K. D. Ramaiah|Kishore Kumar|A. V. Chandrakala|D. J. Augustin|N. C. Appavoo|Pradeep Das
Effectiveness of community and health services?organized drug delivery strategies for elimination of lymphatic filariasis in rural areas of Tamil Nadu, India
Vector Control Research Centre|Indian Council of Medical Research|Vector Control Research Centre|Indian Council of Medical Research|Vector Control Research Centre|Indian Council of Medical Research|Government of Tamil Nadu|Government of Tamil Nadu|Vector Control Research Centre|Indian Council of Medical Research
lymphatic filariasis lf targeted global elimination repeated annual singledose mass treatment antifilarials recommended principal strategy achieve lf elimination requires effective sustainable strategy deliver drug diethylcarbamazine dec communities study new drug delivery strategy communitydirected treatment comdt developed implemented effectiveness compared traditional health servicesorganized drug delivery rural areas tamil nadu india qualitative quantitative data showed communities health services able distribute drug almost villages drug distribution rate treatment compliance rate comdt health services treatment statistically compared adjusting clustering comdt 68 n20 villages range 097 population received dec compared 74 n20 villages range 4895 health services treatment strategy p 005 however 53 range 091 comdt recipients 59 range 3279 received dec health services consumed drug p 005 although statistically significant distribution compliance rates lower comdt strategy also strategys operationalization appears difficult social factors tradition communities dependence health services treatment whereas health servicesorganized distribution much less cumbersome found acceptable people however distribution 74 compliance rates 59 achieved health services also moderate may adequate eliminate lf reasonable time frame health services manpower alone may sufficient distribute drug conclude drug distribution health services best option india participation community volunteers village level government staffs programme necessary effectively distribute drug attain desirable levels treatment compliance eliminate lf