Low Knowledge and Unawareness of the Health Promotion as the Determinant Factors in Non-Compliance to the Mass Drug Administration Program

Abstract

Abstract The mass drug administration (MDA) program has been demonstrated its effectiveness in many filariasis-endemic regions. However, Kuningan as a filaria sis-endemic area had the MDA program coverage lower than the government targeted. One of a district in Kuningan, Cilimus District was a filariasis-endemic area with the MDA program coverage in 2017 lower than government targeted (higher than 86%). The purpose of this study was to analyze the determinant factors of compliance with the MDA program. The study was an analytical study with a cross-sectional design and was conducted from May to June 2018. The sample of 106 people was taken from the population living in Cilimus District, Kuningan Regency, using a simple random sampling technique. The inde pendent variables were collected by a constructed questionnaire included age, education level, knowledge, attitude, health promotion, and family support. A questionnaire also measured compliance with MDA as a dependent variable. Data analysis consisted of univariate, bivariate (chi-square and Fisher exact test), and multivariate analyses (multiple logistic regression). The results showed that the variables of knowledge, attitude, MDA health promotion, and family support influence compliance with the MDA (p-value < 0.05). Low knowledge and unawareness of the MDA health promotion proved to be the dominant factors in non-compliance with the MDA program. Keywords: determinant factors, compliance, Mass Drug Administration