Table 2

Lymphatic Filariasis as a unique and successful programme

     • Two drugs (largely donated or inexpensive) once per year for time limited duration
          • DEC + albendazole in areas where onchocerciasis is not endemic
          • Albendazole + Mectizan® where onchocerciasis is co-endemic with lymphatic filariasis
     • Two major pharmaceutical companies involved
     • A global disease (80 endemic countries; 1+ billion at risk) but regionalised programmatically
     • Many synergistic/integration opportunities in the programme (See Table 4)
     • Major successes already demonstrated
     • Disability alleviation and prevention component to increase coverage and compliance via household and community self help
     • Mass drug distribution – an overtly pro-poor intervention
     • Intervention provides entry point to both rural and urban health settings
     • Different drug distribution systems dependent on country decisions
     • Separation of programmatic and GAELF responsibilities
     • A free non-restrictive alliance with diverse partners
     • Strong involvement of academic institutions and research funders
     • Wide use of IT for dissemination and communication

Molyneux Filaria Journal 2003 2:13   doi:10.1186/1475-2883-2-13