02159nas a2200265   4500000000100000008004100001260003400042653001300076653001500089653001300104653001300117653001000130653003000140653000800170100001200178700001600190700001300206700001400219700001200233700001100245700001300256245022500269520137400494022002501868       2024                            d  bOxford University Press (OUP)10aBarriers10aCompliance10aCoverage10aenablers10aIndia10aLymphatic filariasis (LF)10aMDA1 aSinha A1 aMohapatra S1 aSahoo KC1 aMohanty S1 aSahoo B1 aPati S1 aSahoo PK00aMotivation–opportunity–ability–behaviour of community members and program implementers towards mass drug administration for lymphatic filariasis elimination in India: a systematic review and implementation priority3 a<p>Lymphatic filariasis (LF) is a significant public health issue in India. Despite 10–15 rounds of mass drug administration (MDA) in India, the global LF elimination target of 2030 appears challenging. To strengthen the program, community and provider perspectives on ways to bridge a gap in MDA are needed. Through the motivation–opportunity–ability–behaviour (MOAB) lens, we systematically reviewed the facilitators and barriers encountered in LF elimination in India. We followed Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. We searched PubMed, Embase, ProQuest and Google Scholar databases to explore factors related to MDA program implementation in India through 30 June 2021. We analysed the data using a thematic framework. We identified 576 studies; of these, 20 studies were included. This review revealed that the public health system for distributing MDA drugs in India created a better enabling environment, including zero out-of-pocket expenditure, door-step distribution of medicines and ample capacity-building training and follow-up. However, community members were unaware of the rationale for drug consumption, leading to a gap in drug distribution and consumption. Motivation is required among community members, which suggests capacity-building training for service providers to counsel the community.</p>
  a0035-9203, 1878-3503