Abstract

International Journal of Medicine and Public Health,2017,7,2,92-96.DOI:10.5530/ijmedph.2017.2.18Published:May 2017Type:Original ArticleA Study on Morbidity Management among Lymphatic Filariasis Patients in Udupi district, Karnataka, IndiaKataraki Basavaraj, Shetty K Bharatesh, Dhar Murali, Kamath Ramachandra, and Malamardi Sowmya Kataraki Basavaraj,1a Shetty K Bharatesh,2b Dhar Murali,3c Kamath Ramachandra,4a Malamardi Sowmya5a 1Current Affiliation: Regional Coordinator – Karnataka, DNRT, National AIDS Control Organisation, Ministry of Health and Family Welfare, Govt. of India. aAffiliation where the work was primarily carried out: Dept. of Public Health, Manipal University, Manipal, Karnataka, India. 2Current Affiliation: Additional Project Director, Karnataka Health Promotion Trust, Bengaluru, India. bAffiliation where the work was primarily carried out: Lecturer, Melaka Manipal Medical College, Manipal University, Manipal, Karnataka, India. 3Current Affiliation: Associate Professor, Department of Population Policies & Programmes, International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai - 400088, India cAffiliation where the work was primarily carried out: Associate Professor, Department of Statistics, Manipal University, Manipal, Karnataka, India. 4Current Affiliation: Associate Professor, Dept. of Community Medicine, Melaka Manipal Medical College, Manipal University, Manipal, Karnataka, India. aAffiliation where the work was primarily carried out: Head of Dept, Dept. of Public Health, Manipal University, Manipal, Karnataka, India. 5Current Affiliation: Senior Project Consultant, Ernst & Young, Gurgaon, India. aAffiliation where the work was primarily carried out: Dept. of Public Health, Manipal University, Manipal, Karnataka, India. 1Current Affiliation: Regional Coordinator – Karnataka, DNRT, National AIDS Control Organisation, Ministry of Health and Family Welfare, Govt. of India. Abstract:Context: Morbidity management is one of the key aspects in the life of Lymphatic Filariasis (LF) patients. National Vector Borne Disease Control Programme (NVBDCP) is giving more emphasis by conducting morbidity management training camps every year since 2004 to help LF patients to manage and cope-up with the existing morbidity. Aim: To study the morbidity management among LF patients in Udupi district, Karnataka. Study Setting and Design: The study was conducted in Udupi district, Karnataka, India in 2013. The design was stratified random sampling with proportional allocation method. Materials and Methods: Community based cross sectional study, 178 subjects suffering from LF were selected using stratified random sampling with proportional allocation method. An interview based method was used to collect the data. Lympoedema Morbidity Management Questionnaire were designed based on the guidelines provided by National Vector Borne Disease Control Programme (NVBDCP). Results: Among 178 LF patients only about 34% had knowledge about the disease causation. About 98.3% had good hygiene practice towards affected area but only 30% of them regularly practiced one or the other exercise as recommended. Conclusion: The study clearly indicates the outreach focus on LF patients needs to be enhanced by grass root level health workers. The program has to ensure that all the LF patients will undergo morbidity management training and know how to take care of lymphoedema. Keywords:Lymphatic filariasis, mass drug administration, Morbidity ManagementView:PDF (165.44 KB) Full Text

Highlights

  • Lymphatic filariasis (LF), a mosquito-borne disease, is caused by the parasitic filarial nematodes Wuchereria bancrofti (W. bancrofti), Brugia malayi (B. malayi), or Brugia timori (B. timori)

  • Lympoedema Morbidity Management Questionnaire were designed based on the guidelines provided by National Vector Borne Disease Control Programme (NVBDCP)

  • The program has to ensure that all the Lymphatic Filariasis (LF) patients will undergo morbidity management training and know how to take care of lymphoedema

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Summary

Introduction

Lymphatic filariasis (LF), a mosquito-borne disease, is caused by the parasitic filarial nematodes (roundworms) Wuchereria bancrofti (W. bancrofti), Brugia malayi (B. malayi), or Brugia timori (B. timori). Because the burden of the disease is determined by the intensity and the duration of the infection, the greatest impact of LF is on older age groups.[1] LF is one the Neglected Tropical Diseases (NTDs). In 1997 World Health Organisation (WHO) declared LF as eradicable or potentially eradicable and in 2000 the Global Programme to Eliminate LF was launched.[2] Mass Drug Administration as one of the key strategy to eliminate LF and disability management is the other key component. The programme has a coverage of more than 500 million implemented in 27 countries.[3]

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