Social and Behaviour Change Communication Intervention Improves Coverage and Acceptance of Ivermectin Mass Drug Administration in Onchocerciasis Endemic Communities in Ghana: A Quasi Experimental Design

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dc.contributor.authorOsei Adjei Francis
dc.contributor.authorNewton Sam
dc.contributor.authorOwusu-Dabo Ellis
dc.contributor.authorNyanor Isaac
dc.contributor.authorOsei-Yeboah Eugene.....et al
dc.contributor.orcid0000-0003-4232-4292
dc.date.accessioned2023-12-13T16:39:06Z
dc.date.available2023-12-13T16:39:06Z
dc.date.issued2021
dc.descriptionThis article is published by Research Square and is also available at https://doi.org/10.21203/rs.3.rs-986375/v1
dc.description.abstractBackground Poor community awareness and social mobilization serve as a major barrier by increasing absenteeism and downplaying the relevance of the ivermectin mass distribution by community members. Inadequate awareness also creates confusion among community members especially when one intervention is mistaken for the other. Methods We designed a targeted Social and Behaviour Change Communication (SBCC) intervention with clearly defined and tailored messages of ivermectin MDA program targeting onchocerciasis in endemic communities in Ghana. Quasi experiment was conducted with a total sample size of 2008 at baseline and 2113 at endline. Results At baseline, 63.9% respondents did not receive Ivermectin during the previous year (2019) MDA programme and more than half of them (53.3%) were not aware of the drug distribution. The communities that received the intervention at endline revealed a significantly higher increase in coverage (SATT=0.123, 95% CI=0. 0.073, 0.173, p<0.001). At baseline, uptake rate of 91.0% was recorded. Post the intervention, there was an increase in the proportion of respondents who ingested the MDA drugs (ivermectin) from 91.0% to 95.45%. Previous uptake of MDA drugs (AOR=10.67; 95%CI: 5.59- 20.38, p<0.001), Perceived benefit of MDA drug (AOR=4.13; 95%CI: 1.69-10.15, p<0.001) and being aware of the MDA programme (AOR=2.28; 95%CI: 1.00-5.02, p=0.049) was associated with improved receipt of Ivermectin. Conclusion The findings of this study reveal that SBCC intervention improves ivermectin coverage and uptake rate in mass drug administration. Further research with technological innovations which can enhance SBCC is recommended taking hind sight of the limitations of the study due to the COVID-19 pandemic.
dc.description.sponsorshipKNUST
dc.identifier.citationOsei, F., Newton, S., Nyanor, I., Yeboah, E. O., Amuzu, E. X., Mensah, N. K., … & Owusu‐Dabo, E. (2021). Social and behaviour change communication intervention improves coverage and acceptance of ivermectin mass drug administration in onchocerciasis endemic communities in ghana: a quasi experimental design.. https://doi.org/10.21203/rs.3.rs-986375/v1
dc.identifier.uri10.21203/rs.3.rs-986375/v1
dc.identifier.urihttps://ir.knust.edu.gh/handle/123456789/14841
dc.language.isoen
dc.publisherResearch Square
dc.titleSocial and Behaviour Change Communication Intervention Improves Coverage and Acceptance of Ivermectin Mass Drug Administration in Onchocerciasis Endemic Communities in Ghana: A Quasi Experimental Design
dc.typeArticle
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