{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T12:18:34Z","timestamp":1763468314251},"reference-count":13,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,3,2]]},"abstract":"<jats:p>The recent outbreak of Ebola virus disease (EVD) interrupted mass drug administration (MDA) programs to control and eliminate neglected tropical diseases in Liberia. MDA programs treat entire communities with medication regardless of infection status to interrupt transmission and eliminate lymphatic filariasis and onchocerciasis. Following reports of hostilities toward health workers and fear that they might be spreading EVD, it was important to determine whether attitudes toward MDA might have changed after the outbreak. We surveyed 140 community leaders from 32 villages in Lofa County, Liberia, that had previously participated in MDA and are located in an area that was an early epicenter of the EVD outbreak. Survey respondents reported a high degree of community trust in the MDA program, and 97% thought their communities were ready to resume MDA. However, respondents predicted that fewer people would comply with MDA after the EVD epidemic than before. The survey also uncovered fears in the community that EVD and MDA might be linked. Respondents suggested that MDA programs emphasize to people that the medications are identical to those previously distributed and that MDA programs have nothing to do with EVD.<\/jats:p>","DOI":"10.4269\/ajtmh.15-0591","type":"journal-article","created":{"date-parts":[[2015,12,15]],"date-time":"2015-12-15T01:55:12Z","timestamp":1450144512000},"page":"497-503","source":"Crossref","is-referenced-by-count":14,"title":["Community Attitudes Toward Mass Drug Administration for Control and Elimination of Neglected Tropical Diseases After the 2014 Outbreak of Ebola Virus Disease in Lofa County, Liberia"],"prefix":"10.4269","volume":"94","author":[{"given":"Joshua","family":"Bogus","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lincoln","family":"Gankpala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerstin","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Krentel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary J.","family":"Weil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter U.","family":"Fischer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karsor","family":"Kollie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatorma K.","family":"Bolay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"year":"2011","series-title":"Essential Package of Health Services. Primary Care: The Community Health System. Phase One","author":"Ministry of Health and Social Welfare Republic of Liberia","key":"ref1"},{"year":"2015","series-title":"Filarial Programmes Support Unit Newsletter, July","author":"Filarial Programmes Support Unit","key":"ref2"},{"year":"2015","series-title":"Liberia: A Country and Its Capital Are Overwhelmed with Ebola Cases","author":"World Health Organization","key":"ref3"},{"key":"ref4","series-title":"MMWR","first-page":"1067","article-title":"Evidence for a decrease in transmission of Ebola virus\u2014Lofa County, Liberia, June 8\u2013November 1, 2014","volume":"63","author":"Sharma","year":"2014"},{"year":"2015","series-title":"Liberia Ebola Daily Sitrep No. 301 for 12th March 2015","author":"Liberia Ministry of Health and Social Welfare","key":"ref5"},{"key":"ref6","series-title":"Lancet Infect Dis","first-page":"825","article-title":"Malaria morbidity and mortality in Ebola-affected countries caused by decreased health-care capacity, and the potential effect of mitigation strategies: a modelling analysis","volume":"15","author":"Walker","year":"2015"},{"key":"ref7","series-title":"New York Times","article-title":"Fear of Ebola Breeds a Terror of Physicians","author":"Nossiter","year":"2014"},{"key":"ref8","series-title":"Reuters UK","article-title":"As Ebola Stalks West Africa, Medics Fight Mistrust, Hostility","author":"Samb","year":"2014"},{"article-title":"Focal Distribution of Lymphatic Filariasis and Other Helminthic Infections in Liberia. Abstract 1039","year":"2013","author":"Gankpala","key":"ref9"},{"key":"ref10","series-title":"Ann Trop Med Parasitol","first-page":"77","article-title":"Community-directed treatment: the way forward to eliminating lymphatic filariasis as a public-health problem in Ghana","volume":"95","author":"Gyapong","year":"2001"},{"key":"ref11","series-title":"Bull World Health Organ","first-page":"509","article-title":"Community-directed interventions for priority health problems in Africa: results of a multicountry study","volume":"88","author":"The CDI Study Group","year":"2010"},{"key":"ref12","series-title":"Health Policy Plan","first-page":"384","article-title":"Causal chain mapping: a novel method to analyse treatment compliance decisions relating to lymphatic filariasis elimination in Alor, Indonesia","volume":"27","author":"Krentel","year":"2012"},{"year":"2015","series-title":"Community Perspectives about Ebola in Bong, Lofa and Montserrado Counties of Liberia: Results of a Qualitative Study","author":"USAID","key":"ref13"}],"container-title":["The American Society of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/94\/3\/article-p497.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/94\/3\/article-p497.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/94\/3\/article-p497.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:12:36Z","timestamp":1723068756000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/94\/3\/article-p497.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,2]]},"references-count":13,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.15-0591","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"type":"print","value":"0002-9637"},{"type":"electronic","value":"1476-1645"}],"subject":[],"published":{"date-parts":[[2016,3,2]]}}}