A systematic review of factors that shape implementation of mass drug administration for lymphatic filariasis in sub-Saharan Africa

Table 3 Common approaches to improving MDA for LF

Region in SSA	Country of Publication	Common approaches (number of publications)
West-Africa	Mali and Nigeria	Awareness creation through community led health education (H.E) programmes (n = 3) [36, 37, 42].
	Mali, Nigeria, Sierra Leone and Togo	Innovative and locally relevant means to conduct health education/modern and traditional approaches to H.E. (n = 4) [22, 36, 37, 39].
	Mali, Nigeria and Sierra Leone	Appropriate IEC materials for health education (n = 5) [22, 24, 36, 37, 42].
	Mali, Nigeria and Togo	Integration with existing health Interventions (n = 4) [36, 37, 39, 42].
West and East Africa	Mali, Nigeria, Sierra Leone Tanzania and Togo	Building of partnerships and collaborations (International and local (n = 7) [22, 23, 36, 37, 40, 42, 43].
West and East Africa	Tanzania and Togo	Establishment of morbidity Management programmes (n = 3) [39, 40, 43].
West and East Africa	Tanzania, Togo, Sierra Leone, Nigeria, Mali and Ghana	Establishment of adverse effect management Programmes (n = 6) [34, 36, 37, 39, 40, 42].
West and East Africa	Ghana, Kenya, Mali, Nigeria, Sierra Leone and Tanzania	Involvement of key health systems representatives and local leaders in health education. (n = 7) [22, 23, 25, 34, 36, 37, 41].
West and East Africa	Ghana, Kenya, Mali, Sierra Leone and Tanzania.	Selection, training and financial incentives provided to CDDs (n = 5) [22, 25, 34, 35, 37, 45], and provision of mobile phones and other forms of motivation [45] (n = 1)

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