Title-Effect of directly observed therapy (DOT) on Mass Drug Administration (MDA) coverage and status of Mass Drug Administration programme in Bankura district of West Bengal, India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Background: Government of India adopted mass‑drug‑administration (MDA) since 2004 for elimination of LF by 2015 AD. MDA implementation in WB has been criticised forlow coverage.Objective: to assess the effect of DOT on coverageof MDA along withits correlates and status of MDA programme. Materials and Methods: Cross-sectional survey was conducted in three subcenters of three community development blocksand threewards of Bankura municipality of Bankura district of West Bengalselected by multistage random sampling. Information was collected via interviewing the inhabitants of clusters selected by systematic random sampling;concerned drug administrators and ANMsand BPHN/PHN of selected blocks along with scrutinizing records and verifying logistics for MDA at subcenter level and checking of left over medicines/stripsat households level.Results: Around 45%respondents knew LF out of which 81.34% considered swelling of limbsand 31.34% reported fever as symptom and 48% knew about transmission of LF. Overall,45% heard MDAand one thirdknew purpose of MDA.Overall, appropriate distribution and consumption of both medicines were 65.51% and 50.0%. Consumption was higher among rural Hindu scheduled caste poor labourer. One fourth of appropriate consumption of both medicines was supervised.IEC and monitoring from any level whatsoever was founddisappointing. Strength and opportunity of programme seemed to be suboptimally utilized.Conclusion: Purpose of DOT was defeated compared to the increasing trend observed in previous round. However, DOT via repeat house visitwithintense social mobilization is the need of the hour for coming outofproblem of dismallow coverage.
Authors and Affiliations
Dibakar Haldar, Sanjay Kumar Saha, Tapashi Ghosh, Daliya Biswas, Sourav Lo, Gautam Narayan Sarkar
Keywords
Related Articles
- EP ID EP573156
- DOI 10.9790/0853-1804085765.
- Views 48
- Downloads 0
Association between Glycemic Control and HDL Cholesterol in Type 2 Diabetes Patients
Dyslipidemia is associated with type 2 diabetes, with most common patterns of reduced HDL cholesterol and elevated triglyceride levels in diabetic patients. But, it is still unclear that whether low HDL cholesterol level...
A Prospective Study of Inside out Transobturator Tape for The Treatment of Female Stress Urinary Incontinence – our Institutional Experience.
Introduction: Stress urinary incontinence is defined as involuntary leakage of urine on effort or exertion,or sneezing or coughing in the absence of bladder contraction. Modified transobturator (inside out) approach was...
An Updated Review of Efficacy of Cupping Therapy in Gynecological Disorders
Cupping therapy is considered as one of the oldest regimen in Unani medicine that was used for many years all over the world. It is a simple, safe, natural treatment with a promising effect for many diseases. This therap...
"Cytological Findings of Bacterial Vaginosis in Routine Pap Smears" A Two Yrs Institutional Study
Introduction = The healthy vaginal microflora is constituted mainly by Gram-positive bacilli .Other nonbeneficial microbial species are also present in small numbers, but are not sufficient to cause disease. Among genita...
Pleural Fluid Pseudocholinesterase and Its Ratio to Serum Pseudocholinesterase: For Differentiating Pleural Transudates from Exudates
Context: The lights criteria is the system that has stood the test of time in classifying pleural effusions into transudates and exudates. But studies have shown that there is significant number of misclassification with...