Residual malaria among migrant workers in Myanmar: why still persistent and how to eliminate it?

Abstract Background Residual malaria is probably an important source for the re-emergence of malaria infection in the elimination era. Assessment to identify the factors influencing residual malaria in high-risk groups is needed to develop evidence-based decisions by stakeholders and policymakers. M...

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Main Authors: Myat Htut Nyunt, Khin Myo Aye, Shine Thura Naing, Aye Su Mon, Mi Mi Htwe, Su Mon Win, Wai Myat Thwe, Ni Ni Zaw, Myat Phone Kyaw, Aung Thi
Format: Article
Language:English
Published: BMC 2021-11-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-021-06839-5
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author Myat Htut Nyunt
Khin Myo Aye
Shine Thura Naing
Aye Su Mon
Mi Mi Htwe
Su Mon Win
Wai Myat Thwe
Ni Ni Zaw
Myat Phone Kyaw
Aung Thi
author_facet Myat Htut Nyunt
Khin Myo Aye
Shine Thura Naing
Aye Su Mon
Mi Mi Htwe
Su Mon Win
Wai Myat Thwe
Ni Ni Zaw
Myat Phone Kyaw
Aung Thi
author_sort Myat Htut Nyunt
collection DOAJ
description Abstract Background Residual malaria is probably an important source for the re-emergence of malaria infection in the elimination era. Assessment to identify the factors influencing residual malaria in high-risk groups is needed to develop evidence-based decisions by stakeholders and policymakers. Methods This study was conducted to explore the factors influencing the residual malaria infection among migrant workers in two sentinel sites (endemic vs. pre-elimination areas) in Myanmar using the mixed-model method. Results A total of 102 migrant respondents (65 in Bamauk and 37 in Shwegyin) were included for the quantitative assessment using pretested questionnaires during household visits. Although 87.3% of them had insecticidal bed nets (ITNs/LLINs), only 68.3% of the migrants in Bamauk and 57.9% in Shwegyin used it regularly. The use of any bed net was high (79.9% in Bamauk vs. 91.0% in Shwegyin). The mean LLINs in their families were 1.64 (95%CI: 1.48–1.81) in Bamauk and 2.89 (95%CI: 2.67–3.11) in Shwegyin. Most of them received no health information for malaria prevention within the last year and their knowledge about malaria was low. Their working nature was a challenge for control measures against malaria in migrants. Conclusion The strategy for distributing LLINs and health promotion activities for mobile/migrant populations should be reviewed, and an appropriate action plan should be developed for the specific migrant group. Moreover, health promotion activities for behavior change communication should be strengthened in the migrant population in Myanmar.
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spelling doaj.art-d72f37902435464fb3119eabcc64a81a2022-12-21T19:55:30ZengBMCBMC Infectious Diseases1471-23342021-11-012111810.1186/s12879-021-06839-5Residual malaria among migrant workers in Myanmar: why still persistent and how to eliminate it?Myat Htut Nyunt0Khin Myo Aye1Shine Thura Naing2Aye Su Mon3Mi Mi Htwe4Su Mon Win5Wai Myat Thwe6Ni Ni Zaw7Myat Phone Kyaw8Aung Thi9Department of Medical Research, Ministry of Health and SportsDepartment of Medical Research, Ministry of Health and SportsDepartment of Medical Research, Ministry of Health and SportsDepartment of Medical Research, Ministry of Health and SportsDepartment of Medical Research, Ministry of Health and SportsDepartment of Medical Research, Ministry of Health and SportsDepartment of Medical Research, Ministry of Health and SportsDepartment of Medical Research, Ministry of Health and SportsDepartment of Medical Research, Ministry of Health and SportsDepartment of Public Health, National Malaria Control Programme, Ministry of Health and SportsAbstract Background Residual malaria is probably an important source for the re-emergence of malaria infection in the elimination era. Assessment to identify the factors influencing residual malaria in high-risk groups is needed to develop evidence-based decisions by stakeholders and policymakers. Methods This study was conducted to explore the factors influencing the residual malaria infection among migrant workers in two sentinel sites (endemic vs. pre-elimination areas) in Myanmar using the mixed-model method. Results A total of 102 migrant respondents (65 in Bamauk and 37 in Shwegyin) were included for the quantitative assessment using pretested questionnaires during household visits. Although 87.3% of them had insecticidal bed nets (ITNs/LLINs), only 68.3% of the migrants in Bamauk and 57.9% in Shwegyin used it regularly. The use of any bed net was high (79.9% in Bamauk vs. 91.0% in Shwegyin). The mean LLINs in their families were 1.64 (95%CI: 1.48–1.81) in Bamauk and 2.89 (95%CI: 2.67–3.11) in Shwegyin. Most of them received no health information for malaria prevention within the last year and their knowledge about malaria was low. Their working nature was a challenge for control measures against malaria in migrants. Conclusion The strategy for distributing LLINs and health promotion activities for mobile/migrant populations should be reviewed, and an appropriate action plan should be developed for the specific migrant group. Moreover, health promotion activities for behavior change communication should be strengthened in the migrant population in Myanmar.https://doi.org/10.1186/s12879-021-06839-5MalariaMigrantsMalaria eliminationMyanmar
spellingShingle Myat Htut Nyunt
Khin Myo Aye
Shine Thura Naing
Aye Su Mon
Mi Mi Htwe
Su Mon Win
Wai Myat Thwe
Ni Ni Zaw
Myat Phone Kyaw
Aung Thi
Residual malaria among migrant workers in Myanmar: why still persistent and how to eliminate it?
BMC Infectious Diseases
Malaria
Migrants
Malaria elimination
Myanmar
title Residual malaria among migrant workers in Myanmar: why still persistent and how to eliminate it?
title_full Residual malaria among migrant workers in Myanmar: why still persistent and how to eliminate it?
title_fullStr Residual malaria among migrant workers in Myanmar: why still persistent and how to eliminate it?
title_full_unstemmed Residual malaria among migrant workers in Myanmar: why still persistent and how to eliminate it?
title_short Residual malaria among migrant workers in Myanmar: why still persistent and how to eliminate it?
title_sort residual malaria among migrant workers in myanmar why still persistent and how to eliminate it
topic Malaria
Migrants
Malaria elimination
Myanmar
url https://doi.org/10.1186/s12879-021-06839-5
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