@article{fdi:010079484,
  title = {{G}ender norms and mass deworming program access in {C}ome, {B}enin : a qualitative assessment of gender-associated opportunities and challenges to achieving high mass drug administration coverage},
  author = {{G}eyer, {R}. {E}. and {I}bikounle, {M}. and {E}mmanuel-{F}abula, {M}. and {R}oll, {A}. and {A}vokpaho, {E}. and {E}lijan, {A}. and {W}eke, {L}. {C}. and {T}ogbevi, {C}. {I}. and {C}habi, {F}. {P}. {L}. and {H}oungbegnon, {P}. and {L}uty, {A}drian and {Y}ard, {E}. and {W}alson, {J}. {L}. and {G}raham, {S}. and {M}eans, {A}. {R}.},
  editor = {},
  language = {{ENG}},
  abstract = {{T}he {W}orld {H}ealth {O}rganization's {N}eglected {T}ropical {D}isease {R}oadmap has accelerated progress towards eliminating select neglected tropical diseases ({NTD}s). {T}his momentum has catalyzed research to determine the feasibility of interrupting transmission of soil-transmitted helminths ({STH}) using community-wide mass drug administration ({MDA}). {T}his study aims to identify potential gender-specific facilitators and barriers to accessing and participating in community-wide {STH} {MDA}, with the goal of ensuring programs are equitable and maximize the probability of interrupting {STH} transmission. {T}his research was conducted prior to the launch of community-wide {MDA} for {STH} in {C}ome, {B}enin. {A} total of 10 focus group discussions ({FGD}s) were conducted separately among 40 men, 38 women, and 15 community drug distributors ({CDD}s). {S}alient themes included: both men and women believe that community-wide {MDA} would reduce the financial burden associated with self-treatment, particularly for low income adults. {C}ommunity members believe {MDA} should be packaged alongside water, sanitation, and other health services. {W}omen feel past community-wide programs have been disorganized and are concerned these distributions will be similar. {W}omen also expressed interest in increased engagement in the implementation of future community-based public health programs. {M}en often did not perceive themselves to be at great risk for {STH} infection and did not express a high demand for treatment. {F}inally, the barriers discussed by {CDD}s generally did not align with gender-specific concerns, but rather represented concerns shared by both genders. {A} door-to-door distribution strategy for {STH} {MDA} is preferred by women in this study, as this platform empowers women to participate as health decision makers for their family. {I}n addition, involving women in planning and implementation of community-wide programs may help to increase treatment coverage and compliance. {A}uthor summary {S}oil-transmitted helminths ({STH}) affect an estimated 1.5 billion people globally. {T}he {D}e{W}orm3 {P}roject is investigating if it is possible to interrupt transmission of {STH} with community-wide deworming of individuals of all ages. {W}e conducted focus group discussions with adult men, women, and community drug distributors ({CDD}s) in {C}ome, {B}enin to identify gender-specific facilitators and barriers to accessing and participating in community-wide mass drug administration ({MDA}) programs. {O}ur findings suggest that door-to-door community-wide {MDA} may not only improve {MDA} treatment coverage by increasing access but may also empower women by facilitating increased decision making on behalf of their regarding who is treated and where. {A}dditionally, women may be an untapped resource for strategically reaching missed populations and women reported seeking increased involvement within the deworming of their families. {M}en did not perceive themselves to be at risk and thus did not have high demand for deworming. {B}oth genders reported that they struggle to afford deworming drugs outside of {MDA} and that {MDA} coverage would be higher if treatment was integrated with water and sanitation services. {F}inally, {CDD}s generally identified only barriers and facilitators to {MDA} that were shared by both genders and may require more training to ensure {MDA} programs are equitable and effectively engage all at risk populations.},
  keywords = {{BENIN} ; {COME}},
  booktitle = {},
  journal = {{PL}o{S} {N}eglected {T}ropical {D}iseases},
  volume = {14},
  numero = {4},
  pages = {e0008153 [18p.]},
  ISSN = {1935-2735},
  year = {2020},
  DOI = {10.1371/journal.pntd.0008153},
  URL = {https://www.documentation.ird.fr/hor/fdi:010079484},
}