How endemic countries can accelerate lymphatic filariasis elimination? An analytical review identify strategic and programmatic interventions

Lymphatic filariasis (LF) is endemic in 81 countries in the world, and a number of these countries have targetedfor LF elimination. This review of literature and analysis was conducted to identify additional and sustainablestrategies to accelerate LF elimination from endemic countries. This review n...

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Main Author: Chandrakant Lahariya & Shailendra S. Tomar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-03-01
Series:Journal of Vector Borne Diseases
Subjects:
Online Access:http://www.mrcindia.org/journal/issues/481001.pdf
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spelling doaj-bcec85173e9a4404bb56c116abe589dc2020-11-25T01:16:07ZengWolters Kluwer Medknow PublicationsJournal of Vector Borne Diseases0972-90622011-03-0148116How endemic countries can accelerate lymphatic filariasis elimination? An analytical review identify strategic and programmatic interventionsChandrakant Lahariya & Shailendra S. TomarLymphatic filariasis (LF) is endemic in 81 countries in the world, and a number of these countries have targetedfor LF elimination. This review of literature and analysis was conducted to identify additional and sustainablestrategies to accelerate LF elimination from endemic countries. This review noted that adverse events due tomass drug administration (MDA) of diethyl carbamazine (DEC) tablets, poor knowledge and information aboutLF amongst health workers & community members, and limited focus on information, education & communication(IEC) activities and interpersonal communication are the major barriers in LF elimination. The new approachesto increase compliance with DEC tablets (including exploring the possibility for DEC fortification of salt),targeted education programmes for physicians and health workers, and IEC material and inter personalcommunication to improve the knowledge of community are immediately required. There is a renewed andpressing need to conduct operational research, evolve sustainable and institutional mechanisms for education ofphysicians and health workers, ensure quality of trainings on MDA, strengthen IEC delivery mechanisms,implement internal and external monitoring of MDA activities, sufficient funding in timely manner, and toimprove political and programmatic leadership. It is also time that lessons from other elimination programmesare utilized to accelerate targeted LF elimination from the endemic countries.http://www.mrcindia.org/journal/issues/481001.pdfEliminationIndialymphatic filariasismass drug administrationneglected tropical diseas
collection DOAJ
language English
format Article
sources DOAJ
author Chandrakant Lahariya & Shailendra S. Tomar
spellingShingle Chandrakant Lahariya & Shailendra S. Tomar
How endemic countries can accelerate lymphatic filariasis elimination? An analytical review identify strategic and programmatic interventions
Journal of Vector Borne Diseases
Elimination
India
lymphatic filariasis
mass drug administration
neglected tropical diseas
author_facet Chandrakant Lahariya & Shailendra S. Tomar
author_sort Chandrakant Lahariya & Shailendra S. Tomar
title How endemic countries can accelerate lymphatic filariasis elimination? An analytical review identify strategic and programmatic interventions
title_short How endemic countries can accelerate lymphatic filariasis elimination? An analytical review identify strategic and programmatic interventions
title_full How endemic countries can accelerate lymphatic filariasis elimination? An analytical review identify strategic and programmatic interventions
title_fullStr How endemic countries can accelerate lymphatic filariasis elimination? An analytical review identify strategic and programmatic interventions
title_full_unstemmed How endemic countries can accelerate lymphatic filariasis elimination? An analytical review identify strategic and programmatic interventions
title_sort how endemic countries can accelerate lymphatic filariasis elimination? an analytical review identify strategic and programmatic interventions
publisher Wolters Kluwer Medknow Publications
series Journal of Vector Borne Diseases
issn 0972-9062
publishDate 2011-03-01
description Lymphatic filariasis (LF) is endemic in 81 countries in the world, and a number of these countries have targetedfor LF elimination. This review of literature and analysis was conducted to identify additional and sustainablestrategies to accelerate LF elimination from endemic countries. This review noted that adverse events due tomass drug administration (MDA) of diethyl carbamazine (DEC) tablets, poor knowledge and information aboutLF amongst health workers & community members, and limited focus on information, education & communication(IEC) activities and interpersonal communication are the major barriers in LF elimination. The new approachesto increase compliance with DEC tablets (including exploring the possibility for DEC fortification of salt),targeted education programmes for physicians and health workers, and IEC material and inter personalcommunication to improve the knowledge of community are immediately required. There is a renewed andpressing need to conduct operational research, evolve sustainable and institutional mechanisms for education ofphysicians and health workers, ensure quality of trainings on MDA, strengthen IEC delivery mechanisms,implement internal and external monitoring of MDA activities, sufficient funding in timely manner, and toimprove political and programmatic leadership. It is also time that lessons from other elimination programmesare utilized to accelerate targeted LF elimination from the endemic countries.
topic Elimination
India
lymphatic filariasis
mass drug administration
neglected tropical diseas
url http://www.mrcindia.org/journal/issues/481001.pdf
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