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Effectiveness of community and health services-organized drug delivery strategies for elimination of lymphatic filariasis in rural areas of Tamil Nadu, India.
- Source :
-
Tropical medicine & international health : TM & IH [Trop Med Int Health] 2001 Dec; Vol. 6 (12), pp. 1062-9. - Publication Year :
- 2001
-
Abstract
- Lymphatic filariasis (LF) is targeted for global elimination. Repeated annual single-dose mass treatment with antifilarials has been recommended as the principal strategy to achieve LF elimination. This requires an effective and sustainable strategy to deliver the drug, diethylcarbamazine (DEC), to communities. In this study, a new drug delivery strategy - community-directed treatment (comDT) - was developed and implemented and its effectiveness compared with that of the traditional health services-organized drug delivery, in rural areas of Tamil Nadu, India. Qualitative and quantitative data showed that the communities and health services were able to distribute the drug in almost all villages. The drug distribution rate and treatment compliance rate of comDT and health services treatment were statistically compared after adjusting them for clustering. Under the comDT 68% (n=20 villages; range: 0-97%) of the population received DEC, compared with 74% (n=20 villages; range: 48-95%) with the health services treatment strategy (P > 0.05). However, only about 53% (range: 0-91%) of comDT recipients and 59% (range: 32-79%) of those who received DEC from the health services consumed the drug (P > 0.05). Although statistically not significant, the distribution and compliance rates were lower under the comDT strategy. Also, the strategy's operationalization appears to be difficult because of some social factors, and the tradition of communities' dependence on health services for treatment, whereas health services-organized distribution was much less cumbersome and found to be more acceptable to people. However, the distribution (74%) and compliance rates (59%) achieved by health services were also only moderate and may not be adequate to eliminate LF in a reasonable time frame. Health services manpower alone may not be sufficient to distribute the drug. We conclude that drug distribution by health services is the best option for India and participation of the community volunteers and village level government staffs in the programme is necessary to effectively distribute the drug and attain the desirable levels of treatment compliance to eliminate LF.
- Subjects :
- Adolescent
Adult
Aged
Child
Child, Preschool
Community Health Workers
Diethylcarbamazine administration & dosage
Elephantiasis, Filarial prevention & control
Female
Filaricides administration & dosage
Health Personnel
Humans
India
Infant
Male
Middle Aged
Community Health Services
Delivery of Health Care
Elephantiasis, Filarial drug therapy
Program Evaluation
Rural Health Services
Subjects
Details
- Language :
- English
- ISSN :
- 1360-2276
- Volume :
- 6
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Tropical medicine & international health : TM & IH
- Publication Type :
- Academic Journal
- Accession number :
- 11737843
- Full Text :
- https://doi.org/10.1046/j.1365-3156.2001.00813.x