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Filaria Journal

Source: www.filariasis.net
Topic: Filariasis
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Sort Desciption: Bio Med Central of 7 (page number not for citation purposes) Filaria Journal Open Access Research Qualitative analysis of the impact of a lymphatic filariasis elimination programme using mass drug administration on ...

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Bio Med Central of 7 (page number not for citation purposes) Filaria Journal Open Access Research Qualitative analysis of the impact of a lymphatic filariasis elimination programme using mass drug administration on Misima Island, Papua New Guinea Shona Wynd 1 , Jaime Carron 2 , Billy Selve 3 , Peter A Leggat 1 , Wayne Melrose 1 and David N Durrheim* 1,4 Address: 1 World Health Organization Collaborating Centre for the Control of Lymphatic Filariasis, James Cook University, Douglas, Townsville, 4811, Australia, 2 United Nations Development Programmeme, Maseru, Lesotho, 3 Divine Word University, Madang, Papua New Guinea and 4 Hunter New England Population Health, Locked Bag 10, Wallsend, 2287, Australia Email: Shona Wynd shona-wynd@jcu.edu.au; Jaime Carron jcarron3@hotmail.com; Billy Selve billy_selve@placerdome.com; Peter A Leggat Peter.Leggat@jcu.edu.au; Wayne Melrose wayne.melrose@jcu.edu.au; David N Durrheim* David.Durrheim@jcu.edu.au * Corresponding author Abstract Background: Papua New Guinea is the only endemic country in the Western Pacific Region that has not yet introduced a countrywide programme to eliminate lymphatic filariasis. However, on Misima Island in Milne Bay Province, government and private sectors have collaborated to implement a pilot elimination programme. Although interim evaluation indicated that the programme has been parasitologically successful, an appreciation that sustainable health gains depend on understanding and accommodating local beliefs prompted this qualitative study. Methods: We investigated Misima community members knowledge and attitudes about lymphatic filariasis and the elimination programme. A combination of focus groups and key informant interviews were used to explore participants perceptions of health; knowledge of the aetiology and symptoms of filariasis, elephantiasis and hydrocele; attitudes towards the disease and mass drug distribution; and the social structure and decision-making protocols within ...

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