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Factors Affecting the Perception and Acceptance of Ivermectin among Residents in an Onchocerciasis Endemic Area
Abstract
Background: The main strategy adopted by the Nigerian National Onchocerciasis Control Programme (NOCP) for the control of onchocerciasis is the administration of the drug Ivermectin to individuals residing in areas where the disease is endemic.
Methods: One month after the distribution of Ivermectin in Isikwe-Achi in Oji River Local Government Area of Nigeria, a sample of 150 households were selected to assess the socio-cultural factors which may enhance or militate against the acceptance of Ivermectin.
Results: Out of the total of 996 respondents, an acceptance rate of 78.4% was recorded. Of those who received the drug, 76% believed it was effective while 24% thought it had no effect on their ailment. The most common side effect of the drug was oedema which was seen in 33% of the acceptors. None of them thought that any of the experienced side effect was serious enough to prevent them from receiving Ivermectin in future. In terms of personnel, 69% of the respondents would prefer that doctors administer the drug. Only 4% wanted to receive the drug from village health workers. The most common reason given by 215 respondents who did not receive Ivermectin when it was distributed was absence during the distribution exercise (44%).
Conclusion: The implications of these findings, especially in relation to the integration of Ivermectin distribution into the primary health care system is discussed.
Key Words: Ivermectin; Onchocerciasis; Perception; Acceptance.
Jnl of Medical Investigation and Practice Vol.1 2000: 26-28
Methods: One month after the distribution of Ivermectin in Isikwe-Achi in Oji River Local Government Area of Nigeria, a sample of 150 households were selected to assess the socio-cultural factors which may enhance or militate against the acceptance of Ivermectin.
Results: Out of the total of 996 respondents, an acceptance rate of 78.4% was recorded. Of those who received the drug, 76% believed it was effective while 24% thought it had no effect on their ailment. The most common side effect of the drug was oedema which was seen in 33% of the acceptors. None of them thought that any of the experienced side effect was serious enough to prevent them from receiving Ivermectin in future. In terms of personnel, 69% of the respondents would prefer that doctors administer the drug. Only 4% wanted to receive the drug from village health workers. The most common reason given by 215 respondents who did not receive Ivermectin when it was distributed was absence during the distribution exercise (44%).
Conclusion: The implications of these findings, especially in relation to the integration of Ivermectin distribution into the primary health care system is discussed.
Key Words: Ivermectin; Onchocerciasis; Perception; Acceptance.
Jnl of Medical Investigation and Practice Vol.1 2000: 26-28