Barriers to High Coverage during Mass Drug Administration for the Control of Lymphatic Filariasis in Ayawaso Sub-Metro in the Greater Accra Region, Ghana

Abstract

Background: Lymphatic Filariasis (LF) is one of the 17 Worlds most Neglected Tropical Diseases (NTDs) which are predominantly found in most marginalized and low income communities. The World Health Organization (WHO) with World Health Assembly (WHA) in collaboration with Ghana Health Service had instituted an annual MDA to totally eliminate LF by the year 2020 from all endemic communities. Awareness and knowledge about LF has been a major challenge for people not patronizing the exercise. This study was meant to find out various barriers to high coverage during MDA for LF in the Nima-Maamobi Ayawaso District. Methods: This study used qualitative approaches including focus group discussions, in-depth interviews and key informant interviews. A total of 65 participants including community members, community volunteers and health providers were involved in the study. Various themes on factors causing barriers to high coverage in an urban community were explored. All interviews were audio taped, transcribed and used to generate larger themes. Results: Data analysis revealed that, several participants interviewed claimed they were aware of the disease but knowledge inadequate due to lack of publicity on MDA for LF control exercise. Some participants perceived they were not susceptible because is the disease of the poor and basically be found in rural and not urban communities. Fear of adverse drug reaction impacted negatively on the people’s acceptance of the exercise. Poor motivation to volunteers also added to the barriers. Conclusion: The findings displayed inadequate awareness and knowledge about LF. There is the need to re-strategize and create adequate platforms like social media, health-walk documentaries, posters, television, radio advertisement and effective IECs to promote the MDA exercise.