Why do people participate in mass anti-malarial administration? Findings from a qualitative study in Nong District, Savannakhet Province, Lao PDR (Laos)
Abstract Background As a part of targeted malaria elimination (TME) in the Greater Mekong Sub-region (GMS), mass drug administration (MDA) with anti-malarials was conducted in four villages in Nong District, Savannakhet Province, Lao PDR (Laos). A high proportion of the target population participate...
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ftdoajarticles:oai:doaj.org/article:80712942667a49818c787639698a5542 2023-05-15T15:15:24+02:00 Why do people participate in mass anti-malarial administration? Findings from a qualitative study in Nong District, Savannakhet Province, Lao PDR (Laos) Bipin Adhikari Koukeo Phommasone Palingnaphone Kommarasy Xayaphone Soundala Phonesavanh Souvanthong Tiengkham Pongvongsa Gisela Henriques Paul N. Newton Nicholas J. White Nicholas P. J. Day Arjen M. Dondorp Lorenz von Seidlein Mayfong Mayxay Phaik Yeong Cheah Christopher Pell 2018-01-01T00:00:00Z https://doi.org/10.1186/s12936-017-2158-4 https://doaj.org/article/80712942667a49818c787639698a5542 EN eng BMC http://link.springer.com/article/10.1186/s12936-017-2158-4 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-017-2158-4 1475-2875 https://doaj.org/article/80712942667a49818c787639698a5542 Malaria Journal, Vol 17, Iss 1, Pp 1-13 (2018) Malaria Qualitative Coverage Factors Trust Mass drug administration Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2018 ftdoajarticles https://doi.org/10.1186/s12936-017-2158-4 2022-12-30T21:00:38Z Abstract Background As a part of targeted malaria elimination (TME) in the Greater Mekong Sub-region (GMS), mass drug administration (MDA) with anti-malarials was conducted in four villages in Nong District, Savannakhet Province, Lao PDR (Laos). A high proportion of the target population participated in the MDA, with over 87% agreeing to take the anti-malarial. Drawing on qualitative data collected alongside the MDA, this article explores the factors that led to this high population coverage. Methods Qualitative data collection methods included observations, which were recorded in field notes, focus group discussions (FGDs), and semi-structured interviews (SSIs). Data were collected on local context, MDA-related knowledge, attitudes and perceptions. FGDs and SSIs were audio-recorded, transcribed and translated to English. All transcriptions and field notes underwent qualitative content analysis using QSR NVivo. Results Respondents recognized malaria as a health concern and described the need for a malaria control program. The risk of malaria including asymptomatic infection was explained in terms of participants’ work in forest and fields, and poor hygiene. During the MDA rounds, there was an improvement in knowledge on the concept of asymptomatic malaria, the rationale of MDA and the blood test. In all four villages, poverty affected access to healthcare and the provision of free care by TME was highly appreciated. TME was jointly undertaken by research staff and local volunteers. Authorities were involved in all TME activities. Lao Theung communities were cohesive and community members tended to follow each other’s behaviour closely including participation in MDA. Factors such as understanding the concept and rationale of the study, free health care, collaboration with the village volunteers, support from authorities and cohesive communities contributed in building trust and high population coverage in MDA. Conclusion Future malaria control programmes can become successful in achieving the high coverage in ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 17 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Qualitative Coverage Factors Trust Mass drug administration Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Malaria Qualitative Coverage Factors Trust Mass drug administration Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Bipin Adhikari Koukeo Phommasone Palingnaphone Kommarasy Xayaphone Soundala Phonesavanh Souvanthong Tiengkham Pongvongsa Gisela Henriques Paul N. Newton Nicholas J. White Nicholas P. J. Day Arjen M. Dondorp Lorenz von Seidlein Mayfong Mayxay Phaik Yeong Cheah Christopher Pell Why do people participate in mass anti-malarial administration? Findings from a qualitative study in Nong District, Savannakhet Province, Lao PDR (Laos) |
topic_facet |
