How can interventions that target forest-goers be tailored to accelerate malaria elimination in the Greater Mekong Subregion? A systematic review of the qualitative literature

© 2019 The Author(s). Background: Despite decreases in incidence and related mortality, malaria remains a major public health challenge in the Greater Mekong Sub-region (GMS). The emergence of artemisinin resistance threatens these gains and has prompted efforts to accelerate elimination in the regi...

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Main Authors: Stephanie D. Nofal, Thomas J. Peto, Bipin Adhikari, Rupam Tripura, James Callery, Thanh Mai Bui, Lorenz Von Seidlein, Christopher Pell
Other Authors: London School of Hygiene & Tropical Medicine
Format: Review
Published: 2020
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/51108
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spelling th-mahidol.511082020-01-27T17:10:10Z How can interventions that target forest-goers be tailored to accelerate malaria elimination in the Greater Mekong Subregion? A systematic review of the qualitative literature Stephanie D. Nofal Thomas J. Peto Bipin Adhikari Rupam Tripura James Callery Thanh Mai Bui Lorenz Von Seidlein Christopher Pell London School of Hygiene & Tropical Medicine Maastricht University Mahidol University Nuffield Department of Clinical Medicine Universiteit van Amsterdam Amsterdam Institute for Global Health and Development Immunology and Microbiology Medicine © 2019 The Author(s). Background: Despite decreases in incidence and related mortality, malaria remains a major public health challenge in the Greater Mekong Sub-region (GMS). The emergence of artemisinin resistance threatens these gains and has prompted efforts to accelerate elimination in the region. In the GMS, transmission now clusters in hotspots along international borders and among high-risk populations, including forest-goers. To eliminate malaria in the region, interventions must target such hard-to-reach populations. This review provides a comprehensive overview of the qualitative research on behaviours and perceptions that influence uptake of and adherence to malaria interventions among forest-goers in the GMS. Methods: A systematic search strategy was used to identify relevant sources, including database (OVID SP, PubMed, ISI Web of Knowledge) and bibliographic searches. Relevant findings from qualitative research methods were extracted and thematic analysis undertaken. Results: Of 268 sources retrieved in searches twenty-two were reviewed. Most reported studies were conducted in Cambodia (n = 10), and were published after 2014 (n = 16). Four major themes emerged that are particularly relevant to the design of intervention packages targeted at forest-goers: (1) understanding of malaria and perceived risk; (2) preventive measures used when visiting the forest; (3) behaviours that put forest-goers at risk of infection; and, (4) malaria-related treatment seeking. There were notable differences across the reviewed articles that suggest the need for a locally tailored approach. Conclusion: A more detailed characterization of forest activities is needed but research on this topic raises methodological challenges. Current vector control measures have limitations, with use of insecticidal-treated nets, hammocks and repellents influenced by the type of forest activities and the characteristics of these measures. In contrast, anti-malarial drugs, for example, as chemoprophylaxis, hold promise but require further evaluation. 2020-01-27T09:01:24Z 2020-01-27T09:01:24Z 2019-02-01 Review Malaria Journal. Vol.18, No.1 (2019) 10.1186/s12936-019-2666-5 14752875 2-s2.0-85060908544 https://repository.li.mahidol.ac.th/handle/123456789/51108 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85060908544&origin=inward
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Immunology and Microbiology
Medicine
spellingShingle Immunology and Microbiology
Medicine
Stephanie D. Nofal
Thomas J. Peto
Bipin Adhikari
Rupam Tripura
James Callery
Thanh Mai Bui
Lorenz Von Seidlein
Christopher Pell
How can interventions that target forest-goers be tailored to accelerate malaria elimination in the Greater Mekong Subregion? A systematic review of the qualitative literature
description © 2019 The Author(s). Background: Despite decreases in incidence and related mortality, malaria remains a major public health challenge in the Greater Mekong Sub-region (GMS). The emergence of artemisinin resistance threatens these gains and has prompted efforts to accelerate elimination in the region. In the GMS, transmission now clusters in hotspots along international borders and among high-risk populations, including forest-goers. To eliminate malaria in the region, interventions must target such hard-to-reach populations. This review provides a comprehensive overview of the qualitative research on behaviours and perceptions that influence uptake of and adherence to malaria interventions among forest-goers in the GMS. Methods: A systematic search strategy was used to identify relevant sources, including database (OVID SP, PubMed, ISI Web of Knowledge) and bibliographic searches. Relevant findings from qualitative research methods were extracted and thematic analysis undertaken. Results: Of 268 sources retrieved in searches twenty-two were reviewed. Most reported studies were conducted in Cambodia (n = 10), and were published after 2014 (n = 16). Four major themes emerged that are particularly relevant to the design of intervention packages targeted at forest-goers: (1) understanding of malaria and perceived risk; (2) preventive measures used when visiting the forest; (3) behaviours that put forest-goers at risk of infection; and, (4) malaria-related treatment seeking. There were notable differences across the reviewed articles that suggest the need for a locally tailored approach. Conclusion: A more detailed characterization of forest activities is needed but research on this topic raises methodological challenges. Current vector control measures have limitations, with use of insecticidal-treated nets, hammocks and repellents influenced by the type of forest activities and the characteristics of these measures. In contrast, anti-malarial drugs, for example, as chemoprophylaxis, hold promise but require further evaluation.
author2 London School of Hygiene & Tropical Medicine
author_facet London School of Hygiene & Tropical Medicine
Stephanie D. Nofal
Thomas J. Peto
Bipin Adhikari
Rupam Tripura
James Callery
Thanh Mai Bui
Lorenz Von Seidlein
Christopher Pell
format Review
author Stephanie D. Nofal
Thomas J. Peto
Bipin Adhikari
Rupam Tripura
James Callery
Thanh Mai Bui
Lorenz Von Seidlein
Christopher Pell
author_sort Stephanie D. Nofal
title How can interventions that target forest-goers be tailored to accelerate malaria elimination in the Greater Mekong Subregion? A systematic review of the qualitative literature
title_short How can interventions that target forest-goers be tailored to accelerate malaria elimination in the Greater Mekong Subregion? A systematic review of the qualitative literature
title_full How can interventions that target forest-goers be tailored to accelerate malaria elimination in the Greater Mekong Subregion? A systematic review of the qualitative literature
title_fullStr How can interventions that target forest-goers be tailored to accelerate malaria elimination in the Greater Mekong Subregion? A systematic review of the qualitative literature
title_full_unstemmed How can interventions that target forest-goers be tailored to accelerate malaria elimination in the Greater Mekong Subregion? A systematic review of the qualitative literature
title_sort how can interventions that target forest-goers be tailored to accelerate malaria elimination in the greater mekong subregion? a systematic review of the qualitative literature
publishDate 2020
url https://repository.li.mahidol.ac.th/handle/123456789/51108
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