Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/7453
Full metadata record
DC FieldValueLanguage
dc.contributor.authorParker, M-
dc.contributor.authorAllen, T-
dc.date.accessioned2012-12-10T15:03:03Z-
dc.date.accessioned2013-05-31T13:25:23Z-
dc.date.available2013-05-31T13:25:23Z-
dc.date.issued2012-
dc.identifier.citationJournal of Biosocial Science, 45(4): 517 - 545, Dec 2012en_US
dc.identifier.issn1469-7599-
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/pubmed/23014581en
dc.identifier.urihttp://bura.brunel.ac.uk/handle/2438/7453-
dc.descriptionCopyright @ 2012 Cambridge University Pressen_US
dc.description.abstractSummary This article documents understandings and responses to mass drug administration (MDA) for the treatment and prevention of lymphatic filariasis among adults and children in northern coastal Tanzania from 2004 to 2011. Assessment of village-level distribution registers, combined with self-reported drug uptake surveys of adults, participant observation and interviews, revealed that at study sites in Pangani and Muheza districts the uptake of drugs was persistently low. The majority of people living at these highly endemic locations either did not receive or actively rejected free treatment. A combination of social, economic and political reasons explain the low uptake of drugs. These include a fear of treatment (attributable, in part, to a lack of trust in international aid and a questioning of the motives behind the distribution); divergence between biomedical and local understandings of lymphatic filariasis; and limited and ineffective communication about the rationale for mass treatment. Other contributory factors are the reliance upon volunteers for distribution within villages and, in some locations, strained relationships between different groups of people within villages as well as between local leaders and government officials. The article also highlights a disjuncture between self-reported uptake of drugs by adults at a village level and the higher uptake of drugs recorded in official reports. The latter informs claims that elimination will be a possibility by 2020. This gives voice to a broader problem: there is considerable pressure for those implementing MDA to report positive results. The very real challenges of making MDA work are pushed to one side - adding to a rhetoric of success at the expense of engaging with local realities. It is vital to address the kind of issues raised in this article if current attempts to eliminate lymphatic filariasis in mainland coastal Tanzania are to achieve their goal.en_US
dc.description.sponsorshipThis study was funded by the Bill and Melinda Gates Foundation.en_US
dc.languageENG-
dc.language.isoenen_US
dc.publisherCambridge University Pressen_US
dc.relation.replaceshttp://bura.brunel.ac.uk/handle/2438/7058-
dc.relation.replaces2438/7058-
dc.titleWill mass drug administration eliminate lymphatic filariasis? Evidence from northern coastal Tanzaniaen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1017/S0021932012000466-
pubs.organisational-data/Brunel-
pubs.organisational-data/Brunel/Brunel Active Staff-
pubs.organisational-data/Brunel/Brunel Active Staff/School of Social Sciences-
pubs.organisational-data/Brunel/Brunel Active Staff/School of Social Sciences/Anthropology-
pubs.organisational-data/Brunel/University Research Centres and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Social Sciences - URCs and Groups-
pubs.organisational-data/Brunel/University Research Centres and Groups/School of Social Sciences - URCs and Groups/Centre for Research in International Medical Anthropology-
Appears in Collections:Anthropology
Publications
Brunel OA Publishing Fund
Dept of Social Sciences Media and Communications Research Papers

Files in This Item:
File Description SizeFormat 
Fulltext.pdf212.8 kBAdobe PDFView/Open


Items in BURA are protected by copyright, with all rights reserved, unless otherwise indicated.