Malaria Qualitative Coverage Factors Trust Mass drug administration Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background As a part of targeted malaria elimination (TME) in the Greater Mekong Sub-region (GMS), mass drug administration (MDA) with anti-malarials was conducted in four villages in Nong District, Savannakhet Province, Lao PDR (Laos). A high proportion of the target population participated in the MDA, with over 87% agreeing to take the anti-malarial. Drawing on qualitative data collected alongside the MDA, this article explores the factors that led to this high population coverage. Methods Qualitative data collection methods included observations, which were recorded in field notes, focus group discussions (FGDs), and semi-structured interviews (SSIs). Data were collected on local context, MDA-related knowledge, attitudes and perceptions. FGDs and SSIs were audio-recorded, transcribed and translated to English. All transcriptions and field notes underwent qualitative content analysis using QSR NVivo. Results Respondents recognized malaria as a health concern and described the need for a malaria control program. The risk of malaria including asymptomatic infection was explained in terms of participants’ work in forest and fields, and poor hygiene. During the MDA rounds, there was an improvement in knowledge on the concept of asymptomatic malaria, the rationale of MDA and the blood test. In all four villages, poverty affected access to healthcare and the provision of free care by TME was highly appreciated. TME was jointly undertaken by research staff and local volunteers. Authorities were involved in all TME activities. Lao Theung communities were cohesive and community members tended to follow each other’s behaviour closely including participation in MDA. Factors such as understanding the concept and rationale of the study, free health care, collaboration with the village volunteers, support from authorities and cohesive communities contributed in building trust and high population coverage in MDA. Conclusion Future malaria control programmes can become successful in achieving the high coverage in ... |
format |
Article in Journal/Newspaper |
author |
Bipin Adhikari Koukeo Phommasone Palingnaphone Kommarasy Xayaphone Soundala Phonesavanh Souvanthong Tiengkham Pongvongsa Gisela Henriques Paul N. Newton Nicholas J. White Nicholas P. J. Day Arjen M. Dondorp Lorenz von Seidlein Mayfong Mayxay Phaik Yeong Cheah Christopher Pell |
author_facet |
Bipin Adhikari Koukeo Phommasone Palingnaphone Kommarasy Xayaphone Soundala Phonesavanh Souvanthong Tiengkham Pongvongsa Gisela Henriques Paul N. Newton Nicholas J. White Nicholas P. J. Day Arjen M. Dondorp Lorenz von Seidlein Mayfong Mayxay Phaik Yeong Cheah Christopher Pell |
author_sort |
Bipin Adhikari |
title |
Why do people participate in mass anti-malarial administration? Findings from a qualitative study in Nong District, Savannakhet Province, Lao PDR (Laos) |
title_short |
Why do people participate in mass anti-malarial administration? Findings from a qualitative study in Nong District, Savannakhet Province, Lao PDR (Laos) |
title_full |
Why do people participate in mass anti-malarial administration? Findings from a qualitative study in Nong District, Savannakhet Province, Lao PDR (Laos) |
title_fullStr |
Why do people participate in mass anti-malarial administration? Findings from a qualitative study in Nong District, Savannakhet Province, Lao PDR (Laos) |
title_full_unstemmed |
Why do people participate in mass anti-malarial administration? Findings from a qualitative study in Nong District, Savannakhet Province, Lao PDR (Laos) |
title_sort |
why do people participate in mass anti-malarial administration? findings from a qualitative study in nong district, savannakhet province, lao pdr (laos) |
publisher |
BMC |
publishDate |
2018 |
url |
https://doi.org/10.1186/s12936-017-2158-4 https://doaj.org/article/80712942667a49818c787639698a5542 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 17, Iss 1, Pp 1-13 (2018) |
op_relation |
http://link.springer.com/article/10.1186/s12936-017-2158-4 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-017-2158-4 1475-2875 https://doaj.org/article/80712942667a49818c787639698a5542 |
op_doi |
https://doi.org/10.1186/s12936-017-2158-4 |
container_title |
Malaria Journal |
container_volume |
17 |
container_issue |
1 |
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1766345768926445568 |