Knowledge and attitude of populations on blackflies and onchocerciasis and participation in mass drug administration in first-line communities near Erin-Ijesha and Arinta waterfalls, Southwest Nigeria

The limited understanding of blackfly bioecology and onchocerciasis among residents may lead to increased exposure to bites, thereby raising the risk of transmission. To address this, the federal and state ministries of health, along with treatment implementing partners, should enhance sensitization efforts and public health education during the annual Mass Drug Administration campaigns. Improving knowledge in these high-risk communities will encourage residents to take preventive measures against bites and improve treatment uptake, ultimately reducing the risk of disease transmission.