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Original Article

Natl J Community Med. 2014; 5(1): 38-41

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

Amarnath Gupta, Pankaj Prasad, Sukhendra P Singh.


"Introduction: Lymphatic filariasis (LF), commonly known as elephan-tiasis is a global problem affecting more than 120 million people in 80 countries. It is one of the leading causes of long term permanent dis-ability, accounting for more than 5 million disability adjusted life years (DALYs) annually. Present study was carried out to evaluate the coverage, compliance and rea-sons for non compliance of MDA in Rewa district of MP.
Materials & methods: A Commu-nity based cross-sectional Study was conducted for evaluation of coverage and compliance of MDA by Household survey in four se-lected clusters (three rural and one urban) of Rewa District of Madhya Pradesh as per NVBDCP guide-lines. Predesigned questionnaire was used to collect information from 120 families. Household sur-vey 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 high-er among females 73.84% as com-pared 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 tab-lets. Only (74.16%) respondents had some knowledge about DEC, (69.16%) knew about lymphatic fil-ariasis and only (27.5%) had knowledge about disease transmis-sion.
Conclusion: Improving the cover-age and compliance rate of DEC consumption is the most important factor for the success of MDA. This can be done by better social mobi-lization and monitoring. There should be more involvement of the community leaders, educational institutions, volunteers and NGOs and private practitioners.

Key words: Coverage, Compliance, Mass Drug Administration, Filariasis.

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