The goal of the National Programme to Eliminate Lymphatic Filariasis (NPELF) is to eliminate LF by 2015.
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. |
Country data
Population |
28,000,000 |
Endemicity |
44 of 82 implementation units (IUs) are endemic. Varies from high in east, north and north-west (>30% in 5-18 year olds) to low in most and central Uganda. In some areas where CFA was determined in adults, the prevalence was >50%. |
Clinical manifestations |
Hydrocoele in males ages >20 years was grom 7 to >28%. Limb elephantiasis ranged from 3.7 to 9.7%. |
Drug regime |
Albendazole – donated by GlaxoSmithKline
Mectizan® - donated by Merck & Co. Inc. |
MDA implementation cycle |
April/October |
Treatment strategy |
Door-todoor, kiosks, schools |
Social mobilisation |
Using radio, print media, school assemblies, IEC material and community mobilisation meetings |
Vector control |
Combining malaria vector control with LF vector control. |
Co-implementation |
Onchocerciasis, soil-transmitted helminths, malaria and trachoma (starting in 2007) to be integrated during child health days. |
Recognition
Filaria species |
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Wuchereria bancrofti |

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Onchocerca volvulus |
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Loa loa |
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Mansonella perstans |

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Vectors |
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Anopheles gambiae complex |
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Simulium damnosum sl |
 |
Culex quinquefasciatus |
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Culicoides spp. |
 |
An. funestus |
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S. naevis |
|
|
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|
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Diagnostics |
|
ICT |
 |
Blood slide |
|
Skin snips |
 |
Blood smears; Mazotti reaction |
 |
Night blood smears |

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REMO |

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Skin biopsies |
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Counting Chamber |
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Capacity Building
Year |
Type of training |
Cadre |
Number trained |
2005 |
Training, supervision |
Trainers (training of trainers) |
350 |
| Supervision, training lower cadres |
Supervisors |
1200 |
| Providing drugs to, and treating, pupils |
Teachers |
2500 |
| Drug distribution |
Community drug distributors |
8000 |
Programme Support & Partnerships
The NPELF is included in both the national and district (IU) level budgets
Disability prevention programme
Disability management was piloted in one sub-country in the Amuria and Katakwi districts with funding from DANID. This has now ended but the demand for hydrocelectomy and lymphoedema management is very high. The work will continue on receipt of €30,000 from an anonymous donor.
Budget line
There is a small budget at the National Level. Some districts have budget lines for LF. |