Community-perceived benefits of ivermectin treatment in northeastern Nigeria

A 3-step approach involving focus group discussion, structured interviews a nd informal conversations with key individuals was used to investigate comm unity usage and perceived benefits of ivermectin in nine Nigerian villages participating in a WHO-sponsored investigation of community-directed treatm ent with ivermectin (CDTI). Only 27% of 284 persons interviewed had receive d treatment. An under-estimation bf the district's ivermectin needs led to inadequate supply of ivermectin to the communities, which was cited as the main reason (65%) for non-treatment. All those treated (N = 76) were furthe r interviewed using questionnaires. Worm expulsion (80%) and blindness prev ention (68%) were the most frequently stated benefits. Other perceived bene fits were an increase in vitality (68%), sexual drive and performance (29%) . The sudden relief from a heavy burden of worms, which had built up over a long period, may have indirect effect on all aspects of an individual's he alth and account for the diverse experiences. The feeling of vitality, good appetite and general health following ivermectin treatment is an animating experience to many communities. Health planners face the challenge of prep aring communities for fewer 'sensational' experiences and preventing a poss ible feeling of disappointment that may result from frequent usage, (C) 200 0 Published by Elsevier Science Ltd. All rights reserved.