A mixed-methods exploration into the resilience of community drug distributors conducting mass drug administration for preventive chemotherapy of lymphatic filariasis and onchocerciasis in Côte d’Ivoire and Uganda

Daniel Dilliott, David Addiss, Charles Thickstun, Adam Mama Djima, Esther Comoe, Lakwo Thompson, Stella Neema, Mary Amuyunzu-Nyamongo, Amos Wung-Buh, Deborah McFarland, Margaret Gyapong and Alison Krentel

PLOS Global Public Health, 2022, vol. 2, issue 7, 1-22

Abstract: Volunteer community drug distributors (CDDs) have been vital to progress made in the elimination of onchocerciasis and lymphatic filariasis; two neglected tropical diseases amenable to preventive chemotherapy (PC-NTDs). However, formative work in Côte d’Ivoire and Uganda revealed that CDDs can encounter considerable challenges during mass drug administration (MDA). CDDs must be resilient to overcome these challenges, yet little is known about their resilience. This mixed-methods study explored the resilience of CDDs in Côte d’Ivoire and Uganda. The characteristics and experiences of 248 CDDs involved in the 2018 MDAs in Côte d’Ivoire (N = 132) and Uganda (N = 116) were assessed using a micronarrative survey. Thematic analysis of CDDs’ micronarratives was used to identify challenges they encountered during MDA. Resilience was assessed using the Connor-Davidson Resilience Scale 25 (CD-RISC-25). Variables from the micronarrative survey found to be individually associated with mean CD-RISC-25 score (P

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pgph00:0000700

DOI: 10.1371/journal.pgph.0000700

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