Cargando…
Evaluating context-specific evidence-based quality improvement intervention on lymphatic filariasis mass drug administration in Northern Ghana using the RE-AIM framework
BACKGROUND: Over a decade of implementing a global strategy to eliminate lymphatic filariasis in Ghana through mass drug administration, the disease is still being transmitted in 11 districts out of an initial 98 endemic districts identified in 2000. A context-specific evidence-based quality improve...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7890643/ https://www.ncbi.nlm.nih.gov/pubmed/33602322 http://dx.doi.org/10.1186/s41182-021-00305-3 |
_version_ | 1783652545647869952 |
---|---|
author | Manyeh, Alfred Kwesi Chirwa, Tobias Ramaswamy, Rohit Baiden, Frank Ibisomi, Latifat |
author_facet | Manyeh, Alfred Kwesi Chirwa, Tobias Ramaswamy, Rohit Baiden, Frank Ibisomi, Latifat |
author_sort | Manyeh, Alfred Kwesi |
collection | PubMed |
description | BACKGROUND: Over a decade of implementing a global strategy to eliminate lymphatic filariasis in Ghana through mass drug administration, the disease is still being transmitted in 11 districts out of an initial 98 endemic districts identified in 2000. A context-specific evidence-based quality improvement intervention was implemented in the Bole District of Northern Ghana after an initial needs assessment to improve the lymphatic filariasis mass drug administration towards eliminating the disease. Therefore, this study aimed to evaluate the process and impact of the lymphatic filariasis context-specific evidence-based quality improvement intervention in the Bole District of Northern Ghana. METHOD: A cross-sectional mixed methods study using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate the context-specific evidence-based quality improvement intervention was employed. Quantitative secondary data was extracted from the neglected tropical diseases database. A community survey was conducted with 446 randomly selected participants. Qualitative data were collected from 42 purposively selected health workers, chiefs/opinion leaders and community drug distributors in the study area. RESULTS: The evaluation findings showed an improvement in social mobilisation and sensitisation, knowledge about lymphatic filariasis and mass drug administration process, willingness to ingest the medication and adherence to the direct observation treatment strategy. We observed an increase in coverage ranging from 0.1 to 12.3% after implementing the intervention at the sub-district level and reducing self-reported adverse drug reaction. The level of reach, effectiveness and adoption at the district, sub-district and individual participants’ level suggest that the context-specific evidence-based quality improvement intervention is feasible to implement in lymphatic filariasis hotspot districts based on initial context-specific needs assessment. CONCLUSION: The study provided the groundwork for future application of the RE-AIM framework to evaluate the implementation of context-specific evidence-based quality improvement intervention to improve lymphatic filariasis mass drug administration towards eliminating the disease as a public health problem. |
format | Online Article Text |
id | pubmed-7890643 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78906432021-02-22 Evaluating context-specific evidence-based quality improvement intervention on lymphatic filariasis mass drug administration in Northern Ghana using the RE-AIM framework Manyeh, Alfred Kwesi Chirwa, Tobias Ramaswamy, Rohit Baiden, Frank Ibisomi, Latifat Trop Med Health Research BACKGROUND: Over a decade of implementing a global strategy to eliminate lymphatic filariasis in Ghana through mass drug administration, the disease is still being transmitted in 11 districts out of an initial 98 endemic districts identified in 2000. A context-specific evidence-based quality improvement intervention was implemented in the Bole District of Northern Ghana after an initial needs assessment to improve the lymphatic filariasis mass drug administration towards eliminating the disease. Therefore, this study aimed to evaluate the process and impact of the lymphatic filariasis context-specific evidence-based quality improvement intervention in the Bole District of Northern Ghana. METHOD: A cross-sectional mixed methods study using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to evaluate the context-specific evidence-based quality improvement intervention was employed. Quantitative secondary data was extracted from the neglected tropical diseases database. A community survey was conducted with 446 randomly selected participants. Qualitative data were collected from 42 purposively selected health workers, chiefs/opinion leaders and community drug distributors in the study area. RESULTS: The evaluation findings showed an improvement in social mobilisation and sensitisation, knowledge about lymphatic filariasis and mass drug administration process, willingness to ingest the medication and adherence to the direct observation treatment strategy. We observed an increase in coverage ranging from 0.1 to 12.3% after implementing the intervention at the sub-district level and reducing self-reported adverse drug reaction. The level of reach, effectiveness and adoption at the district, sub-district and individual participants’ level suggest that the context-specific evidence-based quality improvement intervention is feasible to implement in lymphatic filariasis hotspot districts based on initial context-specific needs assessment. CONCLUSION: The study provided the groundwork for future application of the RE-AIM framework to evaluate the implementation of context-specific evidence-based quality improvement intervention to improve lymphatic filariasis mass drug administration towards eliminating the disease as a public health problem. BioMed Central 2021-02-18 /pmc/articles/PMC7890643/ /pubmed/33602322 http://dx.doi.org/10.1186/s41182-021-00305-3 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Research Manyeh, Alfred Kwesi Chirwa, Tobias Ramaswamy, Rohit Baiden, Frank Ibisomi, Latifat Evaluating context-specific evidence-based quality improvement intervention on lymphatic filariasis mass drug administration in Northern Ghana using the RE-AIM framework |
title | Evaluating context-specific evidence-based quality improvement intervention on lymphatic filariasis mass drug administration in Northern Ghana using the RE-AIM framework |
title_full | Evaluating context-specific evidence-based quality improvement intervention on lymphatic filariasis mass drug administration in Northern Ghana using the RE-AIM framework |
title_fullStr | Evaluating context-specific evidence-based quality improvement intervention on lymphatic filariasis mass drug administration in Northern Ghana using the RE-AIM framework |
title_full_unstemmed | Evaluating context-specific evidence-based quality improvement intervention on lymphatic filariasis mass drug administration in Northern Ghana using the RE-AIM framework |
title_short | Evaluating context-specific evidence-based quality improvement intervention on lymphatic filariasis mass drug administration in Northern Ghana using the RE-AIM framework |
title_sort | evaluating context-specific evidence-based quality improvement intervention on lymphatic filariasis mass drug administration in northern ghana using the re-aim framework |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7890643/ https://www.ncbi.nlm.nih.gov/pubmed/33602322 http://dx.doi.org/10.1186/s41182-021-00305-3 |
work_keys_str_mv | AT manyehalfredkwesi evaluatingcontextspecificevidencebasedqualityimprovementinterventiononlymphaticfilariasismassdrugadministrationinnorthernghanausingthereaimframework AT chirwatobias evaluatingcontextspecificevidencebasedqualityimprovementinterventiononlymphaticfilariasismassdrugadministrationinnorthernghanausingthereaimframework AT ramaswamyrohit evaluatingcontextspecificevidencebasedqualityimprovementinterventiononlymphaticfilariasismassdrugadministrationinnorthernghanausingthereaimframework AT baidenfrank evaluatingcontextspecificevidencebasedqualityimprovementinterventiononlymphaticfilariasismassdrugadministrationinnorthernghanausingthereaimframework AT ibisomilatifat evaluatingcontextspecificevidencebasedqualityimprovementinterventiononlymphaticfilariasismassdrugadministrationinnorthernghanausingthereaimframework |