Introduction: Lymphatic Filariasis is a human disease caused by parasitic helminths mostly by Wuchereria bancrofti. To eliminate Lymphatic Filariasis, the World Health Organization recommends a combination of preventive chemotherapy using Ivermectin and Albendazole through mass drug administration. The mass drug administration is given annually to the entire population living in endemic areas irrespective of the individual infection status. In Jaw, after five rounds of drug distribution, the district failed in the Pre- Transmission Assessment Survey. This may be partially related to non-compliance of the annual mass drug administration treatment by the community members.