Community Drug Distributor Knowledge, Attitudes, and Motivation Surrounding Mass Drug Administration for Soil-Transmitted Helminths in India

Background: DeWorm3 is an ongoing multi-country community-based cluster-randomized trial assessing the feasibility of interrupting transmission of soil-transmitted helminths (STH) with community-wide mass drug administration (cMDA). In Tamil Nadu, India, community drug distributors (CDDs) worked wit...

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Autores principales:	Kumudha Aruldas, Saravanakumar Puthupalayam Kaliappan, Gideon John Israel, Gokila Palanisamy, Jabaselvi Johnson, Angelin Titus, Judd L. Walson, Arianna Rubin Means, Sitara Swarna Rao Ajjampur
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	drug distributors mass drug administration (MDA) soil-transmitted helminth (STH) knowledge attitude motivation Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/3786a40d4118408592ac960ab6eadbef
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spelling	oai:doaj.org-article:3786a40d4118408592ac960ab6eadbef2021-11-30T12:43:44ZCommunity Drug Distributor Knowledge, Attitudes, and Motivation Surrounding Mass Drug Administration for Soil-Transmitted Helminths in India2296-256510.3389/fpubh.2021.714606https://doaj.org/article/3786a40d4118408592ac960ab6eadbef2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.714606/fullhttps://doaj.org/toc/2296-2565Background: DeWorm3 is an ongoing multi-country community-based cluster-randomized trial assessing the feasibility of interrupting transmission of soil-transmitted helminths (STH) with community-wide mass drug administration (cMDA). In Tamil Nadu, India, community drug distributors (CDDs) worked with DeWorm3 field staff to counsel community members and deliver door-to-door deworming treatment. As CDDs were likely to influence successful delivery of cMDA, we describe drivers of CDDs' knowledge, attitudes, and motivation toward delivery of cMDA.Methods: In this convergent mixed-methods study, a questionnaire on STH and cMDA was administered to 104 CDDs and 17 focus group discussions (FGDs) were conducted. Key outcomes in the quantitative and qualitative analyses included CDDs' knowledge about STH and cMDA and attitudes toward cMDA for STH. Univariate and multivariable logistic regression analyses were performed to determine the strength of associations between independent and outcome variables. The FGDs were analyzed using a priori thematic coding.Results: CDDs who completed at least secondary school education [adjusted odds ratio (aOR): 2.71, 95% CI: 1.16–6.33] and had prior experience in health programs (aOR: 2.72, 95% CI: 1.15–6.44) were more knowledgeable about STH and cMDA. CDDs belonging to the scheduled castes and scheduled tribes (aOR: 2.37, 95% CI: 1.04–5.39), and to households engaged in a skilled occupation (aOR: 2.77, 95% CI: 1.21–6.34) had a more positive attitude toward cMDA for STH. The FGDs showed that while there were myths and misconceptions about STH, many CDDs believed that the adult population in their communities were infected with STH, and that a door-to-door drug delivery strategy would be optimal to reach adults.Conclusions: Educational and socioeconomic backgrounds and experience in health programs should be considered while designing CDD trainings. Along with cMDA delivery for STH, as CDD do share community myths and misconceptions around STH, they should be proactively addressed during the CDD training to strengthen competency in counseling.Kumudha AruldasSaravanakumar Puthupalayam KaliappanGideon John IsraelGokila PalanisamyJabaselvi JohnsonAngelin TitusJudd L. WalsonJudd L. WalsonArianna Rubin MeansArianna Rubin MeansSitara Swarna Rao AjjampurFrontiers Media S.A.articledrug distributorsmass drug administration (MDA)soil-transmitted helminth (STH)knowledgeattitudemotivationPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	drug distributors mass drug administration (MDA) soil-transmitted helminth (STH) knowledge attitude motivation Public aspects of medicine RA1-1270
