{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:20:16Z","timestamp":1787678416065,"version":"build-2784847793"},"reference-count":25,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["public health action"],"accepted":{"date-parts":[[2026,6,30]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Evidence on the implementation of morbidity management and disability prevention (MMDP) remains limited in India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>To assess characteristics of persons with lymphatic filariasis (PwLF) registered for MMDP services from 2023 to 2025 and factors associated with regular receipt of services, the quality of MMDP services at designated health facilities, and barriers and facilitators to MMDP services in Gorakhpur district.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODOLOGY<\/jats:title>\n                    <jats:p>An explanatory mixed-methods study. The quantitative component involved cohort review of routine programme data from 16 public health facilities and cross-sectional quality assessment of 10 health facilities using WHO Direct Inspection Protocol. The qualitative component involved interviews and focus group discussions with beneficiaries, programme staff, and frontline workers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Out of the 946 registered PwLF, 811 were eligible to receive annual MMDP services, of which only 172 (21.4%) regularly received it. Patients with stage III or higher lymphoedema were twice as likely to regularly receive the annual services. All facilities assessed provided either suboptimal or poor-quality services, with gaps in availability of guidelines, supplies, and staff knowledge. Key barriers included supply interruptions, stigma, travel costs, and staff workload while community health workers facilitated follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>MMDP services continuity and quality remain suboptimal, requiring strengthened supply chains, provider capacity, and community-based follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5588\/pha.26.0047","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:24:26Z","timestamp":1787675066000},"page":"257-264","source":"Crossref","is-referenced-by-count":0,"title":["Assessing morbidity management and disability prevention for lymphatic filariasis in India"],"prefix":"10.5588","volume":"16","author":[{"given":"M.A.","family":"Bashar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.C.","family":"Prajitha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3554","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"key":"2026082509241804000_16.3.257.1","unstructured":"World Health Organisation . Lymphatic filariasis [Internet]. Geneva: World Health Organization, 2024. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/lymphatic-filariasis. (Accessed 10 July 2025)."},{"key":"2026082509241804000_16.3.257.2","unstructured":"National Center for Vector Borne Diseases Control (NCVBDC) . Magnitude of lymphatic filariasis [Internet]. New Delhi, India: NCVBDC, 2025. https:\/\/ncvbdc.mohfw.gov.in\/index4.php?lang=1&level=0&linkid=455&lid=3732."},{"key":"2026082509241804000_16.3.257.3","unstructured":"National Center for Vector Borne Diseases Control (NCVBDC) . Filaria. New Delhi, India: NCVBDC, 2025. https:\/\/ncvbdc.mohfw.gov.in\/index1.php?lang=1&level=1&sublinkid=5777&lid=3691."},{"key":"2026082509241804000_16.3.257.4","unstructured":"World Health Organization . Global Programme to Eliminate Lymphatic filariasis. Geneva: World Health Organization, 2025. https:\/\/www.who.int\/teams\/control-of-neglected-tropical-diseases\/lymphatic-filariasis\/global-programme-to-eliminate-lymphatic-filariasis. (Accessed 10 July 2025)."},{"key":"2026082509241804000_16.3.257.5","unstructured":"Ministry of Health and Family Welfare . Elimination of lymphatic filariasis. National Center for Vector Borne Diseases Control (NCVBDC). New Delhi, India: National Center for Vector Borne Diseases Control (NCVBDC), Ministry of Health & Family Welfare, Government of India, 2025. https:\/\/ncvbdc.mohfw.gov.in\/index4.php?lang=1&level=0&linkid=461&lid=3739. (Accessed 10 July 2025)."},{"key":"2026082509241804000_16.3.257.6","unstructured":"National Vector Borne Disease Control Programme (NVBDCP) . National guidelines on elimination of lymphatic filariasis in India. New Delhi, India: NVBDCP, 2024."},{"issue":"3","key":"2026082509241804000_16.3.257.7","first-page":"413","article-title":"The effect of hygiene-based lymphedema management on lymphatic filariasis-related morbidity","volume":"93","author":"Stocks","year":"2015","journal-title":"Am J Trop Med Hyg"},{"issue":"3","key":"2026082509241804000_16.3.257.8","first-page":"232","article-title":"Lymphatic filariasis in India: epidemiology and control measures","volume":"52","author":"Babu","year":"2006","journal-title":"J Postgrad Med"},{"issue":"12","key":"2026082509241804000_16.3.257.9","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1093\/trstmh\/traa064","article-title":"Developing consensus of evidence to target case finding surveys for podoconiosis: a potentially forgotten disease in India","volume":"114","author":"Simpson","year":"2020","journal-title":"Trans R Soc Trop Med Hyg"},{"issue":"1","key":"2026082509241804000_16.3.257.10","first-page":"90","article-title":"Role of National Filaria Control Programme (NFCP) units in elimination of lymphatic filariasis in UttarPradesh, India","volume":"54","author":"Kamal","year":"2022","journal-title":"J Commun Dis"},{"issue":"12","key":"2026082509241804000_16.3.257.11","first-page":"2303","article-title":"An epidemiological study of lymphatic filariasis in Gorakhpur district of Uttar Pradesh","volume":"12","author":"Singh","year":"2024","journal-title":"Int J All Res Educ Sci Methods"},{"key":"2026082509241804000_16.3.257.12","unstructured":"Creswell JW . Research design: qualitative, quantitative, and mixed methods approaches. 3rd ed. Thousand Oaks, CA: Sage Publications, 2009."},{"key":"2026082509241804000_16.3.257.13","unstructured":"Government of Uttar Pradesh . Social demography. Uttar Pradesh, India: Government of Uttar Pradesh, 2025. https:\/\/up.gov.in\/en\/page\/social-demography. (Accessed 11 July 2025)."},{"key":"2026082509241804000_16.3.257.14","unstructured":"National Centre for Disease Control . Varanasi branch. New Delhi, India: National Centre for Disease Control, 2024. https:\/\/ncdc.mohfw.gov.in\/varanasi-branch\/. (Accessed 11 July 2025)."},{"key":"2026082509241804000_16.3.257.15","unstructured":"District Gorakhpur . At a glance. Uttar Pradesh, India: Government of Uttar Pradesh, 2024. https:\/\/gorakhpur.nic.in\/at-a-glance\/. (Accessed 11 July 2025)."},{"key":"2026082509241804000_16.3.257.16","unstructured":"World Health Organization . 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