{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T22:21:46Z","timestamp":1793485306230,"version":"4.5.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Access to affordable, quality healthcare is the key element of universal health coverage (UHC). This study examines the effectiveness of the neglected tropical disease (NTD) mass drug administration (MDA) campaign approach as a means to deliver UHC, using the example of the Liberia national programme.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We first mapped the location of 3195 communities from the 2019 national MDA treatment data reporting record of Liberia. The association between coverage for onchocerciasis and lymphatic filariasis treatment achieved in these communities was then explored using a binomial geo-additive model. This model employed three key determinants for community \u2018remoteness\u2019: population density and the modelled travel time of communities to their supporting health facility and to their nearest major settlement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Maps produced highlight a small number of clusters of low treatment coverage in Liberia. Statistical analysis suggests there is a complex relationship between treatment coverage and geographic location.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>We accept the MDA campaign approach is a valid mechanism to reach geographically marginal communities and, as such, has the potential to deliver UHC. We recognise there are specific limitations requiring further study.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/inthealth\/ihad035","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T10:58:06Z","timestamp":1684234686000},"page":"283-292","source":"Crossref","is-referenced-by-count":2,"title":["Is the neglected tropical disease mass drug administration campaign approach an effective strategy to deliver universal health coverage? A case study of the Liberia neglected tropical disease programme"],"prefix":"10.1093","volume":"16","author":[{"given":"Andrew","family":"Tate","sequence":"first","affiliation":[{"name":"Sightsavers, 35 Perrymount Road, Haywards Heath , Sussex, RH16\u00a03BW , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karsor","family":"Kollie","sequence":"additional","affiliation":[{"name":"Director, Programme for Neglected Tropical Diseases , Monrovia , Liberia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Senyonjo","sequence":"additional","affiliation":[{"name":"Sightsavers, 35 Perrymount Road, Haywards Heath , Sussex, RH16\u00a03BW , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugh","family":"Sturrock","sequence":"additional","affiliation":[{"name":"Locational Analysis Ltd, Poole, Dorset BH16\u00a06FA , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phil","family":"Downs","sequence":"additional","affiliation":[{"name":"Sightsavers, 35 Perrymount Road, Haywards Heath , Sussex, RH16\u00a03BW , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Bush","sequence":"additional","affiliation":[{"name":"Director, Neglected Tropical Diseases, Sightsavers , P.O. Box KIA 18190, Airport, Accra , Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Bedell","sequence":"additional","affiliation":[{"name":"Liberia Country Office, Sightsavers , Monrovia , Liberia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Molyneux","sequence":"additional","affiliation":[{"name":"Department of Tropical Disease Biology, Liverpool School of Tropical Medicine , Pembroke Place, Liverpool L3\u00a05QA , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"key":"2024050112202170700_bib1","article-title":"Universal Health Coverage","author":"World Health Organization"},{"key":"2024050112202170700_bib2","author":"World Health Organization, World Bank","year":"2015","journal-title":"Tracking universal health coverage: the first global monitoring report"},{"key":"2024050112202170700_bib3","first-page":"1250","article-title":"Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume-title":"Lancet","author":"GBD 2019 Universal Health Coverage Collaborators","year":"2020"},{"key":"2024050112202170700_bib4","volume-title":"The Sustainable Development Goals Report 2020","author":"United Nations","year":"2020"},{"issue":"5","key":"2024050112202170700_bib5","doi-asserted-by":"crossref","first-page":"e0009373","DOI":"10.1371\/journal.pntd.0009373","article-title":"New global targets for NTDs in the WHO roadmap 2021\u20132030","volume":"15","author":"Casulli","year":"2001","journal-title":"PLoS Negl Trop Dis"},{"key":"2024050112202170700_bib6","author":"World Health Organization","year":"2015","journal-title":"Investing to overcome the global impact of neglected tropical diseases: third WHO report on neglected tropical diseases 2015"},{"key":"2024050112202170700_bib7","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s40249-017-0288-0","article-title":"The cross-cutting contribution of the end of neglected tropical diseases to the sustainable development goals","volume":"6","author":"Bangert","year":"2017","journal-title":"Infect Dis Poverty"},{"issue":"11","key":"2024050112202170700_bib8","doi-asserted-by":"crossref","first-page":"e0007847","DOI":"10.1371\/journal.pntd.0007847","article-title":"Neglected tropical diseases as a \u2018litmus test\u2019 for universal health coverage? 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