Will mass drug administration eliminate lymphatic filariasis? Evidence from northern coastal tanzania
Journal of Biosocial Science 45 (4):517-545 (2013)
AbstractSummaryThis article documents understandings and responses to mass drug administration for the treatment and prevention of lymphatic filariasis among adults and children in northern coastal Tanzania from 2004 to 2011. Assessment of village-level distribution registers, combined with self-reported drug uptake surveys of adults, participant observation and interviews, revealed that at study sites in Pangani and Muheza districts the uptake of drugs was persistently low. The majority of people living at these highly endemic locations either did not receive or actively rejected free treatment. A combination of social, economic and political reasons explain the low uptake of drugs. These include a fear of treatment ; divergence between biomedical and local understandings of lymphatic filariasis; and limited and ineffective communication about the rationale for mass treatment. Other contributory factors are the reliance upon volunteers for distribution within villages and, in some locations, strained relationships between different groups of people within villages as well as between local leaders and government officials. The article also highlights a disjuncture between self-reported uptake of drugs by adults at a village level and the higher uptake of drugs recorded in official reports. The latter informs claims that elimination will be a possibility by 2020. This gives voice to a broader problem: there is considerable pressure for those implementing MDA to report positive results. The very real challenges of making MDA work are pushed to one side – adding to a rhetoric of success at the expense of engaging with local realities. It is vital to address the kind of issues raised in this article if current attempts to eliminate lymphatic filariasis in mainland coastal Tanzania are to achieve their goal.
Similar books and articles
Notre Dame Preventing Lymphatic Filariasis in Haiti.Jessica Spiewak - 2010 - Scientia: Undergraduate Research Journal for the Sciences University of Notre Dame 1 (1).
Drug use as consumer behavior.Gordon Robert Foxall & Valdimar Sigurdsson - 2011 - Behavioral and Brain Sciences 34 (6):313-314.
Antagonistic Synergy: Process and Paradox in the Development of New Agricultural Antimicrobial Regulations. [REVIEW]Wesley R. Dean & H. Morgan Scott - 2005 - Agriculture and Human Values 22 (4):479-489.
The two landscapes of northern norway.Jakob Meløe - 1988 - Inquiry: An Interdisciplinary Journal of Philosophy 31 (3):387 – 401.
Cost‐effectiveness of an electronic medication ordering and administration system in reducing adverse drug events.Robert C. Wu, Audrey Laporte & Wendy J. Ungar - 2007 - Journal of Evaluation in Clinical Practice 13 (3):440-448.
Socioeconomic, demographic and legal influences on consanguinity and kinship in northern coastal sweden 1780–1899.I. Egerbladh & A. H. Bittles - 2011 - Journal of Biosocial Science 43 (4):413-435.
Competing needs and pragmatic decision-making: Islam and permanent contraception in northern tanzania.Susi Krehbiel Keefe - 2008 - In Jonathan E. Brockopp & Thomas Eich (eds.), Muslim Medical Ethics: From Theory to Practice. University of South Carolina Press.
生命的哲学 ‐后基因时代药物筛选策略与传统中药学理论.Xiao Ming Wang - 2008 - Proceedings of the Xxii World Congress of Philosophy 44:139-142.
Added to PP
Historical graph of downloads