{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T17:08:01Z","timestamp":1784740081312,"version":"3.55.0"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty","doi-asserted-by":"crossref","award":["D43TW008652"],"award-info":[{"award-number":["D43TW008652"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"crossref"}]},{"name":"End fund through Helen Keller International"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Onchocerciasis is still endemic and requiring Mass drug administration (MDA). In Mali, despite more than 15 rounds of treatment, community perception and adherence depend critically on awareness of the disease. This study aimed to assess awareness and knowledge gaps in the context of long-term MDA exposure assess in endemic communities receiving ivermectin MDA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted in the health districts (HD) of Dioila, Kati, K\u00e9ni\u00e9ba, S\u00e9f\u00e9to and S\u00e9lingu\u00e9 in Mali after 2020 ivermectin MDA distribution. The survey involved 12,663 individuals from 2,357 households. Data on knowledge, attitudes, and reasons for drug acceptance were collected using the ODK platform and analyzed with SPSS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among those who swallowed ivermectin, the primary reasons were to avoid contracting the disease 45.2% (2,689\/5952) or to stay healthy 44.0% (2,619\/5952), with significant differences across districts (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Awareness of onchocerciasis was high overall (95.6%), ranging from 89% in K\u00e9ni\u00e9ba to 99.6% in S\u00e9lingu\u00e9 (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). However, knowledge of the mode of transmission was poor: only 32.1% (724\/2254) knew it was transmitted by black flies, with the lowest rates in Kati (19.6%) and S\u00e9lingu\u00e9 (20.9%). Knowledge of the existence of treatment varied from 45.3% in Kati to 96.2% in S\u00e9lingu\u00e9 (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), but among those who aware, correct identification of ivermectin as the treatment was high (96.9%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While awareness of onchocerciasis as a disease is high in most districts after 15\u202f+\u202fMDA rounds, critical knowledge gaps persist regarding transmission and treatment purpose. Many individuals take ivermectin for general health or due to instruction rather than specific prevention. Targeted health education to explain transmission and the rationale for MDA is needed to sustain adherence and progress toward elimination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1858711","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T16:55:33Z","timestamp":1784739333000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Awareness gaps of onchocerciasis in endemic Health district of K\u00e9ni\u00e9ba, S\u00e9f\u00e9to, Dioila, Kati and Selingu\u00e9 in 2021: cross - sectional study in Mali"],"prefix":"10.3389","volume":"14","author":[{"given":"Housseini","family":"Dolo","sequence":"first","affiliation":[{"name":"Laboratory of Public Health, Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technologies of Bamako","place":["Bamako, Mali"]},{"name":"Neglected Tropical Diseases Training and Research Unit, International Center of Excellence in Research","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaya Ibrahim","family":"Coulibaly","sequence":"additional","affiliation":[{"name":"Neglected Tropical Diseases Training and Research Unit, International Center of Excellence in Research","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahamoud Mahamadou","family":"Koureichi","sequence":"additional","affiliation":[{"name":"Neglected Tropical Diseases Training and Research Unit, International Center of Excellence in Research","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yacouba","family":"Sangar\u00e9","sequence":"additional","affiliation":[{"name":"National Onchocerciasis Control Program, General Directorate for Health and Public Hygiene","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boubacar","family":"Guindo","sequence":"additional","affiliation":[{"name":"Helen Keller International","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mama Niele","family":"Doumbia","sequence":"additional","affiliation":[{"name":"Helen Keller International","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Modibo","family":"Keita","sequence":"additional","affiliation":[{"name":"Helen Keller International","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moussa","family":"Sangare","sequence":"additional","affiliation":[{"name":"Neglected Tropical Diseases Training and Research Unit, International Center of Excellence in Research","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siaka Yamoussa","family":"Coulibaly","sequence":"additional","affiliation":[{"name":"Neglected Tropical Diseases Training and Research Unit, International Center of Excellence in Research","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salif Seriba","family":"Doumbia","sequence":"additional","affiliation":[{"name":"Neglected Tropical Diseases Training and Research Unit, International Center of Excellence in Research","place":["Bamako, Mali"]},{"name":"National Onchocerciasis Control Program, General Directorate for Health and Public Hygiene","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seydou","family":"Doumbia","sequence":"additional","affiliation":[{"name":"Laboratory of Public Health, Faculty of Medicine and Odontostomatology, University of Sciences, Techniques and Technologies of Bamako","place":["Bamako, Mali"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas B.","family":"Nutman","sequence":"additional","affiliation":[{"name":"Laboratory of Parasitic Diseases, National Institute of Health","place":["Bethesda, MD, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/j.actatropica.2009.03.007","article-title":"The elimination of the onchocerciasis vector from the island of Bioko as a result of larviciding by the WHO African Programme for onchocerciasis control","volume":"111","author":"Traor\u00e9","year":"2009","journal-title":"Acta Trop"},{"key":"ref2","volume-title":"Working to Overcome the Global Impact of Neglected Tropical Diseases: First WHO Report on Neglected Tropical Diseases","author":"Daumerie","year":"2010"},{"key":"ref3","first-page":"702","volume-title":"Onchocerciasis and its Control: Report of a WHO Expert Committee on Onchocerciasis 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