{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T19:18:45Z","timestamp":1785093525638,"version":"3.55.0"},"reference-count":43,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2015,3,19]],"date-time":"2015-03-19T00:00:00Z","timestamp":1426723200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Biosoc. Sci."],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Lymphatic filariasis is one of several neglected tropical diseases with severely disabling and stigmatizing manifestations that are referred to as \u2018neglected diseases of poverty\u2019. It is a mosquito-borne disease found endemically and exclusively in low-income contexts where, concomitantly, general public health care is often deeply troubled and fails to meet the basic health needs of impoverished populations. This presents particular challenges for the implementation of mass drug administration (MDA), which currently is the principal means of control and eventual elimination. Several MDA programmes face the dilemma that they are unable to attain and maintain the required drug coverage across target groups. In recognition of this, a qualitative study was conducted in the Morogoro and Lindi regions of Tanzania to gain an understanding of community experiences with, and perceptions of, the MDA campaign implemented in 2011 by the National Lymphatic Filariasis Elimination Programme. The study revealed a wide variation of perceptions and experiences regarding the aim, rationale and justification of MDA. There were positive sentiments about the usefulness of the drugs, but many study participants were sceptical about the manner in which MDA is implemented. People were particularly disappointed with the limited attempts by implementers to share information and mobilize residents. In addition, negative sentiments towards MDA for lymphatic filariasis reflected a general feeling of desertion and marginalization by the health care system and political authorities. However, the results suggest that if the communities are brought on board with genuine respect for their integrity and informed self-determination, there is scope for major improvements in community support for MDA-based control activities.<\/jats:p>","DOI":"10.1017\/s0021932015000024","type":"journal-article","created":{"date-parts":[[2015,3,19]],"date-time":"2015-03-19T13:55:49Z","timestamp":1426773349000},"page":"94-112","source":"Crossref","is-referenced-by-count":28,"title":["COMMUNITY MEMBERS' PERCEPTIONS OF MASS DRUG ADMINISTRATION FOR CONTROL OF LYMPHATIC FILARIASIS IN RURAL AND URBAN TANZANIA"],"prefix":"10.1017","volume":"48","author":[{"given":"WILLIAM J.","family":"KISOKA","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BRITT PINKOWSKY","family":"TERSB\u00d8L","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DAN W.","family":"MEYROWITSCH","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"PAUL E.","family":"SIMONSEN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DECLARE L.","family":"MUSHI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,3,19]]},"reference":[{"key":"S0021932015000024_ref43","unstructured":"WHO (2013) Lymphatic Filariasis: Managing Morbidity and Preventing Disability. World Health Organization, Geneva."},{"key":"S0021932015000024_ref33","doi-asserted-by":"publisher","DOI":"10.1111\/j.1548-1360.2012.01145.x"},{"key":"S0021932015000024_ref42","unstructured":"WHO (2011) Monitoring and Epidemiological Assessment of Mass Drug Administration in the Global Programme to Eliminate Lymphatic Filariasis. A Manual for National Elimination Programmes. World Health Organization, Geneva."},{"key":"S0021932015000024_ref31","doi-asserted-by":"publisher","DOI":"10.1179\/136485905X29675"},{"key":"S0021932015000024_ref25","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0048395"},{"key":"S0021932015000024_ref23","first-page":"116","article-title":"Community-directed approach beyond ivermectin in Tanzania: a promising mechanism for the delivery of complex intervention","volume":"11","author":"Mutalemwa","year":"2009","journal-title":"Tanzanian Journal of Health Research"},{"key":"S0021932015000024_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2008.05.023"},{"key":"S0021932015000024_ref15","doi-asserted-by":"crossref","first-page":"480","DOI":"10.4269\/ajtmh.2008.79.480","article-title":"Determinants of success in national programs to eliminate lymphatic filariasis: a perspective identifying essential elements and research needs","volume":"79","author":"Kyelem","year":"2008","journal-title":"American Journal of Tropical Medicine and Hygiene"},{"key":"S0021932015000024_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/0001-706X(95)00126-Y"},{"key":"S0021932015000024_ref26","first-page":"1","article-title":"Compliance to mass drug administration for lymphatic filariasis elimination by community members and volunteers in the Ahanta west district, Ghana","volume":"5","author":"Offei","year":"2014","journal-title":"Journal of Bacteriology