About 863 million people in 47 countries worldwide remain threatened by lymphatic filariasis (LF). More than 45 million individuals are estimated to be infected in Africa, where Wuchereria bancrofti, a filarial worm, as the sole source of LF.  Despite great efforts made by the Ministry of Health (MoH) in eliminating LF in Tanzania including 14 rounds of ivermectin and Albendazole Mass Drug Administration (IVM + ALB MDA) for LF Pangani District is still endemic with LF; where the prevalence in 2019 was 2.7% which is above the elimination target of ≤ 2%.  The current prevalence and factors associated with LF in Pangani DC are not well understood and have not been examined.
