Research Article
Report of the 2015 Malawi Trachoma Mass Drug Administration (Mda) Coverage Survey in 9 Districts
Kalua Khumbo, Balakasi Salomie, Chisambi Alvin, Kanjado Thomas, Michael Masika, Singano Ranneck and Moyo George
Correspondence Address :
Moyo George
BSc.Optom
MPH-CEH (University of Cape Town)
LVFP (Hong
Kong) BICO
Malawi
Africa
Tel: +265992671965
Email: george.moyo@ymail.com
Received on: October 31, 2016 , Accepted on: November 20, 2016 , Published on: December 15, 2016
Citation: Kalua Khumbo, Balakasi Salomie, Chisambi Alvin, et al. (2016). REPORT OF THE 2015 MALAWI TRACHOMA MASS DRUG ADMINISTRATION (MDA) COVERAGE SURVEY IN 9 DISTRICTS.
Copyright: 2016 Moyo George, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
For Mass Drug administration(MDA), whereas it is recommended that at-least 85% coverage in a district is the optimal figure that needs to be reached for an MDA to be consider successful, standard trachoma drug coverage surveys only require 80%, as the cut off line to determine whether MDA was adequately done [1].Coverage surveys were conducted between November and December 2015 in 9 of the 13 districts (Nsanje, Zomba, Machinga, Mwanza, Neno, Ntcheu, Lilongwe East, Dowa and Ntchisi) that implemented MDA in 2015. Surveys were not conducted in Kasungu, Nkhotakota, Salima and Lilongwe West.
The results indicate that 6 out of the 9 districts (Nsanje, Zomba, Mwanza, Neno, Ntcheu and Lilongwe east) had achieved the required coverage of at least 80% during the MDA [2]. Four districts (Machinga, Dowa and Ntchis and Nsanje) failed to reach the desired coverage. It may be argued that Nsanje reached this, as the percentage was 79.8% and was rounded up to 80%.
The Main reason for low coverage was attributed to delayed drug distribution, wrong population projections, shortage of in-country supplies of Zithromax, and maldistribution of Zithromax within districts.