DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20193492

Evaluation of coverage and compliance to mass drug administration for lymphatic filariasis elimination in two endemic districts of Karnataka

Anwith H. Shivalingaiah, Ravikumar K., Sunil M. Gurupadaswamy

Abstract


Background: Lymphatic filariasis is a debilitating and disfiguring disease causing significant socioeconomic burden. India is endemic for filariasis which includes Kalaburagi and Yadgir districts in Karnataka. India has the target for filariasis elimination by 2020 and mass drug administration [MDA] is a strategy for elimination. The objective of the study was to evaluate the coverage and compliance of mass drug administration against lymphatic filariasis.

Methods: The study was a cross sectional study conducted during the month of October 2018 in Kalaburagi and Yadgir districts. The study subjects included all the residents of cluster except subjects aged below 2 years and pregnant women. Multi stage sampling was used and three clusters from rural area and one cluster from urban area from each district. Data collection was done by household survey after informed consent using a standard questionnaire.

Results: A total population of 1,963 subjects residing in 399 houses of two districts was included. Majority of the study subjects 1517 (77.27%) were in the age group of more than 15 years with predominantly males 984(50.12%). The coverage rate and compliance rate of MDA was 83.17% and 92.46% in Kalaburagi district and 86.71% and 86.98% in Yadgir district respectively. The effective coverage rate and coverage compliance gap was 76.89% and 7.53% in Kalaburagi district, 75.42% and 13.01% in Yadgir district. Incomplete dose of MDA was consumed by 17 subjects in Kalaburagi district and 21 subjects in Yadgir district.

Conclusions: The effective MDA coverage in both the study districts is below 85% which is not satisfactory.


Keywords


Filaria, Mass drug administration, Coverage, Compliance

Full Text:

PDF

References


National health portal, India. Filariasis 2018. Available from https://www.nhp.gov.in/disease/ blood-lymphatic/filariasis. Accessed on 13 November 2018.

World Health Organization. Lymphatic Filariasis, Epidemiology. Available at: https://www.who.int/ lymphatic_filariasis/epidemiology/en/. Accessed on 13 November 2018.

Directorate general of health services. List of state wise lymphatic filariasis endemic districts. Available at: http://nvbdcp.gov.in/WriteRead Data/l892s/15482335681533040303.pdf. Accessed on 28 October 2018.

WHO Regional Office for South-East Asia. Elimination of lymphatic filariasis in south east Asia region. Available at: http://apps.searo.who.int/ pds_docs/B4804.pdf?ua=1 Accessed on 02 November 2018.

World Health Organization. Global programme to eliminate lymphatic filariasis. Available at: http://www.searo.who.int/entity/vector_borne_tropical_diseases/topics/lymphatic_filariasis/LFREP.pdf Accessed on 02 November 2018.

National health portal of India. National health policy 2002. Available at: https://www.nhp.gov.in/ sites/default/files/pdf/NationaL_Health_Pollicy.pdf Accessed on 28 October 2018.

World Health Organization. Lymphatic Filariasis. Weekly Epidemiol Rec No. 44 2018;93: 589-604. Available at: http://apps.who.int/iris/bitstream/ handle/10665/275719/WER9344.pdf?ua=1 Accessed on 13 November 2018.

Ministry of health and family welfare, Government of India. National health policy 2017. Available at: https://mohfw.gov.in/sites/default/files/9147562941489753121.pdf. Accessed on 13 November 2018.

Government of India. Operational guidelines on elimination of lymphatic filariasis. Available at: http://www.nvbdcp.gov.in/Doc/LF%20manual_final.doc. Accessed on 15 December 2018.

Havale NG. Evaluation of coverage and compliance of elimination of lymphatic filariasis by mass drug administration campaign in Gulbarga and Yadgiri districts of Karnataka state. Int J Res Med Sci. 2015;3(8):2105-8.

Patel PK. Mass drug administration coverage evaluation survey for lymphatic Filariasis in Bagalkot and Gulbarga districts. Indian J Community Med. 2012;37:101-6.

Mane VP, Bhovi RA. Evaluation of mass drug administration against lymphatic filariasis in Bidar district, Karnataka, India. Int J Community Med Public Health. 2018;5:4107-11.

Shetty A, Santhuram AN, Nareshkumar SJ. Assessing coverage and compliance of mass drug administration under elimination of Lymphatic Filariasis program in Yadgir district, Karnataka. Int J Med Sci Public Health. 2012;1:71-4.

Angadi M, Motappa R. Report on evaluation of mass drug administration campaign of 2014-15 against filariasis in Raichur, Karnataka, India. Int J Community Med Public Health 2016; 3: 3051-4.

Ravish HS, Malatesh U, Rachana AR. Coverage evaluation of Mass drug administration for lymphatic filariasis in Bidar district, Karnataka, India. Indian J Community Family Med. 2015;1(2):79-2.

Park K. Park’s textbook of preventive and social medicine. 24th ed. Jabalpur (India): Banarsidas Bhanot; 2017:292.