and Parasitology"},{"key":"S0021932015000024_ref39","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-7020-5101-2.00055-8"},{"key":"S0021932015000024_ref6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0000640"},{"key":"S0021932015000024_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/1756-3305-3-70"},{"key":"S0021932015000024_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.pt.2012.03.002"},{"key":"S0021932015000024_ref29","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1016\/S0140-6736(12)60159-7","article-title":"Will increased funding for neglected tropical diseases really make poverty history?","volume":"379","author":"Parker","year":"2012","journal-title":"The Lancet"},{"key":"S0021932015000024_ref24","unstructured":"NBS (2013) Population and Housing Census 2012. Volume I. Population Distribution by Administrative Units. National Bureau of Statistics, Tanzania."},{"key":"S0021932015000024_ref19","doi-asserted-by":"publisher","DOI":"10.1080\/01459740.2012.693441"},{"key":"S0021932015000024_ref20","doi-asserted-by":"publisher","DOI":"10.1080\/00034983.1995.11812999"},{"key":"S0021932015000024_ref41","unstructured":"WHO (2010) Global Programme to Eliminate Lymphatic Filariasis. Progress Report 2000\u20132009 and Strategic Plan 2010\u20132020. World Health Organization, Geneva."},{"key":"S0021932015000024_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/S0065-308X(05)61010-X"},{"key":"S0021932015000024_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2006.09.002"},{"key":"S0021932015000024_ref14","volume-title":"Interviews: An Introduction to Qualitative Research Interviewing","author":"Kvale","year":"1996"},{"key":"S0021932015000024_ref34","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-67"},{"key":"S0021932015000024_ref7","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.09.069203"},{"key":"S0021932015000024_ref22","first-page":"159","volume-title":"Health and Disease in Tanzania","author":"Minjas","year":"1991"},{"key":"S0021932015000024_ref1","doi-asserted-by":"publisher","DOI":"10.1080\/01436597.2011.543816"},{"key":"S0021932015000024_ref2","doi-asserted-by":"publisher","DOI":"10.1186\/1756-3305-1-14"},{"key":"S0021932015000024_ref32","doi-asserted-by":"publisher","DOI":"10.1080\/17530350.2011.535334"},{"key":"S0021932015000024_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"S0021932015000024_ref10","doi-asserted-by":"publisher","DOI":"10.1517\/14656566.6.2.179"},{"key":"S0021932015000024_ref37","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0000696"},{"key":"S0021932015000024_ref36","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2002.66.550"},{"key":"S0021932015000024_ref38","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-13-335"},{"key":"S0021932015000024_ref16","doi-asserted-by":"publisher","DOI":"10.1080\/00034983.1981.11687461"},{"key":"S0021932015000024_ref40","doi-asserted-by":"crossref","first-page":"283","DOI":"10.4269\/ajtmh.2008.78.283","article-title":"Predictors of compliance in mass drug administration for the treatment and prevention of lymphatic filariasis in Leogane Haiti","volume":"78","author":"Talbot","year":"2008","journal-title":"American Journal of Tropical Medicine and Hygiene"},{"key":"S0021932015000024_ref17","first-page":"10","article-title":"Eliminating lymphatic filariasis; a progress report from Tanzania","volume":"4","author":"Malecela","year":"2009","journal-title":"Journal of Lymphoedema"},{"key":"S0021932015000024_ref28","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932007002301"},{"key":"S0021932015000024_ref11","first-page":"232","article-title":"Community directed interventions for malaria, tuberculosis and vitamin A in onchocerciasis endemic districts of Tanzania","volume":"10","author":"Kisinza","year":"2008","journal-title":"Tanzanian Journal of Health Research"},{"key":"S0021932015000024_ref30","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932012000466"},{"key":"S0021932015000024_ref13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0002447"},{"key":"S0021932015000024_ref18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0000332"},{"key":"S0021932015000024_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(04)00973-9"},{"key":"S0021932015000024_ref12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0109316"}],"container-title":["Journal of Biosocial Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0021932015000024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T23:10:13Z","timestamp":1555715413000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0021932015000024\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,19]]},"references-count":43,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["S0021932015000024"],"URL":"https:\/\/doi.org\/10.1017\/s0021932015000024","relation":{},"ISSN":["0021-9320","1469-7599"],"issn-type":[{"value":"0021-9320","type":"print"},{"value":"1469-7599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,19]]}}}