03664nas a2200337   4500000000100000008004100001260002300042653003900065653001600104653001900120653000900139653001700148653002900165653003900194100001400233700001500247700001400262700001400276700001300290700001500303700001400318700001400332700001300346700001300359245017900372856011500551300000900666490000700675520263000682022001403312       2025                            d  bFrontiers Media SA10aNeglected tropical diseases (NTDs)10aIntegration10aBest practices10aSBCC10aMDA campaign10aMass drug administration10aMass drug administration programme1 aBirhanu Z1 aSudhakar M1 aAbdissa D1 aAbraham G1 aBulcha G1 aShiferaw T1 aBerhanu N1 aTeshome F1 aMiecha H1 aKebede Y00aIntegrating social and behavior change communication into mass drug administration campaigns for neglected tropical diseases: insights and best practices from Jimma, Ethiopia  uhttps://public-pages-files-2025.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1682291/pdf  a1-170 v133 a<p><strong>Background</strong></p>

<p>Neglected tropical diseases (NTDs) remain a significant public health concern despite control efforts. Current control strategies rely heavily on mass drug administration (MDA), often overlooking complementary interventions like social and behavior change communication (SBCC). Given the complexity of behavior and its role in intervention uptake, this study explored experiences, best practices, and lessons learned from integrating a tailored SBCC approach into MDA campaigns in Jimma, Ethiopia.</p>

<p><strong>Methods</strong></p>

<p>A descriptive qualitative study was conducted following the implementation of SBCC integrated into two MDA campaign for target NTDs (OV and STH) between June and September 2022 in Jimma, Ethiopia. Purposive sampling was used to select participants from community members and stakeholders involved in the implementation of the project. A total of four focus group discussions, five expert group discussions and 10 key informant interviews were conducted. Guided by the RE-AIM framework, data were collected through four focus group discussions, five expert group discussions, and 10 key informant interviews. The data analyses were facilitated by Atlas.ti version 7.1.5.</p>

<p><strong>Results</strong></p>

<p>The study found that the intervention successfully reached diverse community groups through home visits, religious leaders, schools, and IEC materials, raising awareness and demand for MDA services. SBCC was integrated at key touch points, such as community registration, where early hygiene and NTD prevention education ensured informed participation. Community mobilization efforts, including local leaders and megaphones, expanded message reach, while schools and drug distributors amplified outreach and reinforced adherence. The approach was highly accepted, with stakeholders supporting its long-term sustainability and scale-up. However, challenges such as limited time, human resource constraints, and operational workload affected full integration and various adaptive strategies, helped improve implementation.</p>

<p><strong>Conclusion</strong></p>

<p>Integrating SBCC into MDA campaigns showed strong potential in enhancing community engagement and improving treatment coverage in a context with behavioral and social barriers. While not universally required, SBCC may serve as a strategic complement in settings facing such challenges. The findings provide practical insights for guiding the context-specific application of SBCC to strengthen the effectiveness and sustainability of NTD interventions.</p>
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