PDF(Pubmed)
Abstract：
The World Health Organization (WHO) recommends the use of annual mass drug administration (MDA) as the strategy for controlling and eliminating the five preventive chemotherapy neglected tropical diseases (PC-NTDs). The success of MDAs hinges on community acceptance, active participation, and compliance. This study aimed to explore the experiences and perceptions of community members, to obtain a more thorough understanding of their openness and willingness to participate in MDA and other NTD elimination activities. A mixed-methods approach was employed, utilizing qualitative and quantitative methods for comprehensive data collection. Eighteen key informant interviews (KIIs) and sixteen focus group discussions (FGDs) were conducted to explore community engagement, participation, medication utilization, and programme perception. Triangulation of findings from interviews and discussions with household survey results was performed to gain a deeper understanding of emerging themes. The household survey involved interviewing 1220 individuals (Abaji: 687; Bwari: 533). Audio tapes recorded KIIs and FGDs, with interview transcripts coded using Nvivo 12.0 software based on predefined themes. Descriptive analysis using SPSS version 21 was applied to quantitative data. Results indicated high awareness of mass drug administration (MDA) campaigns in both area councils (Abaji: 84.9%; Bwari: 82.9%), with a small percentage claiming ignorance (15.1%), attributed to lack of information or absence during health campaigns. Respondents primarily participated by taking medication (82.5%), with minimal involvement in other MDA campaigns. Perception of medicines was generally positive, with a significant association between participation level and performance rating (p < 0.05). The study recommends leveraging high awareness and community responsiveness to enhance engagement in various MDA activities, ensuring sustainability and ownership of the programme.
摘要：
世界卫生组织（WHO）建议使用年度大规模药物管理（MDA）作为控制和消除五种预防性化学疗法被忽视的热带病（PC-NTD）的策略。MDAs的成功取决于社区的接受，积极参与,和合规。本研究旨在探索社区成员的经验和看法，以更透彻地了解他们参与MDA和其他NTD消除活动的开放性和意愿。采用了混合方法，利用定性和定量的方法进行全面的数据收集。进行了18次关键线人访谈（KII）和16次焦点小组讨论（FGD），以探索社区参与，参与,药物利用，和节目感知。进行了访谈和家庭调查结果讨论的三角剖分，以更深入地了解新兴主题。家庭调查涉及采访1220名个人（Abaji：687；Bwari：533）。录制KII和FGD的录音带，使用基于预定义主题的Nvivo12.0软件编码的访谈转录本。使用SPSS版本21的描述性分析应用于定量数据。结果表明，两个地区议会对大规模药物管理（MDA）运动的认识很高（Abaji：84.9％；Bwari：82.9％），一小部分人声称无知(15.1%)，归因于健康运动期间缺乏信息或缺席。受访者主要参与服药（82.5%），很少参与其他MDA活动。对药物的认知总体上是积极的，参与水平与绩效等级之间存在显着关联（p<0.05）。该研究建议利用高知名度和社区响应能力来增强对各种MDA活动的参与，确保方案的可持续性和所有权。
