Evidence map›Paper›PMID 35024476›Full record

ArticleParasite epidemiology and control2022

Mass drug administration targeting

Francis Adjei Osei, Sam Newton, Isaac Nyanor, Eugene Osei-Yeboah, Evans Xorse Amuzu, Nicholas Karikari Mensah, Obed Ofori Nyarko, Ernest Amanor, Stephanie Boadi, Ophebia Asare and 4 more

Open access · goldAbstract read
In one paragraph

Article in Parasite epidemiology and control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Francis Adjei OseiDepartment of Global Health, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Sam NewtonDepartment of Global Health, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Isaac NyanorKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Eugene Osei-YeboahGhana Health Service, Ghana.
Evans Xorse AmuzuKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Nicholas Karikari MensahKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Obed Ofori NyarkoKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Ernest AmanorKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Stephanie BoadiKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Ophebia AsareDepartment of Global Health, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Samuel Frimpong OdoomKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Peter FuruDepartment of Public Health, Global Health Section, University of Copenhagen, Denmark.
Ellis Owusu-DaboDepartment of Global Health, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Dan Wolf MeyrowitschDepartment of Public Health, Global Health Section, University of Copenhagen, Denmark.
Komfo Anokye Teaching Hospital · GHKwame Nkrumah University of Science and Technology · GHUniversity of Copenhagen · DKGhana Health Service · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAchieving high Mass Drug Administration (MDA) coverage and drug uptake are pivotal in the efforts to eradicate onchocerciasis. The present study investigated the extent and predictors of ivermectin MDA coverage and uptake from the individual and healthcare providers' perspectives. The extent of ivermectin distribution and uptake, and the predictors of distribution and uptake were investigated in endemic communities in the Ashanti Region of Ghana.

methodsA cross-sectional survey was conducted from August to October 2019 in communities within the Atwima Nwabiagya North District. A total of 2008 respondents were interviewed. Data was collected with REDCap mobile App which had an electronic version of the structured questionnaire. Descriptive data was presented in frequency tables, and bivariate and multivariate logistics regression analysis were performed to measure the associations between exposure variables and outcome variables which were received and uptake of MDA drugs.

resultsA total of 1284 (63.9%) respondents did not receive ivermectin during the 2019 MDA programme and more than half of them were not aware of the drug distribution (53.3%). The most common reasons for not ingesting the drug were fear of side effects (47.7%) and not trusting the drug distributors (20.0%). Respondents in the age group 48-57 years (AOR = 1.37; 95%CI: 1.01-2.67), Persons in the high wealth index (AOR = 1.40; 95%CI: 1.11-1.77), Being aware of the MDA programme (AOR = 6.67: 95%CI: 4.76-9.35), MDA being beneficial (AOR = 2.12; 95%CI: 1.54-2.92) participating in previous MDA (AOR = 5.44; 95%CI: 4.25-6.98) and having stayed in the communities for 10 years and above significantly increased the odds of receiving MDA drugs. Previous uptake of MDA drugs (AOR = 10.58; 95%CI: 5.78-19.38) and perception of the MDA drug as beneficial (AOR = 5.25; 95%CI: 2.55-10.82) increased the likelihood of ingesting drugs when received.

conclusionThe main health system challenge was limited awareness creation regarding MDA. This seems to affect the optimal utilization of the ivermectin MDA intervention. MDA programmes against onchocerciasis eradication should be designed taking into account specific contextual factors to improve implementation outcomes.

Indexed as

AEFI, Adverse Events Following ImmunizationAOR, Adjusted Odds RatioCDD, Community Drug DistributorCDTI, Community-Directed Treatment With IvermectinCI, Confidence IntervalGhanaIvermectinMass drug administrationMDA, Mass Drug AdministrationOnchocerciasis

Identifiers

PMID35024476
PMCPMC8733227
OpenAlexW4200293506

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.