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Does mass drug administration for community-based scabies control works? The experience in Ethiopia

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dc.contributor.author Enbiale, W. en_US
dc.contributor.author Ayalew, A. en_US
dc.contributor.author Gebrehiwot, T. en_US
dc.contributor.author Mulu, Y. en_US
dc.contributor.author Azage, M. en_US
dc.contributor.author Zachariah, R. en_US
dc.contributor.author Romani, L. en_US
dc.contributor.author Verdonck, K. en_US
dc.contributor.author van Griensven, J. en_US
dc.contributor.author de Vries, H.J. en_US
dc.date.accessioned 2020-08-25T09:57:10Z
dc.date.available 2020-08-25T09:57:10Z
dc.date.issued 2020 en_US
dc.identifier.issn 1972-2680 en_US
dc.identifier.doi http://dx.doi.org/10.3855/jidc.11892 en_US
dc.identifier.other ITG-H8A; ITG-C9A; MULTI; DPH; U-ECTD; DCS; U-HIVNTD; JIF; DOI; CPDF; Abstract; ITMPUB; DSPACE68 en_US
dc.identifier.uri http://hdl.handle.net/10390/11163
dc.description.abstract INTRODUCTION: After a scabies outbreak in Amhara Region, Ethiopia in 2015/2016, the Regional Health Bureau performed an extensive Mass Drug Administration (MDA). In May 2017, we collected data to assess the impact of the treatment on the scabies control. METHODOLOGY: We retrieved baseline data from the 2015/16 burden assessment: campaign organization and administration information. We did a community based cross-sectional study using a structured questionnaire on disease and treatment history plus the presence or absence of active scabies in three Zones. We selected households using stratified random sampling deployed 7581 questionnaires and performed key informant interviews. RESULTS: 46.3% had a previous scabies diagnosis in the last 2 years of which 86.1% received treatment, and the cure rate was 90.6%. Fifteen months after intervention the scabies prevalence was 21.0 % (67.3% new cases and 32.7% recurrences). The highest burden of new cases (93.1%) was found in the North Gondar zone. The likelihood of treatment failure was higher for treatments offered in clinics (12.2%) as opposed to via the campaign (7.9%). Failure to follow the guidelines, shortage of medicine and lack of leadership prioritization were identified as reasons for resurgence of the disease. CONCLUSIONS: We demonstrated that community engagement is essential in the success of scabies MDA, alongside strong political commitment, and guideline adherence. Effectiveness and sustainability of the MDA was compromised by the failing of proper contact treatment, surveillance and case management. en_US
dc.language English en_US
dc.relation.uri http://www.ncbi.nlm.nih.gov/pubmed/32614801 en_US
dc.subject Scabies en_US
dc.subject Control en_US
dc.subject Mass drug therapy en_US
dc.subject Ethiopia en_US
dc.subject Africa-East en_US
dc.title Does mass drug administration for community-based scabies control works? The experience in Ethiopia en_US
dc.type Article en_US
dc.citation.issue 6.1 en_US
dc.citation.jtitle Journal of Infection in Developing Countries en_US
dc.citation.volume 14 en_US
dc.citation.pages 78S-85S en_US
dc.citation.abbreviation J Infect Dev Ctries en_US


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