The use of respondent-driven sampling to assess malaria knowledge, treatment-seeking behaviours and preventive practices among mobile and migrant populations in a setting of artemisinin resistance in Western Cambodia

Malaria Journal

Research

Cesia E. Quintero¹  Jack S. Richards¹  Sara E. Canavati²  Julie Thwing³  Seshu Babu Vinjamuri⁴  Po Ly⁴  Chea Nguon⁴  Najibullah Habib⁵  Narann Top-Samphor⁵  Colleen McGinn⁵ 

[1] Centre for Biomedical Research, Burnet Institute, Melbourne, Australia;Centre for Biomedical Research, Burnet Institute, Melbourne, Australia;Vysnova Partners Inc., Washington, DC, USA;Malaria Branch, Division of Parasitic Disease and Malaria, Centres for Disease Control and Prevention, Atlanta, USA;National Centre For Parasitology, Entomology and Malaria Control, Ministry of Health, Corner Street 92, Rapaing Svay Village, Sankat Phnom Penh Thmey, Khan Sensok, Phnom Penh, Cambodia;WHO Representative Office in Cambodia, # 61-64 Norodam Preah Blvd., Penh, Phnom Penh, Cambodia;

关键词: Respondent-driven sampling;    Mobile and migrant populations;    Western Cambodia;    Containment project;    Artemisinin resistance;    Malaria elimination;    Operational research;    Malaria;    KAP;   

DOI  :  10.1186/s12936-017-2003-9

 received in 2017-02-04, accepted in 2017-08-30,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundMulti-drug-resistant Plasmodium falciparum threatens malaria elimination efforts in Cambodia and the Greater Mekong Subregion (GMS). Malaria burden in the GMS is higher among certain high-risk demographic groups in Cambodia, especially among migrant and mobile populations (MMPs). This respondent driven sampling (RDS) study was conducted in order to determine malaria knowledge, treatment-seeking behaviours and preventive practices among two MMP groups in Western Cambodia.MethodsAn RDS survey of MMPs was implemented in four purposively-selected communes along the Thai–Cambodia border; two in Veal Veang District and two in Pailin Province, chosen due to their sizeable MMP groups, their convenience of access, and their proximity to Thailand, which allowed for comparison with RDS studies in Thailand.ResultsThere were 764 participants in Pailin Province and 737 in Veal Veang District. Health messages received in Veal Veang were most likely to come from billboards (76.5%) and family and friends (57.7%), while in Pailin they were most likely to come from sources like radio (57.1%) and television (31.3%). Knowledge of malaria transmission by mosquito and prevention by bed net was above 94% in both locations, but some misinformation regarding means of transmission and prevention methods existed, predominantly in Veal Veang. Ownership of treated bed nets was lower in Pailin than in Veal Veang (25.3% vs 53.2%), while reported use the night before the survey was higher in Pailin than in Veal Veang (57.1% vs 31.6%). Use of private sector health and pharmaceutical services was common, but 81.1% of patients treated for malaria in Pailin and 86.6% in Veal Veang had received a diagnostic test. Only 29.6% of patients treated in Pailin and 19.6% of those treated in Veal Veng reported receiving the indicated first-line treatment.DiscussionBarriers in access to malaria prevention and case management were common among MMPs, with marked variation by site. Resolving both nation-wide and MMP-specific challenges will require targeted interventions that take into account this heterogeneity.

【 授权许可】

CC BY   
© The Author(s) 2017