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Comores
   

The goal of the National Programme to Eliminate Lymphatic Filariasis (NPELF) is to eliminate LF by 2008.

The World Health Organization (WHO) is the Secretariat of the Global Programme to Eliminate Lymphatic Filariasis and provides technical and financial support. Detailed information (endemicity, MDA, monitoring and evaluation) on this and other NPELF can be found on www.who.int/lymphatic_filariais.

   

Implementation of the NPELF

map

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MDA Treatments

 

table

 


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Country data

Population

514,110 million

Endemicity

514,220 at risk. All 17 implementation units (IU) are endemic

Clinical manifestations

267 hydrocoele cases treated surgically

Drug regime

Albendazole – donated by GlaxoSmithKline
DEC

MDA implementation cycle

November 2006; March 2007; May 2007

Treatment strategy

Door-to-Door

Social mobilisation

The TDM is preceded by a communication and public awareness campaign through community organizations, in particular health volunteer associations and the committees in the villages. Coorindation, at the same time, takes place between the authorities and the partners. Messages and sketches are disseminated intensely by radios and TV (national and comjmunity), and through the use of posters, similar to the COMBI for a behavioural impact.

Vector control

The PNLP has a community based policy. It distributes mosquito nets to pregnant women and children of less than 5 years free.
The village committees and some NGOs carry occasional environmental cleansing activities.

Co-implementation

Soil-transmitted helminths and malaria programmes

Recognition

Filaria species

 

Wuchereria bancrofti

tick

Onchocerca volvulus

 

Loa loa

 

Mansonella perstans

 

Vectors

 

Anopheles gambiae complex
tick
Simulium damnosum sl   Culex quinquefasciatus tick Culicoides spp.  

An. funestus

 

S. naevis

 

 

 

 

 

Diagnostics

 

ICT tick Blood slide   Skin snips   Blood smears; Mazotti reaction  

Night blood smears

 

REMO

 

Skin biopsies

 

Counting Chamber

 

Capacity Building
Year
Type of training
Number trained
2006


Based on the LF programme policy and mission technology

120
2006
282

2007

350

Programme Support & Partnerships
The NPELF is included in both the national and district (IU) level budgets

Partners

Activities

Mapping

MDA

Social Mobilisation

Morbidity Management

Hydrocoele Surgery

Operational Research

Training

M&E Surveillance

Funding partners

World Health Organization
tick
tick
tick
   
tick
tick
tick
 
AMA*        
tick
       

Government

 

 

tick

tick

 

 

tick

 

 

* Agence de Musulement d'Afrique

Disability prevention programme
The programme envisages specific patient care from the 4th TDM. In addition, surgical operations are practised and the other sufferings are relieved through medical consultations.

Budget line
Ministry of Health budget line for LF/PCT at the national level or at the IU level.

 

© Global Alliance to Eliminate Lymphatic Filariasis