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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Feasibility of measuring compliance to annual ivermectin treatment in the African Programme for Onchocerciasis Control
Tropical Medicine and International Health, Volume 12, No. 2, Year 2007
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Description
The African Programme for Onchocerciasis Control (APOC) sponsors annual distribution of ivermectin to control onchocerciasis. Ivermectin should be taken annually by 65% of community members for a number of years to eliminate the disease as a public health problem. While many community coverage surveys have been undertaken during project monitoring, individual compliance could not be studied until several annual rounds of distribution had occurred. This paper reports on the efforts to determine whether adequate records could be found to enable a compliance study. A step-down process from project to district to community level was used to identify project sites where continuous ivermectin distribution up through 2004 had occurred. The first step consisted of selecting 17 of 25 projects by APOC. The second step determined adequacy of districts where distribution had occurred on a regular annual basis. Among 121 districts 58.6% undertook distribution in all 7 years. A total 852 villages were visited and community level records were found in all but three. Records showed that distribution had occurred for a minimum of five consecutive times in 429 villages, and ultimately 10 projects. While the feasibility study found an adequate number of villages to study compliance, the large number of projects, districts and villages that did not qualify for the follow-on compliance study should lead National Onchocerciasis Control Programme managers to strengthen the overall coverage and consistency of their efforts. © 2007 Blackwell Publishing Ltd.
Authors & Co-Authors
Brieger, William R.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Okeibunor, Joseph Chukwudi
Nigeria, Naukka
University of Nigeria
Abiose, Adenike O.
Nigeria, Ibadan
Sightcare International
Ndyomugyenyi, Richard
Uganda, Kampala
National Malaria Control Programme
Kisoka, William J.
Tanzania, Tanga
National Institute for Medical Research Tanga
Wanji, Samuel
Cameroon
Research Foundation in Tropical Diseases and Environment
Elhassan, Elizabeth Osim
United Kingdom, Chippenham
Sightsavers, United Kingdom
Amazigo, Uche V.
Burkina Faso, Ouagadougou
African Programme for Onchocerciasis Control
Statistics
Citations: 19
Authors: 8
Affiliations: 8
Identifiers
Doi:
10.1111/j.1365-3156.2006.01796.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study