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

Journal of Vector Borne Diseases

关键词: Elimination;    India;    lymphatic filariasis;    mass drug administration;    neglected tropical diseas;   

DOI  :  

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown