A">A. Samsky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Samsky, A" uniqKey="Samsky A">A. Samsky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Samuelsen, H" uniqKey="Samuelsen H">H. Samuelsen</name></author><author><name sortKey="Tersboel, B P" uniqKey="Tersboel B">B. P. Tersboel</name></author><author><name sortKey="Mbuyita, S S" uniqKey="Mbuyita S">S. S. Mbuyita</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simonsen, P E" uniqKey="Simonsen P">P. E. Simonsen</name></author><author><name sortKey="Meyrowitsch, D W" uniqKey="Meyrowitsch D">D. W. Meyrowitsch</name></author><author><name sortKey="Makunde, W H" uniqKey="Makunde W">W. H. Makunde</name></author><author><name sortKey="Magnussen, P" uniqKey="Magnussen P">P. Magnussen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simonsen, P E" uniqKey="Simonsen P">P. E. Simonsen</name></author><author><name sortKey="Meyrowitsch, D W" uniqKey="Meyrowitsch D">D. W. Meyrowitsch</name></author><author><name sortKey="Jaoko, W G" uniqKey="Jaoko W">W. G. Jaoko</name></author><author><name sortKey="Malecela, M N" uniqKey="Malecela M">M. N. Malecela</name></author><author><name sortKey="Mukoko, D" uniqKey="Mukoko D">D. Mukoko</name></author><author><name sortKey="Pedersen, E M" uniqKey="Pedersen E">E. M. Pedersen</name></author><author><name sortKey="Ouma, J H" uniqKey="Ouma J">J. H. Ouma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simonsen, P E" uniqKey="Simonsen P">P. E. Simonsen</name></author><author><name sortKey="Pedersen, E M" uniqKey="Pedersen E">E. M. Pedersen</name></author><author><name sortKey="Rwegoshora, R T" uniqKey="Rwegoshora R">R. T. Rwegoshora</name></author><author><name sortKey="Malecela, M N" uniqKey="Malecela M">M. N. Malecela</name></author><author><name sortKey="Derua, Y A" uniqKey="Derua Y">Y. A. Derua</name></author><author><name sortKey="Magesa, S M" uniqKey="Magesa S">S. M. Magesa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simonsen, P E" uniqKey="Simonsen P">P. E. Simonsen</name></author><author><name sortKey="Derua, Y A" uniqKey="Derua Y">Y. A. Derua</name></author><author><name sortKey="Kisinza, W N" uniqKey="Kisinza W">W. N. Kisinza</name></author><author><name sortKey="Magesa, S M" uniqKey="Magesa S">S. M. Magesa</name></author><author><name sortKey="Malecela, M N" uniqKey="Malecela M">M. N. Malecela</name></author><author><name sortKey="Pedersen, E M" uniqKey="Pedersen E">E. M. Pedersen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simonsen, P E" uniqKey="Simonsen P">P. E. Simonsen</name></author><author><name sortKey="Fischer, P U" uniqKey="Fischer P">P. U. Fischer</name></author><author><name sortKey="Hoerauf, A" uniqKey="Hoerauf A">A. Hoerauf</name></author><author><name sortKey="Weil, G J" uniqKey="Weil G">G. J. Weil</name></author><author><name sortKey="Farrar, J" uniqKey="Farrar J">J. Farrar</name></author><author><name sortKey="Hotez, P J" uniqKey="Hotez P">P. J. Hotez</name></author><author><name sortKey="Junghanss, T" uniqKey="Junghanss T">T. Junghanss</name></author><author><name sortKey="Kang, G" uniqKey="Kang G">G. Kang</name></author><author><name sortKey="Lalloo, D" uniqKey="Lalloo D">D. Lalloo</name></author><author><name sortKey="White, N J" uniqKey="White N">N. J. White</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Talbot, J T" uniqKey="Talbot J">J. T. Talbot</name></author><author><name sortKey="Viall, A" uniqKey="Viall A">A. Viall</name></author><author><name sortKey="Direny, A" uniqKey="Direny A">A. Direny</name></author><author><name sortKey="De Rochars, M B" uniqKey="De Rochars M">M. B. de Rochars</name></author><author><name sortKey="Addiss, D" uniqKey="Addiss D">D. Addiss</name></author><author><name sortKey="Mathieu, E" uniqKey="Mathieu E">E. Mathieu</name></author><author><name sortKey="Lammie, P J" uniqKey="Lammie P">P. J. Lammie</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Biosoc Sci</journal-id><journal-id journal-id-type="iso-abbrev">J Biosoc Sci</journal-id><journal-id journal-id-type="publisher-id">JBS</journal-id><journal-title-group><journal-title>Journal of Biosocial Science</journal-title></journal-title-group><issn pub-type="ppub">0021-9320</issn><issn pub-type="epub">1469-7599</issn><publisher><publisher-name>Cambridge University Press</publisher-name><publisher-loc>Cambridge, UK</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25790081</article-id><article-id pub-id-type="pmc">4668335</article-id><article-id pub-id-type="doi">10.1017/S0021932015000024</article-id><article-id pub-id-type="pii">S0021932015000024</article-id><article-id pub-id-type="publisher-id">00002</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>COMMUNITY MEMBERS' PERCEPTIONS OF MASS DRUG ADMINISTRATION FOR CONTROL OF LYMPHATIC FILARIASIS IN RURAL AND URBAN TANZANIA</article-title><alt-title alt-title-type="left-running">W. J. Kisoka <italic>et al.