Community Behavior Towards Filariasis Mass Drug Administration in Tegaldowo Village, Pekalongan District, Indonesia

Abstract

Mass drug administration (MDA)is a strategy to reduce lymphatic filariasis (LF) transmission, and finally eliminate it. This study aimed to identify community behavior towards MDA and the role of elimination officer in MDA campaign. This was a descriptive cross-sectional study conducted in Tegaldowo village, Pekalongan District (an endemic area of LF). Study subject consisted of 100 persons. LF was detected by ICT filariasis using finger blood. The result most of the subjects were female, who did not go to school, worker as laborer and married. Prevalence of filariasis was 7.0%. Most subject has good knowledge towards MDA and received drugs during MDA. Among subject has received drugs, only 8.6% refused to take the drugs due the breastfeeding. Adverse reaction was also the case in Tegaldowo, 40,0% subjects experienced adverse reaction after taking the drugs. Less than half cadres has good performance as elimination officers/drug distributors. Most of the subjects gained information about MDA from health officers (34,4%). However nearly half (43,0%) of subjects admitted they did not received any information about MDA. This study concluded the prevalence of filariasis in Tegaldowo Village has not met WHO target. Factor that may be associated with the coverage of mass drug administration was lack of MDA campaign.