Factors associated with population coverage of targeted malaria elimination (TME) in southern Savannakhet Province, Lao PDR

Malaria Journal

Research

Christopher Pell¹  Mayfong Mayxay²  Koukeo Phommasone³  Palingnaphone Kommarasy³  Xayaphone Soundala³  Gisela Henriques⁴  Lorenz von Seidlein⁵  Arjen M. Dondorp⁵  Nicholas J. White⁵  Nicholas P. J. Day⁵  Bipin Adhikari⁶  Phaik Yeong Cheah⁷  Tiengkham Pongvongsa⁸ 

[1] Centre for Social Science and Global Health, University of Amsterdam, Amsterdam, The Netherlands;Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands;Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Churchill Hospital, Oxford, UK;Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Vientiane, Laos;Faculty of Postgraduate Studies, University of Health Sciences, Vientiane, Laos;Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Vientiane, Laos;Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand;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;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;Kellogg College, University of Oxford, Oxford, UK;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;The Ethox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK;Savannakhet Provincial Health Department, Savannakhet, Savannakhet Province, Laos;

关键词: Malaria;    Elimination;    Community;    Engagement;    Acceptability;    Knowledge;    Trust;   

DOI  :  10.1186/s12936-017-2070-y

 received in 2017-07-20, accepted in 2017-10-16,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundTargeted malaria elimination (TME) in Lao PDR (Laos) included three rounds of mass drug administrations (MDA) against malaria followed by quarterly blood surveys in two villages in Nong District at Savannakhet Province. The success of MDA largely depends upon the efficacy of the anti-malarial drug regimen, local malaria epidemiology and the population coverage. In order to explore the reasons for participation in TME, a quantitative survey was conducted after the completion of the three rounds of MDA.MethodsThe survey was conducted in two villages with a total of 158 households in July and August 2016. Among the 973 villagers eligible for participation in the MDA, 158 (16.2%) adults (> 18 years) were selected, one each from every household for the interviews using a quantitative questionnaire.Results150/158 (94.9%) respondents participated at least in one activity (taking medicine or testing their blood) of TME. 141/150 (94.0%) respondents took part in the MDA and tested their blood in all three rounds. 17/158 (10.7%) were partial or non-participants in three rounds of MDA. Characteristics of respondents which were independently associated with completion of three rounds of MDA included: attending TME meetings [AOR = 12.0 (95% CI 1.1–20.5) (p = 0.03)], knowing that malaria can be diagnosed through blood tests [AOR = 5.6 (95% CI 1.0–32.3) (p = 0.05)], all members from household participated [AOR = 4.2 (95% CI 1.3–14.0) (p = 0.02)], liking all aspects of TME [AOR = 17.2 (95% CI 1.6–177.9) (p = 0.02)] and the perception that TME was important [AOR = 14.9 (95% CI 1.3–171.2) (p = 0.03)].ConclusionComplete participation in TME was significantly associated with participation in community engagement activities, knowledge that the blood tests were for malaria diagnosis, family members’ participation at TME and perceptions that TME was worthwhile. A responsive approach to community engagement that includes formative research and the involvement of community members may increase the uptake of the intervention.

【 授权许可】

CC BY   
© The Author(s) 2017