Mass anti-malarial administration in western Cambodia: a qualitative study of factors affecting coverage
Abstract Background Mass anti-malarial administration has been proposed as a key component of the Plasmodium falciparum malaria elimination strategy in the Greater Mekong sub-Region. Its effectiveness depends on high levels of coverage in the target population. This article explores the factors that...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2017
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12936-017-1854-4 https://doaj.org/article/0e4e7c5a306f49a9b3b9af10036cc622 |
id |
ftdoajarticles:oai:doaj.org/article:0e4e7c5a306f49a9b3b9af10036cc622 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:0e4e7c5a306f49a9b3b9af10036cc622 2023-05-15T15:12:42+02:00 Mass anti-malarial administration in western Cambodia: a qualitative study of factors affecting coverage Christopher Pell Rupam Tripura Chea Nguon Phaikyeong Cheah Chan Davoeung Chhouen Heng Lim Dara Ma Sareth Arjen Dondorp Lorenz von Seidlein Thomas J. Peto 2017-05-01T00:00:00Z https://doi.org/10.1186/s12936-017-1854-4 https://doaj.org/article/0e4e7c5a306f49a9b3b9af10036cc622 EN eng BMC http://link.springer.com/article/10.1186/s12936-017-1854-4 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-017-1854-4 1475-2875 https://doaj.org/article/0e4e7c5a306f49a9b3b9af10036cc622 Malaria Journal, Vol 16, Iss 1, Pp 1-11 (2017) Malaria Qualitative Attitudes Social factors Community engagement Mass drug administration Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2017 ftdoajarticles https://doi.org/10.1186/s12936-017-1854-4 2022-12-31T13:32:08Z Abstract Background Mass anti-malarial administration has been proposed as a key component of the Plasmodium falciparum malaria elimination strategy in the Greater Mekong sub-Region. Its effectiveness depends on high levels of coverage in the target population. This article explores the factors that influenced mass anti-malarial administration coverage within a clinical trial in Battambang Province, western Cambodia. Methods Qualitative data were collected through semi-structured interviews and focus group discussions with villagers, in-depth interviews with study staff, trial drop-outs and refusers, and observations in the communities. Interviews were audio-recorded, transcribed and translated from Khmer to English for qualitative content analysis using QSR NVivo. Results Malaria was an important health concern and villagers reported a demand for malaria treatment. This was in spite of a fall in incidence over the previous decade and a lack of familiarity with asymptomatic malaria. Participants generally understood the overall study aim and were familiar with study activities. Comprehension of the study rationale was however limited. After the first mass anti-malarial administration, seasonal health complaints that participants attributed to the anti-malarial as “side effects” contributed to a decrease of coverage in round two. Staff therefore adapted the community engagement approach, bringing to prominence local leaders in village meetings. This contributed to a subsequent increase in coverage. Conclusion Future mass anti-malarial administration must consider seasonal disease patterns and the importance of local leaders taking prominent roles in community engagement. Further research is needed to investigate coverage in scenarios that more closely resemble implementation i.e. without participation incentives, blood sampling and free healthcare. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 16 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Qualitative Attitudes Social factors Community engagement Mass drug administration Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Qualitative Attitudes Social factors Community engagement Mass drug administration Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Christopher Pell Rupam Tripura Chea Nguon Phaikyeong Cheah Chan Davoeung Chhouen Heng Lim Dara Ma Sareth Arjen Dondorp Lorenz von Seidlein Thomas J. Peto Mass anti-malarial administration in western Cambodia: a qualitative study of factors affecting coverage |
topic_facet |
Malaria Qualitative Attitudes Social factors Community engagement Mass drug administration Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Mass anti-malarial administration has been proposed as a key component of the Plasmodium falciparum malaria elimination strategy in the Greater Mekong sub-Region. Its effectiveness depends on high levels of coverage in the target population. This article explores the factors that influenced mass anti-malarial administration coverage within a clinical trial in Battambang Province, western Cambodia. Methods Qualitative data were collected through semi-structured interviews and focus group discussions with villagers, in-depth interviews with study staff, trial drop-outs and refusers, and observations in the communities. Interviews were audio-recorded, transcribed and translated from Khmer to English for qualitative content analysis using QSR NVivo. Results Malaria was an important health concern and villagers reported a demand for malaria treatment. This was in spite of a fall in incidence over the previous decade and a lack of familiarity with asymptomatic malaria. Participants generally understood the overall study aim and were familiar with study activities. Comprehension of the study rationale was however limited. After the first mass anti-malarial administration, seasonal health complaints that participants attributed to the anti-malarial as “side effects” contributed to a decrease of coverage in round two. Staff therefore adapted the community engagement approach, bringing to prominence local leaders in village meetings. This contributed to a subsequent increase in coverage. Conclusion Future mass anti-malarial administration must consider seasonal disease patterns and the importance of local leaders taking prominent roles in community engagement. Further research is needed to investigate coverage in scenarios that more closely resemble implementation i.e. without participation incentives, blood sampling and free healthcare. |
format |
Article in Journal/Newspaper |
author |
Christopher Pell Rupam Tripura Chea Nguon Phaikyeong Cheah Chan Davoeung Chhouen Heng Lim Dara Ma Sareth Arjen Dondorp Lorenz von Seidlein Thomas J. Peto |
author_facet |
Christopher Pell Rupam Tripura Chea Nguon Phaikyeong Cheah Chan Davoeung Chhouen Heng Lim Dara Ma Sareth Arjen Dondorp Lorenz von Seidlein Thomas J. Peto |
author_sort |
Christopher Pell |
title |
Mass anti-malarial administration in western Cambodia: a qualitative study of factors affecting coverage |
title_short |
Mass anti-malarial administration in western Cambodia: a qualitative study of factors affecting coverage |
title_full |
Mass anti-malarial administration in western Cambodia: a qualitative study of factors affecting coverage |
title_fullStr |
Mass anti-malarial administration in western Cambodia: a qualitative study of factors affecting coverage |
title_full_unstemmed |
Mass anti-malarial administration in western Cambodia: a qualitative study of factors affecting coverage |
title_sort |
mass anti-malarial administration in western cambodia: a qualitative study of factors affecting coverage |
publisher |
BMC |
publishDate |
2017 |
url |
https://doi.org/10.1186/s12936-017-1854-4 https://doaj.org/article/0e4e7c5a306f49a9b3b9af10036cc622 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 16, Iss 1, Pp 1-11 (2017) |
op_relation |
http://link.springer.com/article/10.1186/s12936-017-1854-4 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-017-1854-4 1475-2875 https://doaj.org/article/0e4e7c5a306f49a9b3b9af10036cc622 |
op_doi |
https://doi.org/10.1186/s12936-017-1854-4 |
container_title |
Malaria Journal |
container_volume |
16 |
container_issue |
1 |
_version_ |
1766343346426478592 |