Integration of LF morbidity management and disability prevention (MMDP) into community health services: exploring the coverage and equity of community health worker-driven LF MMDP burden assessment and service uptake in Côte d’Ivoire

This study tested the reliability of community health worker (CHW)-led lymphatic filariasis morbidity (LFM) burden estimates by having CHWs first estimate LFM burden, followed by a rigorous population-based survey to provide a representative estimate of LFM burden for the district. The study examined the accuracy of case identification by CHWs, social biases of CHWs that may prevent equitable care delivery, and the cost of the CHW burden estimation. The availability of morbidity management and disability prevention (MMDP) services was also surveyed in a comprehensive health facility-based survey covering all government owned health facilities in the district. Programs need a feasible and reliable method for LFM burden estimation and strategies to ensure that people have access to care. This study addresses the two pillars of WHO dossier development for LF MMDP, and will provide the Ministry of Health with essential information to plan and adapt their program to accommodate MMDP services.