The Impact of Mass Drug Administration on Lymphatic Filariasis

Mass drug administration (MDA) has made a significant impact on the control of lymphatic filariasis (LF) since the establishment of the Global Programme to Eliminate Lymphatic Filariasis. However, its implementation is associated with several challenges, hampering interruption of parasite transmissi...

Full description

Saved in:
Bibliographic Details
Main Authors: Isaac Frimpong Aboagye, Yvonne Abena Afadua Addison
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2022/7504871
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849410963628883968
author Isaac Frimpong Aboagye
Yvonne Abena Afadua Addison
author_facet Isaac Frimpong Aboagye
Yvonne Abena Afadua Addison
author_sort Isaac Frimpong Aboagye
collection DOAJ
description Mass drug administration (MDA) has made a significant impact on the control of lymphatic filariasis (LF) since the establishment of the Global Programme to Eliminate Lymphatic Filariasis. However, its implementation is associated with several challenges, hampering interruption of parasite transmission and LF elimination in endemic areas. This study assessed the impact of MDA by comparing baseline microfilaria and antigen prevalence with those after three years (mid-term) and ≥5 years of MDA implementation and their respective prevalence reductions and identified specific challenges that may hinder its effective implementation. Three years of MDA implementation were observed to have microfilaria prevalence reductions (88.54% to 98.66%) comparable to those of studies that implemented MDA for five to 10 years (≥5 years, 79.23% to 98.26%). Inadequate community understanding of and participation in the LF MDA programme are major drawbacks to its effective implementation. The implementation of MDA that incorporates community participation, incentivisation, education, and training strategies has the potential of increasing MDA coverage and compliance, thereby interrupting parasite transmission and reducing microfilarial prevalence to levels that warrant LF elimination.
format Article
id doaj-art-60f1da802616493f8ae3d273f8520bb2
institution Kabale University
issn 1687-9694
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Journal of Tropical Medicine
spelling doaj-art-60f1da802616493f8ae3d273f8520bb22025-08-20T03:34:56ZengWileyJournal of Tropical Medicine1687-96942022-01-01202210.1155/2022/7504871The Impact of Mass Drug Administration on Lymphatic FilariasisIsaac Frimpong Aboagye0Yvonne Abena Afadua Addison1Department of Animal Biology and Conservation ScienceDepartment of Animal Biology and Conservation ScienceMass drug administration (MDA) has made a significant impact on the control of lymphatic filariasis (LF) since the establishment of the Global Programme to Eliminate Lymphatic Filariasis. However, its implementation is associated with several challenges, hampering interruption of parasite transmission and LF elimination in endemic areas. This study assessed the impact of MDA by comparing baseline microfilaria and antigen prevalence with those after three years (mid-term) and ≥5 years of MDA implementation and their respective prevalence reductions and identified specific challenges that may hinder its effective implementation. Three years of MDA implementation were observed to have microfilaria prevalence reductions (88.54% to 98.66%) comparable to those of studies that implemented MDA for five to 10 years (≥5 years, 79.23% to 98.26%). Inadequate community understanding of and participation in the LF MDA programme are major drawbacks to its effective implementation. The implementation of MDA that incorporates community participation, incentivisation, education, and training strategies has the potential of increasing MDA coverage and compliance, thereby interrupting parasite transmission and reducing microfilarial prevalence to levels that warrant LF elimination.http://dx.doi.org/10.1155/2022/7504871
spellingShingle Isaac Frimpong Aboagye
Yvonne Abena Afadua Addison
The Impact of Mass Drug Administration on Lymphatic Filariasis
Journal of Tropical Medicine
title The Impact of Mass Drug Administration on Lymphatic Filariasis
title_full The Impact of Mass Drug Administration on Lymphatic Filariasis
title_fullStr The Impact of Mass Drug Administration on Lymphatic Filariasis
title_full_unstemmed The Impact of Mass Drug Administration on Lymphatic Filariasis
title_short The Impact of Mass Drug Administration on Lymphatic Filariasis
title_sort impact of mass drug administration on lymphatic filariasis
url http://dx.doi.org/10.1155/2022/7504871
work_keys_str_mv AT isaacfrimpongaboagye theimpactofmassdrugadministrationonlymphaticfilariasis
AT yvonneabenaafaduaaddison theimpactofmassdrugadministrationonlymphaticfilariasis
AT isaacfrimpongaboagye impactofmassdrugadministrationonlymphaticfilariasis
AT yvonneabenaafaduaaddison impactofmassdrugadministrationonlymphaticfilariasis