Mass Drug Administration (MDA) for Lymphatic Filariasis Elimination in Uttar Pradesh : Lessons Learnt
Abstract
Lymphatic Filariasis (LF) and Kala-azar (KA) are the two Vector Borne Diseases (VBD) slated for elimination by the Government of India. The target set for lymphatic filariasis elimination is < 1% microfilariamia in a given area. 51 districts of Eastern Uttar Pradesh are endemic for LF and are under Elimination of Lymphatic Filariasis (ELF). In order to ensure the elimination of the disease from the community, mass drug administration (MDA) is being observed in these 51 districts since 2004.
This paper contains an in-depth analysis and review of MDA rounds conducted in Uttar Pradesh since the year 2004 including the data on drug coverage and compliance in each endemic district, mf rate in sentinel and spot check sites, and disease cases (elephantiasis and hydrocoele). It also includes the findings of Transmission Assessment Surveys (TAS) conducted in the eligible districts and other relevant data which were analysed during this period. The main objective of this study was to find out the possible gaps in programme implementation, various issues and challenges ahead, and lessons learnt at various levels of the programme implementation. As a result of keeping a close vigil on the implementation of MDA in the state, various lessons were learnt for not achieving the elimination target, which have been raised in this paper, which may be considered by the state for better programme implementation. This paper also discusses the possible remedies for their rectification, so that the state may make use of them in achieving the goal of elimination of this dreaded vector-borne disease.
How to cite this article:
Kamal S, Chandra R, Singh SM, Kumar A, Singh RK, Srivastava R. Mass Drug Administration (MDA) for Lymphatic Filariasis Elimination in Uttar Pradesh: Lessons Learnt. XIV Annual Conference of Indian Society for Malaria & Other Communicable Diseases (ISMOCD). 2023;60-70.
DOI: https://doi.org/10.24321/0019.5138.202338
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