Assessing knowledge about lymphatic filariasis and the implementation of mass drug administration amongst drug deliverers in three districts/cities of Indonesia

Christiana R Titaley,Anifatun Mu’Asyaroh,Alison Krentel,Mark Bradley,Rita Damayanti,Tim Lynam,Nugroho Soeharno

doi:10.1186/s13071-018-2881-x

Christiana R Titaley, Anifatun Mu’Asyaroh + Show 5 more

Open Access

https://doi.org/10.1186/s13071-018-2881-x

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Abstract

BackgroundThis research assesses knowledge amongst drug deliverers about the implementation of mass drug administration (MDA) for lymphatic filariasis (LF) in Agam District (West Sumatera Province), the City of Depok (West Java Province) and the City of Batam (Kepulauan Riau Province), Indonesia.MethodsA cross-sectional survey was conducted from January to March 2015 at these three sites. Respondents were identified using purposive sampling (i.e. cadre, health worker or community representatives). A total of 318 questionnaires were accepted for analysis. Three outcomes were assessed: knowledge about LF; knowledge about MDA implementation; and was informed about MDA coverage. Logistic regression analyses were employed to examine factors associated with these three outcomes.ResultsLess than half of respondents were charactersised as having a high level of LF knowledge and less than half a high level of knowledge about MDA. The odds of having a high level of knowledge of LF was significantly lower in Batam City than Agam District, yet higher amongst health workers than cadres. Deliverers living in urban areas reported more feedback on MDA outcomes than in the rural district. Health workers received more feedback than cadres (P < 0.001). Deliverers perceived the difference between coverage (drug receipt) and compliance (drug ingestion) in the community.ConclusionsThere are variations in knowledge about LF and MDA as well as feedback across drug deliverers in MDA across geographical areas. Adaptation of the MDA guidelines, supportive supervision, increasing the availability of supporting materials and directly-observed therapy might be beneficial to improve coverage and compliance in all areas.

Highlights

This research assesses knowledge amongst drug deliverers about the implementation of mass drug administration (MDA) for lymphatic filariasis (LF) in Agam District (West Sumatera Province), the City of Depok (West Java Province) and the City of Batam (Kepulauan Riau Province), Indonesia
In this study we interviewed 318 people who had been involved in delivering LF drugs during the last MDA: 109 from Agam District, 107 from Depok and 102 from Batam
For the third outcome variable, our analysis showed that LF drugs deliverers in the City of Batam were more likely to be informed about the number of people taking LF drugs than in Agam District (Table 4)

Summary

Introduction

This research assesses knowledge amongst drug deliverers about the implementation of mass drug administration (MDA) for lymphatic filariasis (LF) in Agam District (West Sumatera Province), the City of Depok (West Java Province) and the City of Batam (Kepulauan Riau Province), Indonesia. Lymphatic filariasis (LF) is one of the oldest parasitic diseases in the world [1] It does not kill, LF disables individuals with its long-term clinical manifestations which can result in economic and social consequences [2]. At the time of this research (2015), the District Health Authority in Agam had conducted five rounds across the whole district (i.e. full geographical coverage). According to information from District Health Office of Agam, drug coverage ranged between 89.6–96.7% in 2015

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