{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:56:30Z","timestamp":1759366590823,"version":"build-2065373602"},"reference-count":21,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","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":[[2025,10,1]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>The Global Program to Eliminate Lymphatic Filariasis (LF) aims to eliminate transmission through mass drug administration (MDA) and manage LF disease through morbidity management and disability prevention (MMDP). In this study, surveys on awareness and access to MMDP and quality of life (QoL) among lower limb LF cases in a censused population in two post-MDA districts in Tamil Nadu were conducted. The prevalence of lower limb LF was 0.11% (165\/147,871), with 57.6% in reversible stage 1 and 2 categories, 36.4% in stage 3, and 6.1% in stage 4 and above. Among them, 22.4% reported health worker visits, 11.5% were aware of MMDP camps, and 36.4% received MMDP kits. The life activity (mean score: 48.5; SD: 27.3) and mobility (41.2; 24.2) domains exhibited the poorest QoL scores. In post-MDA districts, strengthening the reach and awareness of MMDP programs in communities, especially for early, reversible stages, is pivotal to halting disease progression and improving QoL.<\/jats:p>","DOI":"10.4269\/ajtmh.25-0180","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T14:24:51Z","timestamp":1754403891000},"page":"839-843","source":"Crossref","is-referenced-by-count":0,"title":["Access and Awareness of Morbidity Management and Disability Prevention for Lower Limb Lymphatic Filariasis in Post-Mass Drug Administration Districts in Southern India"],"prefix":"10.4269","volume":"113","author":[{"given":"Anjali","family":"Jog","sequence":"first","affiliation":[{"name":"The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arpitha Anbu","family":"Deborah","sequence":"additional","affiliation":[{"name":"The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohan Michael","family":"Ramesh","sequence":"additional","affiliation":[{"name":"The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kumudha","family":"Aruldas","sequence":"additional","affiliation":[{"name":"The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuvaraj","family":"Baskaran","sequence":"additional","affiliation":[{"name":"The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judd L.","family":"Walson","sequence":"additional","affiliation":[{"name":"Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suma","family":"Krishnasastry","sequence":"additional","affiliation":[{"name":"WHO Collaborating Centre for Lymphatic Filariasis Morbidity Management and Disability Prevention, Department of Internal Medicine, Govt. T. D. Medical College Hospital, Kerala University of Health Sciences, Alappuzha, Kerala, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sitara Swarna Rao","family":"Ajjampur","sequence":"additional","affiliation":[{"name":"The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, Tamil Nadu, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Gates Open Res","first-page":"1538","article-title":"The roadmap towards elimination of lymphatic filariasis by 2030: Insights from quantitative and mathematical modelling","volume":"3","year":"2019"},{"year":"2023","series-title":"Newsletter on Lymphatic Filariasis","key":"b2"},{"key":"b3","series-title":"Indian J Public Health","first-page":"345","article-title":"Eliminating lymphatic filariasis: India\u2019s bold plan to finish 3 years ahead of global 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2019)","volume":"18","author":"Dutta","year":"2023"},{"key":"b17","series-title":"Trop Med Int Health","first-page":"763","article-title":"Efficacy and sustainability of a footcare programme in preventing acute attacks of adenolymphangitis in Brugian filariasis","volume":"7","author":"Suma","year":"2002"},{"year":"2003","key":"b18","article-title":"Learner\u2019s Guide: Training Module on Community Home-Based Prevention of Disability Due to Lymphatic Filariasis."},{"key":"b19","series-title":"ScientificWorldJournal","first-page":"372618","article-title":"Issues in delivering morbidity management for lymphatic filariasis elimination: A study in Pondicherry, South India","volume":"2012","author":"Kumari","year":"2012"},{"key":"b20","series-title":"PLoS Negl Trop Dis","first-page":"e2100","article-title":"Impact of community-based lymphedema management on perceived disability among patients with lymphatic filariasis in Orissa State, 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