Inter-sectoral approaches for the prevention and control of malaria among the mobile and migrant populations: a scoping review

Abstract Background Malaria cases among mobile and migrant populations (MMPs) represent a large and important reservoir for transmission, if undetected or untreated. The objectives of this review were to identify which intersectoral actions have been taken and how they are applied to interventions t...

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Main Authors: Cho Naing, Maxine A. Whittaker, Marcel Tanner
Format: Article
Language:English
Published: BMC 2018-11-01
Series:Malaria Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12936-018-2562-4
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author Cho Naing
Maxine A. Whittaker
Marcel Tanner
author_facet Cho Naing
Maxine A. Whittaker
Marcel Tanner
author_sort Cho Naing
collection DOAJ
description Abstract Background Malaria cases among mobile and migrant populations (MMPs) represent a large and important reservoir for transmission, if undetected or untreated. The objectives of this review were to identify which intersectoral actions have been taken and how they are applied to interventions targeted at the MMPs and also to assess the effect of interventions targeted to these special groups of population. Results A total of 36 studies met the inclusion criteria for this review. Numerous stakeholders were identified as involved in the intersectoral actions to defeat malaria amongst MMPs. Almost all studies discussed the involvement of Ministry of Health/Public Health (MOH/MOPH). The most frequently assessed intervention among the studies that were included was the coverage and utilization of insecticide-treated nets as personal protective measures (40.5%), followed by the intervention of early diagnoses and treatment of malaria (33.3%), the surveillance and response activities (13.9%) and the behaviour change communication (8.3%). There is a dearth of information on how these stakeholders shared roles and responsibilities for implementation, and about the channels of communication between-and-within the partners and with the MOH/MOPH. Despite limited details in the studies, the intermediate outcomes showed some evidence that the intersectoral collaborations contributed to improvement in knowledge about malaria, initiation and promotion of bed nets utilization, increased access to diagnosis and treatment in a surveillance context and contributed towards a reduction in malaria transmission. Overall, a high proportion of the targeted MMPs was equipped with correct knowledge about malaria transmission (70%, 95% CI 57–83%). Interventions targeting the use of bed nets utilization were two times more likely to reduce malaria incidence amongst the targeted MMPs (summary OR 2.01, 95% CI 1.43–2.6) than the non-users. The various intersectoral actions were often more vertically organized and not fully integrated in a systemic way within a given country or sub-national administrative setting. Conclusion Findings suggest that interventions supported by the multiple stakeholders had a significant impact on the reduction of malaria transmission amongst the targeted MMPs. Well-designed studies from different countries are recommended to robustly assess the role of intersectoral interventions targeted to MMPs and their impact on the reduction of transmission.
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spelling doaj.art-f2050dc9a77a4dc99c7cd400968dea582022-12-21T19:25:05ZengBMCMalaria Journal1475-28752018-11-0117111710.1186/s12936-018-2562-4Inter-sectoral approaches for the prevention and control of malaria among the mobile and migrant populations: a scoping reviewCho Naing0Maxine A. Whittaker1Marcel Tanner2Institute for Research, Development and Innovation (IRDI), International Medical UniversityDivision of Tropical Health and Medicine, James Cook UniversitySwiss Tropical and Public Health InstituteAbstract Background Malaria cases among mobile and migrant populations (MMPs) represent a large and important reservoir for transmission, if undetected or untreated. The objectives of this review were to identify which intersectoral actions have been taken and how they are applied to interventions targeted at the MMPs and also to assess the effect of interventions targeted to these special groups of population. Results A total of 36 studies met the inclusion criteria for this review. Numerous stakeholders were identified as involved in the intersectoral actions to defeat malaria amongst MMPs. Almost all studies discussed the involvement of Ministry of Health/Public Health (MOH/MOPH). The most frequently assessed intervention among the studies that were included was the coverage and utilization of insecticide-treated nets as personal protective measures (40.5%), followed by the intervention of early diagnoses and treatment of malaria (33.3%), the surveillance and response activities (13.9%) and the behaviour change communication (8.3%). There is a dearth of information on how these stakeholders shared roles and responsibilities for implementation, and about the channels of communication between-and-within the partners and with the MOH/MOPH. Despite limited details in the studies, the intermediate outcomes showed some evidence that the intersectoral collaborations contributed to improvement in knowledge about malaria, initiation and promotion of bed nets utilization, increased access to diagnosis and treatment in a surveillance context and contributed towards a reduction in malaria transmission. Overall, a high proportion of the targeted MMPs was equipped with correct knowledge about malaria transmission (70%, 95% CI 57–83%). Interventions targeting the use of bed nets utilization were two times more likely to reduce malaria incidence amongst the targeted MMPs (summary OR 2.01, 95% CI 1.43–2.6) than the non-users. The various intersectoral actions were often more vertically organized and not fully integrated in a systemic way within a given country or sub-national administrative setting. Conclusion Findings suggest that interventions supported by the multiple stakeholders had a significant impact on the reduction of malaria transmission amongst the targeted MMPs. Well-designed studies from different countries are recommended to robustly assess the role of intersectoral interventions targeted to MMPs and their impact on the reduction of transmission.http://link.springer.com/article/10.1186/s12936-018-2562-4MalariaMobileMigrantsIntersectoralInterventionsReview
spellingShingle Cho Naing
Maxine A. Whittaker
Marcel Tanner
Inter-sectoral approaches for the prevention and control of malaria among the mobile and migrant populations: a scoping review
Malaria Journal
Malaria
Mobile
Migrants
Intersectoral
Interventions
Review
title Inter-sectoral approaches for the prevention and control of malaria among the mobile and migrant populations: a scoping review
title_full Inter-sectoral approaches for the prevention and control of malaria among the mobile and migrant populations: a scoping review
title_fullStr Inter-sectoral approaches for the prevention and control of malaria among the mobile and migrant populations: a scoping review
title_full_unstemmed Inter-sectoral approaches for the prevention and control of malaria among the mobile and migrant populations: a scoping review
title_short Inter-sectoral approaches for the prevention and control of malaria among the mobile and migrant populations: a scoping review
title_sort inter sectoral approaches for the prevention and control of malaria among the mobile and migrant populations a scoping review
topic Malaria
Mobile
Migrants
Intersectoral
Interventions
Review
url http://link.springer.com/article/10.1186/s12936-018-2562-4
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AT maxineawhittaker intersectoralapproachesforthepreventionandcontrolofmalariaamongthemobileandmigrantpopulationsascopingreview
AT marceltanner intersectoralapproachesforthepreventionandcontrolofmalariaamongthemobileandmigrantpopulationsascopingreview