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Residual Malaria Among Migrant Workers in Myanmar: Why Still Persistent and How to Eliminate?

Article scientifique 2020 Anglais

Résumé

Abstract Background Residual malaria may be an important source for re-emerging of the malaria infection in the (pre)elimination era. Assessment of the residual-malaria in endemic areas as well as in (pre) elimination areas and identification of factors for residual malaria is needed to explore to support the evidence-based decision to the stakeholders and policymakers. MethodsThis study was conducted to explore the factors influencing the residual malaria infection among migrant workers in Myanmar by mixed-model method in two sentinel sites (one from pre-elimination areas and one from still endemic areas).ResultsA total of 102 migrant workers (65 in Bamauk and 37 in Shwegyin) were included in this study for quantitative assessment by using pretested questionnaires in household visits. Only 57.9% of the migrant in Shwegyin and 68.3% in Bmanuk were using the Long-lasting Insecticidal treated bed nets (LLINs) regularly although utilization of any bed net is high (91.0% in Shwegyin vs 79.9% in Bamauk). The mean of the number of the LLINs in their family was 2.89 (95%CI: 2.67-3.11) in Shwegyin and 1.64 (95%CI:1.48-1.81) in Bamauk. Unfortunately, their knowledge of the prevention of malaria was still low. Qualitative findings revealed that some of them reported no health information for malaria prevention was received in the last two years. ConclusionStrategy for distribution of LLINs for mobile/migrant populations should be reviewed and an appropriate action plan should be formulated. Health promotion activities for behavior change communication for malaria should be emphasized in the migrant population. Unlike the residence, an appropriate action plan should be considered for migrant groups, as some of the migrant groups are unable to be easily accessible by local health authorities nor village volunteers.

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Nyunt, M., Aye, K., Naing, S., Mon, A., Htwe, M., Win, S., Thwe, W., Thi, A., Kyaw, M. (2020). Residual Malaria Among Migrant Workers in Myanmar: Why Still Persistent and How to Eliminate?. https://doi.org/10.21203/rs.3.rs-100620/v1

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Myat Htut Nyunt Khin Myo Aye Shine Thura Naing Aye Su Mon Mi Mi Htwe Su Mon Kyaw Win Wai Myat Thwe Aung Thi Myat Phone Kyaw

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