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
Abstract Background Multi-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)....
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-09-01
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| Series: | Malaria Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12936-017-2003-9 |
| _version_ | 1818267717651660800 |
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| author | Po Ly Julie Thwing Colleen McGinn Cesia E. Quintero Narann Top-Samphor Najibullah Habib Jack S. Richards Sara E. Canavati Seshu Babu Vinjamuri Chea Nguon |
| author_facet | Po Ly Julie Thwing Colleen McGinn Cesia E. Quintero Narann Top-Samphor Najibullah Habib Jack S. Richards Sara E. Canavati Seshu Babu Vinjamuri Chea Nguon |
| author_sort | Po Ly |
| collection | DOAJ |
| description | Abstract Background Multi-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. Methods An 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. Results There 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. Discussion Barriers 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. |
| first_indexed | 2024-12-12T20:27:02Z |
| format | Article |
| id | doaj.art-d2cf573226484c25aa1ee580cb7c7c05 |
| institution | Directory Open Access Journal |
| issn | 1475-2875 |
| language | English |
| last_indexed | 2024-12-12T20:27:02Z |
| publishDate | 2017-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Malaria Journal |
| spelling | doaj.art-d2cf573226484c25aa1ee580cb7c7c052022-12-22T00:13:07ZengBMCMalaria Journal1475-28752017-09-011611910.1186/s12936-017-2003-9The 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 CambodiaPo Ly0Julie Thwing1Colleen McGinn2Cesia E. Quintero3Narann Top-Samphor4Najibullah Habib5Jack S. Richards6Sara E. Canavati7Seshu Babu Vinjamuri8Chea Nguon9National Centre For Parasitology, Entomology and Malaria Control, Ministry of HealthMalaria Branch, Division of Parasitic Disease and Malaria, Centres for Disease Control and PreventionWHO Representative Office in CambodiaCentre for Biomedical Research, Burnet InstituteWHO Representative Office in CambodiaWHO Representative Office in CambodiaCentre for Biomedical Research, Burnet InstituteCentre for Biomedical Research, Burnet InstituteNational Centre For Parasitology, Entomology and Malaria Control, Ministry of HealthNational Centre For Parasitology, Entomology and Malaria Control, Ministry of HealthAbstract Background Multi-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. Methods An 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. Results There 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. Discussion Barriers 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.http://link.springer.com/article/10.1186/s12936-017-2003-9Respondent-driven samplingMobile and migrant populationsWestern CambodiaContainment projectArtemisinin resistanceMalaria elimination |
| spellingShingle | Po Ly Julie Thwing Colleen McGinn Cesia E. Quintero Narann Top-Samphor Najibullah Habib Jack S. Richards Sara E. Canavati Seshu Babu Vinjamuri Chea Nguon 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 Respondent-driven sampling Mobile and migrant populations Western Cambodia Containment project Artemisinin resistance Malaria elimination |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Respondent-driven sampling Mobile and migrant populations Western Cambodia Containment project Artemisinin resistance Malaria elimination |
| url | http://link.springer.com/article/10.1186/s12936-017-2003-9 |
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