Global Programme to Eliminate Lymphatic Filariasis ... - libdoc.who.int

59AMERICAN PROGRAMME REVIEWGROUPAt present, all seven endemic countries have startedLF elimination activities, namely: Brazil, Costa Rica,Dominican Republic, Guyana, Haiti, Suriname andTrinidad and Tobago. In 2003 nearly 1.8 million peoplewere covered by MDA. The geographical coverage of theAmerican PRG programmes implementing MDA activitiescan be seen in Table 3.11 below.The role of partnership and alliances has been of paramountimportance for the elimination programmesin the region, with CDC, Emory University, LiverpoolSchool of Tropical Medicine, DFID and various nongovernmentalorganizations. In addition, it is felt thatthe LF elimination project should be part of a more synergisticapproach involving other health projects to takeadvantage of the already established infrastructure andits human resources.Table 3.11 MDA coverage and at-risk population in the American ProgrammeReview Group, 2003Population covered(million)At-risk population(million)At-risk populationcovered(%)Dominican Republic a 0.33 1.5 22.0Haiti 0.76 8.1 9.4Guyana 0.71 0.7Total 1.80 10.3 11.3Figure 3.62 American Programme Review Group: geographical coverage b by country in 2003DominicanRepublic a 22.0%Annual Report on Lymphatic Filariasis 2003Chapter 3 Programme implementationHaiti9.4%Guyana c0%0 25 50 75 100percentage of coverageaEstimated at-risk population as denominator, LF mapping is in progress.bGeographical coverage = total population in IUs where MDA is taking place x 100/total population of all endemic IUs.cNo data available.