Coverage Evaluation of Mass drug Administration of DEC for filariasis in Satna District

Abstract

Background : Lymphatic filariasis is an important public health problem in India. Satna district of Madhya Pradesh is one of the endemic districts where Mass Drug Administration programme is undertaken every year to eliminate lymphatic filariasis. Present study was carried out to evaluate the coverage, compliance and reasons for non-compliance of mass drug administration (MDA) in Satna districts of Madhya Pradesh.
Methods: The guidelines of National Vector Borne Disease Control Programme (NVBDCP) was used to select a total of 120 households from three villages and one urban ward using three stage random sampling. Each household was visited by a team and data was collected by A predesigned questionnaire (provided by Director Health Services, State Health Committee, NVBDCP) . Data was compiled on Windows excel spreadsheet and analyzed using SPSS software version 21.Results: The study population consisted of 504 individuals from 120 households, out of which 494 (98.01%) were eligible for DEC mass drug administration. Coverage rate, compliance rate ,Coverage-compliance gap and effective coverage rate 90.89%, 87.97 %, 12.03% and 79.9% respectively were found in Our study. Fear of side effects or previous experience of side effect 7.57% was the most common reason behind not consuming drug. Conclusion: Based on the study findings, Coverage-compliance gap can be filled by proper advocacy for this campaign.Effective IEC activities should be undertaken through multiple channels such as electronic and print media, posters and banners in local language.