Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study
Abstract Background Malaria volunteers have contributed significantly to malaria control achieving a reduction of annual parasite incidence to pre-elimination levels in several townships across Myanmar. However, the volunteers’ role is changing as Myanmar transitions from a malaria control to elimin...
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ftdoajarticles:oai:doaj.org/article:ebd10ddd579d433daad515a0438ce4ee 2023-05-15T15:15:52+02:00 Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study Win Han Oo Elizabeth Hoban Lisa Gold Kyu Kyu Than Thazin La Aung Thi Freya J. I. Fowkes 2021-01-01T00:00:00Z https://doi.org/10.1186/s12936-020-03555-4 https://doaj.org/article/ebd10ddd579d433daad515a0438ce4ee EN eng BMC https://doi.org/10.1186/s12936-020-03555-4 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03555-4 1475-2875 https://doaj.org/article/ebd10ddd579d433daad515a0438ce4ee Malaria Journal, Vol 20, Iss 1, Pp 1-12 (2021) Volunteer Community-delivered model Malaria elimination Primary health care Myanmar Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2021 ftdoajarticles https://doi.org/10.1186/s12936-020-03555-4 2022-12-31T15:38:55Z Abstract Background Malaria volunteers have contributed significantly to malaria control achieving a reduction of annual parasite incidence to pre-elimination levels in several townships across Myanmar. However, the volunteers’ role is changing as Myanmar transitions from a malaria control to elimination programme and towards the goal of universal health coverage. The aim of the study is to explore the perspectives of community leaders, members and malaria volunteers in South-East Myanmar on community-delivered models to inform an optimal design that targets malaria elimination in the context of primary health care in Myanmar. Methods Qualitative methods including focus group discussions (FGDs) with community members and current or ex-malaria volunteers, and participatory workshops with community leaders were conducted. All data collection tools were pilot tested with similar participants. The FGDs were stratified into male and female participants in consideration of diverse gender roles among the ethnic groups of Myanmar. Data saturation was the key cut-off point to cease recruitment of participants. Inductive thematic analysis was used. Results Community members were willing to be tested for malaria because they were concerned about the consequences of malaria although they were aware that malaria prevalence is low in their villages. Malaria volunteers were the main service providers for malaria and other infectious diseases in the community. Apart from malaria, the community identified common health problems such as the flu (fever, sneezing and coughing), diarrhoea, skin infections and tuberculosis as priority diseases in this order. Incorporating preventive, and whenever possible curative, services for those diseases into the current malaria volunteer model was recommended. Discussion and conclusion There was a gap between the communities’ expectations of health services and the health services currently being delivered by volunteers in the community that highlights the need for reassessment and reform of ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 20 1 |
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English |
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Volunteer Community-delivered model Malaria elimination Primary health care Myanmar Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Volunteer Community-delivered model Malaria elimination Primary health care Myanmar Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Win Han Oo Elizabeth Hoban Lisa Gold Kyu Kyu Than Thazin La Aung Thi Freya J. I. Fowkes Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study |
topic_facet |
Volunteer Community-delivered model Malaria elimination Primary health care Myanmar Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Malaria volunteers have contributed significantly to malaria control achieving a reduction of annual parasite incidence to pre-elimination levels in several townships across Myanmar. However, the volunteers’ role is changing as Myanmar transitions from a malaria control to elimination programme and towards the goal of universal health coverage. The aim of the study is to explore the perspectives of community leaders, members and malaria volunteers in South-East Myanmar on community-delivered models to inform an optimal design that targets malaria elimination in the context of primary health care in Myanmar. Methods Qualitative methods including focus group discussions (FGDs) with community members and current or ex-malaria volunteers, and participatory workshops with community leaders were conducted. All data collection tools were pilot tested with similar participants. The FGDs were stratified into male and female participants in consideration of diverse gender roles among the ethnic groups of Myanmar. Data saturation was the key cut-off point to cease recruitment of participants. Inductive thematic analysis was used. Results Community members were willing to be tested for malaria because they were concerned about the consequences of malaria although they were aware that malaria prevalence is low in their villages. Malaria volunteers were the main service providers for malaria and other infectious diseases in the community. Apart from malaria, the community identified common health problems such as the flu (fever, sneezing and coughing), diarrhoea, skin infections and tuberculosis as priority diseases in this order. Incorporating preventive, and whenever possible curative, services for those diseases into the current malaria volunteer model was recommended. Discussion and conclusion There was a gap between the communities’ expectations of health services and the health services currently being delivered by volunteers in the community that highlights the need for reassessment and reform of ... |
format |
Article in Journal/Newspaper |
author |
Win Han Oo Elizabeth Hoban Lisa Gold Kyu Kyu Than Thazin La Aung Thi Freya J. I. Fowkes |
author_facet |
Win Han Oo Elizabeth Hoban Lisa Gold Kyu Kyu Than Thazin La Aung Thi Freya J. I. Fowkes |
author_sort |
Win Han Oo |
title |
Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study |
title_short |
Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study |
title_full |
Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study |
title_fullStr |
Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study |
title_full_unstemmed |
Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study |
title_sort |
community demand for comprehensive primary health care from malaria volunteers in south-east myanmar: a qualitative study |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s12936-020-03555-4 https://doaj.org/article/ebd10ddd579d433daad515a0438ce4ee |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 20, Iss 1, Pp 1-12 (2021) |
op_relation |
https://doi.org/10.1186/s12936-020-03555-4 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03555-4 1475-2875 https://doaj.org/article/ebd10ddd579d433daad515a0438ce4ee |
op_doi |
https://doi.org/10.1186/s12936-020-03555-4 |
container_title |
Malaria Journal |
container_volume |
20 |
container_issue |
1 |
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1766346198189342720 |