Volume 78, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645


The global strategy for the elimination of lymphatic filariasis (LF) is based on annual mass drug administration (MDA) to interrupt transmission. Noncompliance with MDA represents a serious programmatic obstacle for the LF program because systematically noncompliant individuals may serve as a reservoir for the parasite and permit recrudescence of infection. Using a survey questionnaire concerning practices, beliefs, and attitudes towards MDA, we assessed differences between noncompliant individuals and compliant individuals in Leogane, Haiti (n = 367) after four years of treatment. A logistic regression model showed the odds of being noncompliant were significantly increased for women (odds ratio = 2.74, 95% confidence interval = 1.12–6.70), as well as for people who lacked knowledge about both LF and programs to eliminate infection. Public health programs should be designed to target people who are at risk for systematic noncompliance.


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  1. Molyneux D, 2003. Lymphatic filariasis (elephantiasis) elimination: a public health success and development opportunity. Filaria J 2 : 13. [Google Scholar]
  2. World Health Organization, 2003. Global Programme to Eliminate Lymphatic Filariasis: Annual Report on Lymphatic Filariasis. Geneva: World Health Organization.
  3. World Health Organization, 2001. Lymphatic filariasis. Wkly Epidemiol Rec 76 : 149–156. [Google Scholar]
  4. Michael D, Bundy DA, Grenfell BT, 1996. Re-assessing the global prevalence and distribution of lymphatic filariasis. Parasitology 112 : 409–428. [Google Scholar]
  5. Babu BV, Kar SK, 2004. Coverage, compliance and some operational issues of mass drug administration during the programme to eliminate lymphatic filariasis in Orissa, India. Trop Med Int Health 9 : 702–709. [Google Scholar]
  6. Ottesen EA, Duke BOL, Karam M, Behbehani K, 1997. Strategies and tools for the control/elimination of lymphatic filariasis. Bull World Health Organ 75 : 491–503. [Google Scholar]
  7. Stolk WA, Swaminathan S, van Oortmarssen GJ, Das PK, Habbema JD, 2003. Prospects for elimination of bancroftian filariasis by mass drug treatment in Pondicherry, India: a simulation study. J Infect Dis 188 : 1371–1381. [Google Scholar]
  8. de Rochars MF, Kanjilal S, Direny AN, Radday J, Lafontant JG, Mathieu E, Rheingans RD, Haddix AC, Streit TG, Beach MJ, Addiss DG, Lammie PJ, 2005. The Leogane, Haiti demonstration project: decreased microfilaremia and program costs after three years of mass drug administration. Am J Trop Med Hyg 73 : 888–894. [Google Scholar]
  9. Mathieu E, Direny AN, de Rochars MB, Streit TG, Addiss DG, Lammie PJ, 2006. Participation in three consecutive mass drug administrations in Leogane, Haiti. Am J Trop Med Hyg 11 : 862–868. [Google Scholar]
  10. Pichon G, 2002. Limitation and facilitation in the vectors and other aspects of the dynamics of filarial transmission: the need for vector control against Anopheles-transmitted filariasis. Ann Trop Med Parasitol 96 : S143–S153. [Google Scholar]
  11. Esterre P, Plichart C, Sechan Y, Nguen L, 2001. The impact of 34 years of massive DEC chemotherapy on Wuchereria bancrofti infection and transmission: the Maupiti cohort. Trop Med Int Health 6 : 190–195. [Google Scholar]
  12. Mathieu E, Lammie PJ, Radday J, Beach MJ, Streit T, Wendt J, Addiss DG, 2004. Factors associated with participation in a campaign of mass treatment against lymphatic filariasis in Leogane, Haiti. Ann Trop Med Parasitol 98 : 703–714. [Google Scholar]
  13. Ramaiah KD, Das PK, Appavoo NC, Ramu K, Augustin DJ, Vijay Kurnar KN, Chandrakala AV, 2000. A program to eliminate lymphatic filariasis in Tamil Nadu state, India compliance with annual single-dose DEC mass treatment and some related operational aspects. Trop Med Int Health 5 : 842–847. [Google Scholar]
  14. de Rochars M, Direny AN, Roberts JM, Addiss DG, Radday J, Beach MJ, Streit TG, Dardith D, Lafontant JG, Lammie PJ, 2004. Community-wide reduction in prevalence and intensity of intestinal helminths as a collateral benefit of lymphatic filariasis elimination programs. Am J Trop Med Hyg 71 : 466–470. [Google Scholar]
  15. Brady MA, Hooper PJ, Ottesen EA, 2006. Projected benefits from integrating NTD programs in sub-Saharan Africa. Trends Parasitol 22 : 285–291. [Google Scholar]
  16. World Health Organization, 2006. Preventive Chemotherapy in Human Helminthiasis: Coordinated Use of Anthelminthic Drugs in Control Interventions; A Manual for Health Professionals and Programme Managers. Geneva: World Health Organization.

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  • Received : 06 Jul 2007
  • Accepted : 25 Oct 2007

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