spellingShingle	drug distributors mass drug administration (MDA) soil-transmitted helminth (STH) knowledge attitude motivation Public aspects of medicine RA1-1270 Kumudha Aruldas Saravanakumar Puthupalayam Kaliappan Gideon John Israel Gokila Palanisamy Jabaselvi Johnson Angelin Titus Judd L. Walson Judd L. Walson Arianna Rubin Means Arianna Rubin Means Sitara Swarna Rao Ajjampur Community Drug Distributor Knowledge, Attitudes, and Motivation Surrounding Mass Drug Administration for Soil-Transmitted Helminths in India
description	Background: DeWorm3 is an ongoing multi-country community-based cluster-randomized trial assessing the feasibility of interrupting transmission of soil-transmitted helminths (STH) with community-wide mass drug administration (cMDA). In Tamil Nadu, India, community drug distributors (CDDs) worked with DeWorm3 field staff to counsel community members and deliver door-to-door deworming treatment. As CDDs were likely to influence successful delivery of cMDA, we describe drivers of CDDs' knowledge, attitudes, and motivation toward delivery of cMDA.Methods: In this convergent mixed-methods study, a questionnaire on STH and cMDA was administered to 104 CDDs and 17 focus group discussions (FGDs) were conducted. Key outcomes in the quantitative and qualitative analyses included CDDs' knowledge about STH and cMDA and attitudes toward cMDA for STH. Univariate and multivariable logistic regression analyses were performed to determine the strength of associations between independent and outcome variables. The FGDs were analyzed using a priori thematic coding.Results: CDDs who completed at least secondary school education [adjusted odds ratio (aOR): 2.71, 95% CI: 1.16–6.33] and had prior experience in health programs (aOR: 2.72, 95% CI: 1.15–6.44) were more knowledgeable about STH and cMDA. CDDs belonging to the scheduled castes and scheduled tribes (aOR: 2.37, 95% CI: 1.04–5.39), and to households engaged in a skilled occupation (aOR: 2.77, 95% CI: 1.21–6.34) had a more positive attitude toward cMDA for STH. The FGDs showed that while there were myths and misconceptions about STH, many CDDs believed that the adult population in their communities were infected with STH, and that a door-to-door drug delivery strategy would be optimal to reach adults.Conclusions: Educational and socioeconomic backgrounds and experience in health programs should be considered while designing CDD trainings. Along with cMDA delivery for STH, as CDD do share community myths and misconceptions around STH, they should be proactively addressed during the CDD training to strengthen competency in counseling.
format	article
author	Kumudha Aruldas Saravanakumar Puthupalayam Kaliappan Gideon John Israel Gokila Palanisamy Jabaselvi Johnson Angelin Titus Judd L. Walson Judd L. Walson Arianna Rubin Means Arianna Rubin Means Sitara Swarna Rao Ajjampur
author_facet	Kumudha Aruldas Saravanakumar Puthupalayam Kaliappan Gideon John Israel Gokila Palanisamy Jabaselvi Johnson Angelin Titus Judd L. Walson Judd L. Walson Arianna Rubin Means Arianna Rubin Means Sitara Swarna Rao Ajjampur
author_sort	Kumudha Aruldas
title	Community Drug Distributor Knowledge, Attitudes, and Motivation Surrounding Mass Drug Administration for Soil-Transmitted Helminths in India
title_short	Community Drug Distributor Knowledge, Attitudes, and Motivation Surrounding Mass Drug Administration for Soil-Transmitted Helminths in India
title_full	Community Drug Distributor Knowledge, Attitudes, and Motivation Surrounding Mass Drug Administration for Soil-Transmitted Helminths in India
title_fullStr	Community Drug Distributor Knowledge, Attitudes, and Motivation Surrounding Mass Drug Administration for Soil-Transmitted Helminths in India
title_full_unstemmed	Community Drug Distributor Knowledge, Attitudes, and Motivation Surrounding Mass Drug Administration for Soil-Transmitted Helminths in India
title_sort	community drug distributor knowledge, attitudes, and motivation surrounding mass drug administration for soil-transmitted helminths in india
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/3786a40d4118408592ac960ab6eadbef
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Community Drug Distributor Knowledge, Attitudes, and Motivation Surrounding Mass Drug Administration for Soil-Transmitted Helminths in India

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