Elke Mitchell , Aminiasi Tavui , Sarah Andersson , Susanna Lake , Aminiasi Koroivueti , Josefa Koroivueta , Ripeka Kaurasi , Vinaisi Bechu , John Kaldor , Andrew Steer , Lucia Romani
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An interpretive research approach was adopted, and data were analysed using deductive and inductive techniques.</p></div><div><h3>Findings</h3><p>We identified several barriers and facilitators to scabies MDA acceptability. Facilitators included prior experiences of scabies and knowledge of the potential health benefit of MDA, community attitudes to MDA and neighbours’ adherence practices, endorsement of MDA by community leaders, community consultation and exposure to community sensitisation, and involvement of local key informants during planning and implementation. Barriers included a lack of trust in MDA campaigns, religious beliefs, limited reach of community sensitisation, and challenges to implementing MDA in urban locations.</p></div><div><h3>Interpretation</h3><p>This is the first qualitative study documenting acceptability of a nationwide scabies-MDA globally. It identified diverse socio-structural factors that influenced MDA implementation and acceptability. Future MDA programs could benefit from widespread community sensitisation, tailored approaches to urban and rural MDA design and delivery, and the inclusion of communities in the co-design and implementation of MDA programs.</p></div><div><h3>Funding</h3><p>The <span>National Health</span> and <span>Medical Research Council</span> (NHMRC) investigator grant—LR and the <span>Macquarie Group Foundation</span> 50th Celebration Awards–AS.</p></div>","PeriodicalId":22792,"journal":{"name":"The Lancet Regional Health: Western Pacific","volume":"51 ","pages":"Article 101194"},"PeriodicalIF":7.6000,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666606524001883/pdfft?md5=303e22bedb7e223428e87bd210877d60&pid=1-s2.0-S2666606524001883-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Acceptability of a nationwide scabies mass drug administration (MDA) program in Fiji: a qualitative interview-based study\",\"authors\":\"Elke Mitchell , Aminiasi Tavui , Sarah Andersson , Susanna Lake , Aminiasi Koroivueti , Josefa Koroivueta , Ripeka Kaurasi , Vinaisi Bechu , John Kaldor , Andrew Steer , Lucia Romani\",\"doi\":\"10.1016/j.lanwpc.2024.101194\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Fiji has among the highest global reported prevalence of scabies. 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Acceptability of a nationwide scabies mass drug administration (MDA) program in Fiji: a qualitative interview-based study
Background
Fiji has among the highest global reported prevalence of scabies. Mass drug administration (MDA) has been identified as a potentially effective strategy to control scabies, but acceptability of MDA from the perspectives of people receiving and delivering scabies MDA programs remains underexplored in Fiji and globally.
Methods
A qualitative study was conducted after completion of the national MDA campaign. Participants included 44 community members and 12 key informants across the Central and Western Divisions of Fiji. Semi-structured face-to-face and virtual interviews were conducted in August and September 2023. An interpretive research approach was adopted, and data were analysed using deductive and inductive techniques.
Findings
We identified several barriers and facilitators to scabies MDA acceptability. Facilitators included prior experiences of scabies and knowledge of the potential health benefit of MDA, community attitudes to MDA and neighbours’ adherence practices, endorsement of MDA by community leaders, community consultation and exposure to community sensitisation, and involvement of local key informants during planning and implementation. Barriers included a lack of trust in MDA campaigns, religious beliefs, limited reach of community sensitisation, and challenges to implementing MDA in urban locations.
Interpretation
This is the first qualitative study documenting acceptability of a nationwide scabies-MDA globally. It identified diverse socio-structural factors that influenced MDA implementation and acceptability. Future MDA programs could benefit from widespread community sensitisation, tailored approaches to urban and rural MDA design and delivery, and the inclusion of communities in the co-design and implementation of MDA programs.
Funding
The National Health and Medical Research Council (NHMRC) investigator grant—LR and the Macquarie Group Foundation 50th Celebration Awards–AS.
期刊介绍：
The Lancet Regional Health – Western Pacific, a gold open access journal, is an integral part of The Lancet's global initiative advocating for healthcare quality and access worldwide. It aims to advance clinical practice and health policy in the Western Pacific region, contributing to enhanced health outcomes. The journal publishes high-quality original research shedding light on clinical practice and health policy in the region. It also includes reviews, commentaries, and opinion pieces covering diverse regional health topics, such as infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, aging health, mental health, the health workforce and systems, and health policy.
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