Forest work and its implications for malaria elimination: a qualitative study
Abstract Background Over the last 20 years, malaria incidence has decreased across the Greater Mekong Sub-region (GMS) and the emergence of artemisinin resistance has stimulated efforts to accelerate regional elimination. In the GMS, the malaria transmission is focused increasingly in forested zones...
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ftdoajarticles:oai:doaj.org/article:a8d563c006e54b0c94ff394277e0f088 2023-05-15T15:15:15+02:00 Forest work and its implications for malaria elimination: a qualitative study Nou Sanann Thomas J. Peto Rupam Tripura James J. Callery Chea Nguon Thanh Mai Bui Stephanie D. Nofal Lorenz von Seidlein Dysoley Lek Arjen M. Dondorp Phaik Yeong Cheah Christopher Pell 2019-11-01T00:00:00Z https://doi.org/10.1186/s12936-019-3008-3 https://doaj.org/article/a8d563c006e54b0c94ff394277e0f088 EN eng BMC http://link.springer.com/article/10.1186/s12936-019-3008-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-3008-3 1475-2875 https://doaj.org/article/a8d563c006e54b0c94ff394277e0f088 Malaria Journal, Vol 18, Iss 1, Pp 1-11 (2019) Malaria Elimination Forest Greater Mekong Sub-region Qualitative Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2019 ftdoajarticles https://doi.org/10.1186/s12936-019-3008-3 2022-12-31T14:52:43Z Abstract Background Over the last 20 years, malaria incidence has decreased across the Greater Mekong Sub-region (GMS) and the emergence of artemisinin resistance has stimulated efforts to accelerate regional elimination. In the GMS, the malaria transmission is focused increasingly in forested zones. This article describes forest-going activities and examines forest workers’ attitudes to and experiences of malaria prevention and control in north-eastern Cambodia. Methods In Stung Treng Province, Cambodia, 19 in-depth interviews were conducted in villages with participants recently diagnosed with uncomplicated falciparum malaria who reported working in forests. Two focus group discussions with respondents’ forest-working peers were held. Interviews and focus groups were audio-recorded transcribed, and translated for thematic analysis. Results Forest work is an essential source of income for respondents. Many combine it with farming, which influences the timing and duration of forest visits. Forest activities include logging and collecting other forest products, particularly malva nuts. Men log year-round, whereas gathering forest products is seasonal and can involve entire families. Forest workers sleep chiefly in unimpregnated hammock nets in make-shift encampments. Respondents are concerned about symptomatic malaria, but unfamiliar with the concept of asymptomatic infection. They view the forest as an area of potential malaria infection and seek to protect themselves from mosquito bites through wearing long-sleeved clothes, using repellents, and lighting fires. Forest workers express a willingness to self-test and self-administer anti-malarials. Conclusions Forest workers’ behaviour and perceptions of risk indicate that improvements are needed to current control measures. There is potential to: better target distribution of impregnated hammock nets; offer curative or presumptive treatment while in forests; and expand access to screening. Establishing the efficacy and feasibility of prophylaxis for forest ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 18 1 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Elimination Forest Greater Mekong Sub-region Qualitative Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Elimination Forest Greater Mekong Sub-region Qualitative Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Nou Sanann Thomas J. Peto Rupam Tripura James J. Callery Chea Nguon Thanh Mai Bui Stephanie D. Nofal Lorenz von Seidlein Dysoley Lek Arjen M. Dondorp Phaik Yeong Cheah Christopher Pell Forest work and its implications for malaria elimination: a qualitative study |
topic_facet |
Malaria Elimination Forest Greater Mekong Sub-region Qualitative Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Over the last 20 years, malaria incidence has decreased across the Greater Mekong Sub-region (GMS) and the emergence of artemisinin resistance has stimulated efforts to accelerate regional elimination. In the GMS, the malaria transmission is focused increasingly in forested zones. This article describes forest-going activities and examines forest workers’ attitudes to and experiences of malaria prevention and control in north-eastern Cambodia. Methods In Stung Treng Province, Cambodia, 19 in-depth interviews were conducted in villages with participants recently diagnosed with uncomplicated falciparum malaria who reported working in forests. Two focus group discussions with respondents’ forest-working peers were held. Interviews and focus groups were audio-recorded transcribed, and translated for thematic analysis. Results Forest work is an essential source of income for respondents. Many combine it with farming, which influences the timing and duration of forest visits. Forest activities include logging and collecting other forest products, particularly malva nuts. Men log year-round, whereas gathering forest products is seasonal and can involve entire families. Forest workers sleep chiefly in unimpregnated hammock nets in make-shift encampments. Respondents are concerned about symptomatic malaria, but unfamiliar with the concept of asymptomatic infection. They view the forest as an area of potential malaria infection and seek to protect themselves from mosquito bites through wearing long-sleeved clothes, using repellents, and lighting fires. Forest workers express a willingness to self-test and self-administer anti-malarials. Conclusions Forest workers’ behaviour and perceptions of risk indicate that improvements are needed to current control measures. There is potential to: better target distribution of impregnated hammock nets; offer curative or presumptive treatment while in forests; and expand access to screening. Establishing the efficacy and feasibility of prophylaxis for forest ... |
format |
Article in Journal/Newspaper |
author |
Nou Sanann Thomas J. Peto Rupam Tripura James J. Callery Chea Nguon Thanh Mai Bui Stephanie D. Nofal Lorenz von Seidlein Dysoley Lek Arjen M. Dondorp Phaik Yeong Cheah Christopher Pell |
author_facet |
Nou Sanann Thomas J. Peto Rupam Tripura James J. Callery Chea Nguon Thanh Mai Bui Stephanie D. Nofal Lorenz von Seidlein Dysoley Lek Arjen M. Dondorp Phaik Yeong Cheah Christopher Pell |
author_sort |
Nou Sanann |
title |
Forest work and its implications for malaria elimination: a qualitative study |
title_short |
Forest work and its implications for malaria elimination: a qualitative study |
title_full |
Forest work and its implications for malaria elimination: a qualitative study |
title_fullStr |
Forest work and its implications for malaria elimination: a qualitative study |
title_full_unstemmed |
Forest work and its implications for malaria elimination: a qualitative study |
title_sort |
forest work and its implications for malaria elimination: a qualitative study |
publisher |
BMC |
publishDate |
2019 |
url |
https://doi.org/10.1186/s12936-019-3008-3 https://doaj.org/article/a8d563c006e54b0c94ff394277e0f088 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 18, Iss 1, Pp 1-11 (2019) |
op_relation |
http://link.springer.com/article/10.1186/s12936-019-3008-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-3008-3 1475-2875 https://doaj.org/article/a8d563c006e54b0c94ff394277e0f088 |
op_doi |
https://doi.org/10.1186/s12936-019-3008-3 |
container_title |
Malaria Journal |
container_volume |
18 |
container_issue |
1 |
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1766345615594225664 |