</italic></alt-title><alt-title alt-title-type="right-running">Mass drug administration for lymphatic filariasis</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>KISOKA</surname><given-names>WILLIAM J.</given-names></name><xref ref-type="aff" rid="aff1">*</xref><xref ref-type="aff" rid="aff2">†</xref><xref ref-type="corresp" rid="cor1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>TERSBØL</surname><given-names>BRITT PINKOWSKY</given-names></name><xref ref-type="aff" rid="aff3">‡</xref></contrib><contrib contrib-type="author"><name><surname>MEYROWITSCH</surname><given-names>DAN W.</given-names></name><xref ref-type="aff" rid="aff4">§</xref></contrib><contrib contrib-type="author"><name><surname>SIMONSEN</surname><given-names>PAUL E.</given-names></name><xref ref-type="aff" rid="aff5">¶</xref></contrib><contrib contrib-type="author"><name><surname>MUSHI</surname><given-names>DECLARE L.</given-names></name><xref ref-type="aff" rid="aff2">†</xref></contrib></contrib-group><aff id="aff1"><label>*</label><institution>National Institute for Medical Research</institution>,<addr-line>Dar es Salaam</addr-line>,<country>Tanzania</country></aff><aff id="aff2"><label>†</label><institution>Tumaini University, Kilimanjaro Christian Medical College</institution>,<addr-line>Moshi</addr-line>,<country>Tanzania</country></aff><aff id="aff3"><label>‡</label><addr-line>Global Health Section, Department of Public Health</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></aff><aff id="aff4"><label>§</label><addr-line>Department of Public Health</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></aff><aff id="aff5"><label>¶</label><addr-line>Department of Veterinary Disease Biology</addr-line>,<institution>University of Copenhagen</institution>,<country>Denmark</country></aff><author-notes><corresp id="cor1"><label>1</label>Corresponding author. Email: <email>wkisoka@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>1</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>19</day><month>3</month><year>2015</year></pub-date><volume>48</volume><issue>1</issue><fpage>94</fpage><lpage>112</lpage><permissions><copyright-statement>© Cambridge University Press 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Cambridge University Press</copyright-holder><license license-type="open-access"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:title="pdf" xlink:href="S0021932015000024a.pdf"></self-uri><abstract abstract-type="normal"><title>Summary</title><p>Lymphatic filariasis is one of several neglected tropical diseases with severely disabling and stigmatizing manifestations that are referred to as ‘neglected diseases of poverty’. It is a mosquito-borne disease found endemically and exclusively in low-income contexts where, concomitantly, general public health care is often deeply troubled and fails to meet the basic health needs of impoverished populations. This presents particular challenges for the implementation of mass drug administration (MDA), which currently is the principal means of control and eventual elimination. Several MDA programmes face the dilemma that they are unable to attain and maintain the required drug coverage across target groups. In recognition of this, a qualitative study was conducted in the Morogoro and Lindi regions of Tanzania to gain an understanding of community experiences with, and perceptions of, the MDA campaign implemented in 2011 by the National Lymphatic Filariasis Elimination Programme. The study revealed a wide variation of perceptions and experiences regarding the aim, rationale and justification of MDA. There were positive sentiments about the usefulness of the drugs, but many study participants were sceptical about the manner in which MDA is implemented. People were particularly disappointed with the limited attempts by implementers to share information and mobilize residents. In addition, negative sentiments towards MDA for lymphatic filariasis reflected a general feeling of desertion and marginalization by the health care system and political authorities. However, the results suggest that if the communities are brought on board with genuine respect for their integrity and informed self-determination, there is scope for major improvements in community support for MDA-based control activities.</p></abstract><counts><page-count count="19"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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