Precarity at the margins of malaria control in the chittagong hill tracts in bangladesh: A mixed-methods study

© 2020 by the authors. Bangladesh has achieved significant progress towards malaria elimination, although health service delivery for malaria remains challenging in remote forested areas such as the Chittagong Hill Tracts (CHT). The aim of this study was to investigate perceptions of malaria and its...

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Main Authors: Mohammad Abdul Matin, Nandini D.P. Sarkar, Ching Swe Phru, Benedikt Ley, Kamala Thriemer, Ric N. Price, Koen Peeters Grietens, Wasif Ali Khan, Mohammad Shafiul Alam, Charlotte Gryseels
Other Authors: Prins Leopold Instituut voor Tropische Geneeskunde
Format: Article
Published: 2020
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/59879
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spelling th-mahidol.598792020-11-18T17:03:13Z Precarity at the margins of malaria control in the chittagong hill tracts in bangladesh: A mixed-methods study Mohammad Abdul Matin Nandini D.P. Sarkar Ching Swe Phru Benedikt Ley Kamala Thriemer Ric N. Price Koen Peeters Grietens Wasif Ali Khan Mohammad Shafiul Alam Charlotte Gryseels Prins Leopold Instituut voor Tropische Geneeskunde Menzies School of Health Research Mahidol University International Centre for Diarrhoeal Disease Research Bangladesh Nuffield Department of Medicine Biochemistry, Genetics and Molecular Biology Immunology and Microbiology Medicine © 2020 by the authors. Bangladesh has achieved significant progress towards malaria elimination, although health service delivery for malaria remains challenging in remote forested areas such as the Chittagong Hill Tracts (CHT). The aim of this study was to investigate perceptions of malaria and its treatment among the local population to inform contextualized strategies for rolling out radical cure for P. vivax in Bangladesh. The study comprised two sequential strands whereby the preliminary results of a qualitative strand informed the development of a structured survey questionnaire used in the quantitative strand. Results show that ethnic minority populations in the CHT live in precarious socio-economic conditions which increase their exposure to infectious diseases, and that febrile patients often self-treat, including home remedies and pharmaceuticals, before attending a healthcare facility. Perceived low quality of care and lack of communication between Bengali health providers and ethnic minority patients also affects access to public healthcare. Malaria is viewed as a condition that affects vulnerable people weakened by agricultural work and taking away blood is perceived to increase such vulnerability. Healthcare providers that initiate and sustain a dialogue about these issues with ethnic minority patients may foster the trust that is needed for local malaria elimination efforts. 2020-11-18T08:03:27Z 2020-11-18T08:03:27Z 2020-10-01 Article Pathogens. Vol.9, No.10 (2020), 1-19 10.3390/pathogens9100840 20760817 2-s2.0-85092907986 https://repository.li.mahidol.ac.th/handle/123456789/59879 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85092907986&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 Biochemistry, Genetics and Molecular Biology
Immunology and Microbiology
Medicine
spellingShingle Biochemistry, Genetics and Molecular Biology
Immunology and Microbiology
Medicine
Mohammad Abdul Matin
Nandini D.P. Sarkar
Ching Swe Phru
Benedikt Ley
Kamala Thriemer
Ric N. Price
Koen Peeters Grietens
Wasif Ali Khan
Mohammad Shafiul Alam
Charlotte Gryseels
Precarity at the margins of malaria control in the chittagong hill tracts in bangladesh: A mixed-methods study
description © 2020 by the authors. Bangladesh has achieved significant progress towards malaria elimination, although health service delivery for malaria remains challenging in remote forested areas such as the Chittagong Hill Tracts (CHT). The aim of this study was to investigate perceptions of malaria and its treatment among the local population to inform contextualized strategies for rolling out radical cure for P. vivax in Bangladesh. The study comprised two sequential strands whereby the preliminary results of a qualitative strand informed the development of a structured survey questionnaire used in the quantitative strand. Results show that ethnic minority populations in the CHT live in precarious socio-economic conditions which increase their exposure to infectious diseases, and that febrile patients often self-treat, including home remedies and pharmaceuticals, before attending a healthcare facility. Perceived low quality of care and lack of communication between Bengali health providers and ethnic minority patients also affects access to public healthcare. Malaria is viewed as a condition that affects vulnerable people weakened by agricultural work and taking away blood is perceived to increase such vulnerability. Healthcare providers that initiate and sustain a dialogue about these issues with ethnic minority patients may foster the trust that is needed for local malaria elimination efforts.
author2 Prins Leopold Instituut voor Tropische Geneeskunde
author_facet Prins Leopold Instituut voor Tropische Geneeskunde
Mohammad Abdul Matin
Nandini D.P. Sarkar
Ching Swe Phru
Benedikt Ley
Kamala Thriemer
Ric N. Price
Koen Peeters Grietens
Wasif Ali Khan
Mohammad Shafiul Alam
Charlotte Gryseels
format Article
author Mohammad Abdul Matin
Nandini D.P. Sarkar
Ching Swe Phru
Benedikt Ley
Kamala Thriemer
Ric N. Price
Koen Peeters Grietens
Wasif Ali Khan
Mohammad Shafiul Alam
Charlotte Gryseels
author_sort Mohammad Abdul Matin
title Precarity at the margins of malaria control in the chittagong hill tracts in bangladesh: A mixed-methods study
title_short Precarity at the margins of malaria control in the chittagong hill tracts in bangladesh: A mixed-methods study
title_full Precarity at the margins of malaria control in the chittagong hill tracts in bangladesh: A mixed-methods study
title_fullStr Precarity at the margins of malaria control in the chittagong hill tracts in bangladesh: A mixed-methods study
title_full_unstemmed Precarity at the margins of malaria control in the chittagong hill tracts in bangladesh: A mixed-methods study
title_sort precarity at the margins of malaria control in the chittagong hill tracts in bangladesh: a mixed-methods study
publishDate 2020
url https://repository.li.mahidol.ac.th/handle/123456789/59879
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