Filariasis Control Program

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Contact Person: 
Leda M. Hernandez, MD, MPH
Telephone Nos.: 
651-7800 loc. 2350-2354

The elimination program started in 2001 after a pilot study using combination drugs in 2000 in five selected municipalities in five provinces. To date, the Mass treatment has been going on province wide in 2003 targeting the eligible population ( 2 yrs old, 7 above) since its pilot study in 2000 using the combination drug Diethylcarbamazine Citrate and albendazole. In support to the program, an admonostrative Order declaring “November as Filariasis Mass Treatment Month was signed by the Secretary of Health on July 2004 and was disseminated to all endemic regions. In addition to, an evidence of support was the Executive Order signed by our President in support to the Administrative Order which contains the different roles and responsibilities of each government and attached agencies in the campaign. Elimination strategies and activities are still on-going and will continue until 2016 (elimination target). Integration of the mass treatment scheme to other existing parasitic control programs like Soil transmitted Heminthiasis control program and Schistosomiasis Control program is being advocated.

BASELINE DATA

· Prevalence Rate (1997): 9.7% per 1,000 population

· Endemic in 44 provinces however, 7 provinces have reached elimination level namely: Southern Leyte, Sorsogon, Biliran, Bukidnon, Romblon, Agusan del Sur & Dinagat Island.

TARGET POPULATION / CLIENTS / BENEFICIARIES

·  Individuals, families and communities living in endemic municipalities in 43 provinces in 11 regions.

 

AREA OF COVERAGE : 44 Provinces in 12 Regions

REGION

PROVINCES

REGION

PROVINCES

4A

4B

 

 

 

 

 

 

5

 

 

 

 

 

 

6

 

 

 

 

7

 

8

Quezon

Marinduque

 

Mindoro Oriental

Mindoro Occidental

Romblon

Palawan

 

Albay

Catanduanes

Catanduanes Norte

Catanduanes Sur

Masbate

Sorsogon

 

Iloilo

Capiz

Aklan

Antique

 

Negros Oriental

 

South Leyte

North Leyte

East Samar

West Samar

North Samar

Biliran

9

 

 

 

 

10

 

 

 

11

 

 

 

 

12

 

 

 

 

CARAGA

 

 

 

 

ARMM

Zamboanga Norte

Zamboanga Sur

Zamboanga

Sibugay

 

Bukidnon

Misamis Occidental Misamis Oriental

 

Davao del Sur

Davao del Norte

Davao Oriental

Compostela Valley

 

South Cotabato

North Cotabato

Saranggani

Sultan Kudarat

 

Agusan del Sur

Agusan del Norte

Surigao Sur

Surigao Norte

 

Maguindanao

Basilan

Sulu

PROGRAM MANDATES:

·         AO #24 s. 1998 = elimination of diseases

·         EO # 369, 2004 = Filariasis Mass Treatment Month

·         WHA#: Filariasis Elimination as a priority

·         Global Situation

INTERVENTION OF DOH

Vision: Healthy and productive individuals and families for Filariasis-free Philippines

Mission: Elimination of Filariasis as a public health problem thru a comprehensive approach and universal access to quality health services

Goal: To eliminate Lymphatic Filariasis as a public health problem in Philippines by year 2017

General Objective: To decrease Prevalence Rate of Filariasis in endemic municipalities to <1/1000 population

Specific Objectives:

The National Filariasis Elimination Program specifically aims to:

1.       Reduce the prevalence rate to elimination level of <1%

2.       Perform mass treatment in all established endemic areas

3.       Develop a filariasis disability prevention program in established endemic areas

4.       Continue surveillance of established endemic areas 5 years after mass treatment

TARGET POPULATION / CLIENTS/ BENEFICIARIES

The program targets individuals, families and communities living in endemic municipalities in 44 provinces in 12 regions (30 million targeted for mass treatment or 1/3 of the total population in the country).

PROGRAM STRATEGIES

1.       Endemic Mapping

2.       Capacity Building

3.       Mass Treatment (integrated with other existing parasitic programs)

4.       Support Control

5.       Monitoring and Supervision

6.       Evaluation

7.       National Certification

8.       International Certification

MANAGEMENT BEING USED

1. Selective Treatment- treating individuals found to be positive for microfilariae in nocturnal blood examination

 Drug: Diethylcarbamazine Citrate

 Dosage: 6mg/kg body weight in 3 divided doses for 12 consecutive days (usually given after meals)

2. Mass Treatment- giving the drugs to all population from aged 12 years and above in all established endemic areas

  Drug: Diethylcarbamazine Citrate (single dose based on 6mg/kg body weight plus Albendazole 400 mg given single dose once            annually to people 12 years and above living in established endemic areas.

3. Disablility Prevention- thru home-based or community-based care for lymphedema & elephanthiasis cases. Surgical management for    hydrocele patients.

CURRENT STATUS, PROGRAMS AND UPDATES

Provinces that reached elimination stage: Southern Leyte, Sorsogon, Biliran, Bukidnon, Romblon, Agusan del Sur, Dinagat Island, Cotabato Province and COMVAL.

FUTURE PLANS

1.       Assist low performing areas to increase the MDA coverage in order to interrupt the transmission of the LF.

2.       Assist implementing Units to reach the goal of elimination.

3.       Strengthen integration with other NTD programs.

4.       Strengthen the disability prevention strategy thru community-based or home –based care & thru integration with leprosy.

5.       Implement an integrated vector management

6.       Implement a sustainability plan for provinces that have reached elimination level.

 

PARTNER ORGANIZATIONS / AGENCIES:

  • World Health Organization
  • GlaxoSmitheKline Foundation
  • U.S. Agency for International Development (USAID)
  • Family Health International
  • Coalition for the Elimination of Lymphatic Filariasis
  • Culion Foundation, Inc.
  • Peace and Equity Foundation, Inc. (PEF)
  • Iloilo Caucus of Development NGOs. Inc. Iloilo (ICODE)
  • Marinducare Foundation, Inc.
  • Lingap para sa Kalusugan ng Sambayanan, Inc. (LIKAS)
  • Del Monte Foundation, Inc.
  • Ang-Hortaleza Foundation (Splash Foundation)
  • Belo Medical Group
  • Center for Social Concern and Action (COSCA) with Theology Religious Education Department (TREDTWO)-De La Salle         University-Manila
  • UP Open University- Manila
  • UP Manila- National Institutes of Health (UP Manila-NIH)
  • UP-College of Public Health