Table 7. LF Control Policy Recommendations and Outcome of Evidence Synthesis by the LF Policy Brief Group .

Policy Options Recommended Before Evidence Synthesis	Outcome of Evidence Synthesis of Policy Options Recommended	Group Conclusion and Final Recommendation
(1) Establishment of a standard protocol for diagnosis of LF	There is sufficient evidence to show it is an effective strategy for LF control policy. Key reference: Weil et al51	Policy option accepted
(2) Establishment of game reserve	No available evidence as a feasible strategy for LF control.	Policy option rejected
(3) Vector control	There is sufficient evidence to show it is an effective strategy for LF control policy. Key reference: Bockarie et al52	Policy option accepted
(4) Public health education on LF	No available evidence as a stand-alone strategy for LF control. Alternative: Integrated into the community directed mass chemotherapy. Key reference: Nandha and Krishnamoorthy53	Policy option rejected. Alternative accepted as policy recommendation
(5) Consider LLN distribution doc/policy to highlight LF	There is evidence indicating that this should be integrated into the community directed mass chemotherapy. Not as a stand-alone policy.	Policy option rejected
(6) Community directed distribution of LLN and Mectizan (Mass chemotherapy)/health education	There is sufficient evidence to show it is an effective strategy for LF control policy. Key reference: Blackburn et al54	Policy option accepted
(7) Policy harmonization/adapting national policies on PHC	No available evidence as a stand-alone strategy for LF control policy. Beyond the scope of LF policy alone. This is a health sector general problem.	Policy option rejected
(8) Integrated control policy (STH, Oncho, Schisto, LF)	There is sufficient evidence to show it is an effective strategy for LF control policy. Key reference: Hopkins et al55	Policy option accepted
(9) Establishment of policy monitoring/evaluation (feedback mechanism)/with training and capacity building	There is sufficient evidence to show it is an effective strategy for LF control policy. Key reference: Molyneux56	Policy option accepted
(10) Sustainability issues should be taken into consideration	No available evidence as a stand-alone strategy for LF control policy. Beyond the scope of LF policy alone. This is a health sector general problem. Rather, Integrate sustainability into the policy implementation strategies.	Policy option rejected
(11) Success stories of previous policies and lessons learnt be adopted in LF policy formulation	No available evidence as a stand-alone strategy for LF control policy. Beyond the scope of LF policy alone. This is a health sector general problem.	Policy option rejected

Abbreviations: LF, lymphatic filariasis; LLN, long lasting insecticide treated bed-net; PHC, primary health care; STH, soil transmitted helminth infection; Oncho, onchocerciasis; Schisto, schistosomiasis.