TY - THES KW - Public health KW - Niger KW - Negelected Tropical Diseases KW - Mass drug administration KW - Coverage survey AU - Klingler MS AB -
Neglected Tropical Diseases (NTDs) are a group of debilitating illnesses that affect the lives of more than one-sixth of the world's population. Preventive chemotherapy partnered with health education is the primary strategy in the control and elimination of NTDs. In December 2012, the Niger Ministry of Health carried out an integrated mass drug administration (MDA) with the goal of eliminating lymphatic filariasis (LF) and trachoma and controlling soil-transmitted helminthiasis (STH) and schistosomiasis. Six months after the MDA, a coverage and knowledge, attitudes and practices (KAP) survey was carried out in the Madaoua district, Niger using the WHO-recommended two staged probability cluster survey design. In each of the selected households, coverage data were collected from all persons, while the KAP survey was administered to one randomly-selected adult (≥ 14 years). A total of 293 households in 30 villages participated in the surveys, with 1711 persons interviewed for coverage and 291 adults for KAP. Overall, 80.2% (95% CI: 78.2-82.1) of those surveyed reported taking at least one medication. Surveyed coverage of Ivermectin (60.0%; 95% CI: 57.1-62.9), albendazole (71.3%; 95% CI: 69.0-74.3) and praziquantel (65.6%; 95% CI: 62.8-68.4) was significantly lower than the reported coverage (96.9%, 96.9%, and 86.0%, respectively), while the reported coverage for azithromycin (72.2%) was confirmed by the survey (71.8%, 95 CI: 69.3-74.1). KAP respondents reported that they had heard of LF (66.0%), STH (93.8%), schistosomiasis (72.2%) and trachoma (86.6%), but only 24.0%, 51.8%, 56.2% and 57.9%, respectively, knew at least one symptom. Of 46 respondents who had heard of LF, only 2 respondents (4.3%) knew it was transmitted via a mosquito, and of those who had heard of schistosomiasis, 70.9% believed that one is infected by the sun or heat. There was no significant association between participation in the MDA and knowledge of the NTDs. Knowledge of someone with a NTD did increase the odds of participation: men who knew someone with hydrocele were 4.3 times (95% CI: 4.1-4.4) more likely to take medication. MDA participation appeared not to be affected by the low level of knowledge. With the exception of Ivermectin, drug-specific coverage was adequate.

 

 

 

 

 

BT - Faculty of the Rollins School of Public Health LA - eng M3 - Masters Thesis N1 -

 

 

 

 

N2 -
Neglected Tropical Diseases (NTDs) are a group of debilitating illnesses that affect the lives of more than one-sixth of the world's population. Preventive chemotherapy partnered with health education is the primary strategy in the control and elimination of NTDs. In December 2012, the Niger Ministry of Health carried out an integrated mass drug administration (MDA) with the goal of eliminating lymphatic filariasis (LF) and trachoma and controlling soil-transmitted helminthiasis (STH) and schistosomiasis. Six months after the MDA, a coverage and knowledge, attitudes and practices (KAP) survey was carried out in the Madaoua district, Niger using the WHO-recommended two staged probability cluster survey design. In each of the selected households, coverage data were collected from all persons, while the KAP survey was administered to one randomly-selected adult (≥ 14 years). A total of 293 households in 30 villages participated in the surveys, with 1711 persons interviewed for coverage and 291 adults for KAP. Overall, 80.2% (95% CI: 78.2-82.1) of those surveyed reported taking at least one medication. Surveyed coverage of Ivermectin (60.0%; 95% CI: 57.1-62.9), albendazole (71.3%; 95% CI: 69.0-74.3) and praziquantel (65.6%; 95% CI: 62.8-68.4) was significantly lower than the reported coverage (96.9%, 96.9%, and 86.0%, respectively), while the reported coverage for azithromycin (72.2%) was confirmed by the survey (71.8%, 95 CI: 69.3-74.1). KAP respondents reported that they had heard of LF (66.0%), STH (93.8%), schistosomiasis (72.2%) and trachoma (86.6%), but only 24.0%, 51.8%, 56.2% and 57.9%, respectively, knew at least one symptom. Of 46 respondents who had heard of LF, only 2 respondents (4.3%) knew it was transmitted via a mosquito, and of those who had heard of schistosomiasis, 70.9% believed that one is infected by the sun or heat. There was no significant association between participation in the MDA and knowledge of the NTDs. Knowledge of someone with a NTD did increase the odds of participation: men who knew someone with hydrocele were 4.3 times (95% CI: 4.1-4.4) more likely to take medication. MDA participation appeared not to be affected by the low level of knowledge. With the exception of Ivermectin, drug-specific coverage was adequate.

 

 

 

 

 

PB - Emory University PY - 2014 T2 - Faculty of the Rollins School of Public Health TI - Evaluation of integrated mass drug administration for neglected tropical diseases in Madaoua District, Niger. UR - https://etd.library.emory.edu/file/view/pid/emory:g1x65/etd/emory:g11gk/klingler_dissertation.pdf VL - MPH ER -