Abstract | OBJECTIVES: To assess the performance of an educational campaign to increase adherence to a mass-administered DEC regimen against lymphatic filariasis (LF) in Orissa, and to identify factors that could enhance future campaigns. METHOD: Randomized cluster survey, comparing areas that did and did not receive the educational campaign, using a household coverage survey and knowledge, attitudes and practices (KAP) survey. RESULTS: LF MDA coverage for the entire population (n = 3449) was 56% (95% CI: 50.0-61.9). There was no statistical difference between the areas that did and did not receive the educational campaign. The most common barriers to adherence were fear of medication side effects (47.4%) and lack of recognition of one's risk for LF (15.8%). Modifiable, statistically significant, multivariable predictors of adherence were knowing that DEC prevents LF (aOR = 2.6, 95% CI: 1.4-5.1), knowing that mosquitoes transmit LF (aOR = 1.9, 95% CI: 1.1-3.2), and knowing both about the mass drug administration (MDA) in advance and that mosquitoes transmit LF (aOR = 5.4, 95% CI: 2.8-10.4). CONCLUSIONS: India needs to increase compliance with MDA programmes to reach its goal of interrupting LF transmission. Promoting a simple public health message before MDA distribution, which takes into account barriers to and predictors of adherence, could raise compliance with the LF MDA programme.
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Authors | P T Cantey, G Rao, J Rout, L M Fox |
Journal | Tropical medicine & international health : TM & IH
(Trop Med Int Health)
Vol. 15
Issue 2
Pg. 224-31
(Feb 2010)
ISSN: 1365-3156 [Electronic] England |
PMID | 20002615
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S., Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Elephantiasis, Filarial
(prevention & control, transmission)
- Female
- Filaricides
(adverse effects, therapeutic use)
- Government Programs
(organization & administration)
- Health Knowledge, Attitudes, Practice
- Humans
- India
- Male
- Medication Adherence
- Middle Aged
- Patient Education as Topic
(organization & administration)
- Program Evaluation
- Young Adult
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