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Adherence to ivermectin is more associated with perceptions of community directed treatment with ivermectin organization than with onchocerciasis beliefs

Author

Listed:
  • Fanny Nadia Dissak-Delon
  • Guy-Roger Kamga
  • Perrine Claire Humblet
  • Annie Robert
  • Jacob Souopgui
  • Joseph Kamgno
  • Marie José Essi
  • Stephen Mbigha Ghogomu
  • Isabelle Godin

Abstract

Background: The fight against onchocerciasis in Africa has boomed thanks to the Community Directed Treatment with Ivermectin (CDTI) program. However, in Cameroon, after more than 15 years of mass treatment, onchocerciasis prevalence is still above the non-transmission threshold. This study aimed to explore a possible association between people’s beliefs/perceptions of onchocerciasis and of CDTI program, and their adherence to ivermectin in three regions of Cameroon. Methodology/Principal findings: A cross sectional survey was carried out in three health districts with persistent high onchocerciasis prevalence. Participants were randomly selected in 30 clusters per district. Adherence to ivermectin was comparable between Bafang and Bafia (55.0% and 48.8%, respectively, p>0.05) and lower in Yabassi (40.7%). Among all factors related to program perceptions and disease representations that were studied, perceptions of the program are the ones that were most determinant in adherence to ivermectin. People who had a “not positive” opinion of ivermectin distribution campaigns were less compliant than those who had a positive opinion about the campaigns (40% vs 55% in Bafang, and 48% vs 62% in Bafia, p

Suggested Citation

  • Fanny Nadia Dissak-Delon & Guy-Roger Kamga & Perrine Claire Humblet & Annie Robert & Jacob Souopgui & Joseph Kamgno & Marie José Essi & Stephen Mbigha Ghogomu & Isabelle Godin, 2017. "Adherence to ivermectin is more associated with perceptions of community directed treatment with ivermectin organization than with onchocerciasis beliefs," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 11(8), pages 1-17, August.
    • Handle: RePEc:plo:pntd00:0005849
    DOI: 10.1371/journal.pntd.0005849
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