MATERIALS AND METHODS
A community-based cross-sectional analytical study was conducted.
Study area and periods
The study was conducted during April and May 2018. Mon State was purposively selected because it was the second lowest compliance on MDA program in 2016.5 The reason for conducting this study in Mawlamyaing Township was that it had the lowest MDA compliance in 2016 among all the townships of Mon State.5
Required sample size for this study was determined by using the proportion of good compliance on MDA (63.1%) from a 2016 study done in Mandalay Region by Ei Ei Win, at 95% confidence interval (z=1.96).6, 7 The minimum required sample size was 250. In order to compensate information loss to incomplete data, a total of 261 participants were interviewed in this study. In order to participate in this study, the study population must be at least 18 years old and had been residing in Mawlamyaing Township for at least 6 months. Critically ill people, either physically or mentally, were excluded from this study. Those over 18 years old as well as the most responsible person of each household, so called the index person were given informed consent. Once the willing participants were well-informed of the study purpose and signing the written informed consent, they were interviewed by using semi-structured questionnaires.
There are thirty-two wards in urban area of Mawlamyaing Township. Five wards of Mawlamyaing Township were selected by simple random sampling choosing fifty-two households from each ward. Then, house-holds were selected by systematic sampling method by using sampling frame. When the selected household was not occupied by the index person at that time, the right adjacent household was selected.
Data collection methods and tools
Data was collected by face to face interview with pretested structured questionnaires in Myanmar language. The questionnaires were developed from literature review.6, 10, 11 All the questions were pretested on 24 respondents in Yangon, checking the appropriateness for the study and convenience for the participants to answer. It was a total of 30 minutes required for each participant to answer all the questionnaires.
Data management and statistical analysis
After data collection, data checking was done daily for completeness and consis-tencies. Data entry was done by SPSS 22.0 software and after checking the missing data and inconsistencies, exploratory data analysis was performed. Then, for descript-tive data analysis, frequency and percentage was calculated for categorical variables, mean (standard deviation) for normally istributed continuous variables, and median (inter quartile range) for continuous data without normal distribution. For statistical analysis, Chi-square test was used to examine the associated factors on MDA compliance. A p value of less than 0.05 was set as a cut-off point for statistically significant association.
Before data collection, ethical clearance was taken from the
Institutional Review Board of University of Public Health with UPH-IRB (2018/MPH-G/3). The individual respondents participated
in this research voluntarily giving consent by signing consent form
with the approval signs. Names of the participants were not included in the data collection. All the data were kept under strict confidentiality and will be destroyed one year after the research. All data files were protected by password.