Community perceptions of targeted anti-malarial mass drug administrations in two provinces in Vietnam: a quantitative survey

Malaria Journal

Research

Nguyen Van Dung¹  Huynh Hong Quang²  Lorenz von Seidlein³  Arjen M. Dondorp³  Phaik Yeong Cheah³  Nicholas J. White³  Nicholas P. J. Day³  Thuy-Nhien Nguyen⁴  Do Hung Son⁴  Pham N. Huong Thu⁴  Ngo Trong Hung⁴  Nguyen Thanh Tien⁴  Tran Tinh Hien⁵ 

[1] Binh Phuoc Malaria Prevent and Control Center, Binh Phuoc, Vietnam;Institute of Malariology-Parasitology and Entomology (IMPE), Qui Nhon, Vietnam;Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand;Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Churchill Hospital, Oxford, UK;Oxford University Clinical Research Unit, Wellcome Trust Major Oversea Programme, Ho Chi Minh City, Vietnam;Oxford University Clinical Research Unit, Wellcome Trust Major Oversea Programme, Ho Chi Minh City, Vietnam;Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Churchill Hospital, Oxford, UK;

关键词: Malaria;    Plasmodium falciparum;    Plasmodium vivax;    Mass drug administration;    South-East Asia;    Vietnam;    Knowledge;    Attitude;    Perceptions;    Quantitative survey;   

DOI  :  10.1186/s12936-016-1662-2

 received in 2016-09-07, accepted in 2016-12-20,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundAs part of a targeted malaria elimination project, mass drug administrations (MDAs) were conducted in Vietnam. The impact of MDAs on malaria transmission depends largely on the efficacy of the anti-malarial drug regimen, the malaria epidemiology in the site and the population coverage. To explore why some people participate in MDAs and others do not, a quantitative survey of the villagers’ perceptions was undertaken in Vietnam.MethodsIn 2013/2014 MDAs were conducted in a village in Binh Phuoc province and a village in Ninh Thuan province. Within three months of the drug administration, 59 respondents in a village in Binh Phuoc and 79 respondents in a village in Ninh Thuan were randomly selected and interviewed.ResultsComprehension of the purpose of the intervention was of paramount importance for participation in the intervention. Respondents aware that the intervention aims to protect against malaria were significantly more likely to participate than respondents who were unaware of the MDA’s purpose. Secondly, how and by whom villagers were informed was critical for participation. There was a strong association between sensitization by an informant such as a member of the local health team with participation in the intervention.ConclusionsThe study suggests several approaches to increase participation in mass drug administration campaigns. Training trustworthy informants to sensitize the study population is critical to maximize village participation in this setting. To achieve high coverage the entire community must understand and agree with the intervention.

【 授权许可】

CC BY   
© The Author(s) 2017