Predictors of Compliance in Mass Drug Administration for the Treatment and Prevention of Lymphatic Filariasis in Leogane, Haiti

Jeffrey T. Talbot Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Hopital Ste. Croix, Leogane, Haiti; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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Abigail Viall Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Hopital Ste. Croix, Leogane, Haiti; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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Abdel Direny Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Hopital Ste. Croix, Leogane, Haiti; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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Madsen Beau de Rochars Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Hopital Ste. Croix, Leogane, Haiti; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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David Addiss Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Hopital Ste. Croix, Leogane, Haiti; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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Thomas Streit Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Hopital Ste. Croix, Leogane, Haiti; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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Els Mathieu Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Hopital Ste. Croix, Leogane, Haiti; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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Patrick J. Lammie Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia; Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Hopital Ste. Croix, Leogane, Haiti; Center for Tropical Disease Research and Training, University of Notre Dame, Notre Dame, Indiana

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The global strategy for the elimination of lymphatic filariasis (LF) is based on annual mass drug administration (MDA) to interrupt transmission. Noncompliance with MDA represents a serious programmatic obstacle for the LF program because systematically noncompliant individuals may serve as a reservoir for the parasite and permit recrudescence of infection. Using a survey questionnaire concerning practices, beliefs, and attitudes towards MDA, we assessed differences between noncompliant individuals and compliant individuals in Leogane, Haiti (n = 367) after four years of treatment. A logistic regression model showed the odds of being noncompliant were significantly increased for women (odds ratio = 2.74, 95% confidence interval = 1.12–6.70), as well as for people who lacked knowledge about both LF and programs to eliminate infection. Public health programs should be designed to target people who are at risk for systematic noncompliance.

Author Notes

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