TY - JOUR
KW - Disease eradication
KW - Lymphatic filariasis
KW - Mass drug administration
AU - Jain A
AU - Lakra LA
AU - Rasania S
AB - <jats:p>This study evaluates MDA campaign in Gujarat for lymphatic filariasis elimination in the Narmada district. While ashram schools achieved 95% coverage, household compliance reached only 75% due to work conflicts, and migrant workers showed 80% uptake with mop-up challenges. Key barriers included medical condition-related refusals (60%), fear of side effect of medication (30%), and documentation gaps (40%). Implementation challenges involved poor timing (missing 25% workers), exclusion of commercial sectors, and weak coordination.  Successful institutional delivery models contrasted with gaps requiring: 1) adjusted distribution timings, 2) targeted counselling for chronic patients, 3) workplace-based MDA, and 4) enhanced digital IEC in local dialects. The findings emphasise the need for improved microplanning, real-time monitoring, and private-sector integration.  These results demonstrate that tailored approaches targeted working populations, migrants, and comorbid patients can significantly improve compliance. The study provides actionable recommendations to strengthen MDA implementation, supporting India's 2027 elimination target through context-specific strategies that address ground-level challenges while leveraging successful institutional models.</jats:p>
BT - Healthline
DO - 10.51957/healthline_728_2025
IS - 3
LA - ENG
M3 - Article
N2 - <jats:p>This study evaluates MDA campaign in Gujarat for lymphatic filariasis elimination in the Narmada district. While ashram schools achieved 95% coverage, household compliance reached only 75% due to work conflicts, and migrant workers showed 80% uptake with mop-up challenges. Key barriers included medical condition-related refusals (60%), fear of side effect of medication (30%), and documentation gaps (40%). Implementation challenges involved poor timing (missing 25% workers), exclusion of commercial sectors, and weak coordination.  Successful institutional delivery models contrasted with gaps requiring: 1) adjusted distribution timings, 2) targeted counselling for chronic patients, 3) workplace-based MDA, and 4) enhanced digital IEC in local dialects. The findings emphasise the need for improved microplanning, real-time monitoring, and private-sector integration.  These results demonstrate that tailored approaches targeted working populations, migrants, and comorbid patients can significantly improve compliance. The study provides actionable recommendations to strengthen MDA implementation, supporting India's 2027 elimination target through context-specific strategies that address ground-level challenges while leveraging successful institutional models.</jats:p>
PB - Indian Association of Preventive and Social Medicine - Gujarat Chapter
PY - 2025
SP - 237
EP - 239
T2 - Healthline
TI - Monitoring of the National Mass Drug Administration Campaign for Lymphatic Filariasis Elimination in Narmada District, Gujarat: An Experience
UR - https://www.healthlinejournal.org/ojs/healthline/article/download/H728/pdf/746
VL - 16
SN - 2320-1525, 2229-337X
ER -