Background: Mass Drugs Administration (MDA) of Filariasis is the effort for filariasis elimination. The first round of MDA is a reference for implementation future rounds of MDA. Coverage of treatment, community compliance and knowledge about filariasis are some things that need to be considered in implementation of the first round of MDA and is an indicator the success of filariasis elimination. Kodi Balaghar is a sub-district in South West Sumba, East Nusa Tenggara province which has Mf- rate 4.2% and received MDA for first round in 2013.Objective: to see how the acceptance of Kodi Balaghar community on the first round implementation of MDA. Methods: Descriptive study was conducted from April- November 2014 at five villages in Kodi Balaghar Sub-District which received MDA in 2013. The number of samples are 216 that calculating with estimated proportion. Two hundred and four respondens were success interview using structure questionnaires consisting of people who taking (100 respondens) and did not taking the drug (104) based on data from primary health care. Results: Coverage of MDA 2013 in Kodi Balaghar Sub-District was 3% from total eligible population. There were 152 respondents did not know the implementation of MDA, 149 respondents were did not obtain information about MDA. All respondents who taking drugs, admitted to ingested the drug. The main reason of respondents for not taking drugs is they did not know there was implementation of MDA programe (71 respondents). The second reason of respondents is absent at the time of drugs distribution (33 respondents).Conclusion: Lack of knowledge and information of respondents about MDA and followed by very low coverage.Recommendation: increased socialization as an effort to increase knowledge and information about MDA.