A Study of Coverage and Compliance of Mass Drug Administration for Elimination of Lymphatic Filariasis in Rewa District Of Madhya Pradesh

Abstract

Introduction: Lymphatic filariasis (LF), commonly known as elephantiasis is a global problem affecting more than 120 million people in 80 countries. It is one of the leading causes of long term permanent disability, accounting for more than 5 million disability adjusted life years (DALYs) annually. Present study was carried out to evaluate the coverage, compliance and reasons for non compliance of MDA in Rewa district of MP.

Materials & methods: A Community based cross-sectional Study was conducted for evaluation of coverage and compliance of MDA by Household survey in four selected clusters (three rural and one urban) of Rewa District of Madhya Pradesh as per NVBDCP guidelines. Predesigned questionnaire was used to collect information from 120 families. Household survey was conducted within three weeks of MDA Campaign

Results: Out of 667 persons only 618 (92.65%) persons were found eligible for MDA. Coverage rate was 80.42% &Compliance rate was 67.96%. Compliance rate was higher among females 73.84% as compared to males 62.34%. The main reason for non compliance was (42.42%) persons were not at home and (37.37%) forget to take the tablets. Only (74.16%) respondents had some knowledge about DEC, (69.16%) knew about lymphatic filariasis and only (27.5%) had knowledge about disease transmission.

Conclusion: Improving the coverage and compliance rate of DEC consumption is the most important factor for the success of MDA. This can be done by better social mobilization and monitoring. There should be more involvement of the community leaders, educational institutions, volunteers and NGOs and private practitioners.