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Assessing the accep...
Assessing the acceptability and feasibility of reactive drug administration for malaria elimination in a Plasmodium vivax predominant setting : a qualitative study in two provinces in Thailand
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- Suwannarong, Kanokwan (författare)
- Chulalongkorn Univ, Fac Vet Sci, Ctr Excellence Emerging & Reemerging Infect Dis A, Bangkok, Thailand.;SUPA71 Co Ltd, Bangkok, Thailand.
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- Cotter, Chris (författare)
- Uppsala universitet,Internationell barnhälsa och nutrition,Univ Calif San Francisco, Inst Global Hlth Sci, Malaria Eliminat Initiat, 550 16th St,3rd Floor, San Francisco, CA 94158 USA.
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- Ponlap, Thanomsin (författare)
- SUPA71 Co Ltd, Bangkok, Thailand.
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- Bubpa, Nisachon (författare)
- Khon Kaen Univ, Fac Nursing, Khon Kaen, Khon Kaen Provi, Thailand.
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- Thammasutti, Kannika (författare)
- SUPA71 Co Ltd, Bangkok, Thailand.
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- Chaiwan, Jintana (författare)
- Univ Calif San Francisco, Inst Global Hlth Sci, Malaria Eliminat Initiat, 550 16th St,3rd Floor, San Francisco, CA 94158 USA.
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- Finn, Timothy P. (författare)
- Univ Calif San Francisco, Inst Global Hlth Sci, Malaria Eliminat Initiat, 550 16th St,3rd Floor, San Francisco, CA 94158 USA.
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- Kitchakarn, Suravadee (författare)
- Minist Publ Hlth, Dept Dis Control, Div Vector Borne Dis, Nonthaburi, Thailand.
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- Mårtensson, Andreas, 1963- (författare)
- Uppsala universitet,Internationell barnhälsa och nutrition
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- Baltzell, Kimberly A. (författare)
- Univ Calif San Francisco, Inst Global Hlth Sci, San Francisco, CA USA.;Univ Calif San Francisco, Sch Nursing, San Francisco, CA USA.
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- Hsiang, Michelle S. (författare)
- Univ Calif San Francisco, Inst Global Hlth Sci, Malaria Eliminat Initiat, 550 16th St,3rd Floor, San Francisco, CA 94158 USA.;Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA USA.;Univ Calif San Francisco, Benioff Childrens Hosp, Dept Pediat, San Francisco, CA USA.
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- Lertpiriyasuwat, Cheewanan (författare)
- Minist Publ Hlth, Dept Dis Control, Div Vector Borne Dis, Nonthaburi, Thailand.
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- Sudathip, Prayuth (författare)
- Minist Publ Hlth, Dept Dis Control, Div Vector Borne Dis, Nonthaburi, Thailand.
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- Bennett, Adam (författare)
- Univ Calif San Francisco, Inst Global Hlth Sci, Malaria Eliminat Initiat, 550 16th St,3rd Floor, San Francisco, CA 94158 USA.;Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA USA.;PATH, Seattle, WA USA.
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Chulalongkorn Univ, Fac Vet Sci, Ctr Excellence Emerging & Reemerging Infect Dis A, Bangkok, Thailand;SUPA71 Co Ltd, Bangkok, Thailand. Internationell barnhälsa och nutrition (creator_code:org_t)
- BMC, 2023
- 2023
- Engelska.
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Ingår i: BMC Public Health. - : BMC. - 1471-2458. ; 23
- Relaterad länk:
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Reactive case detection (RACD) or testing and treatment of close contacts of recent malaria cases, is commonly practiced in settings approaching malaria elimination, but standard diagnostics have limited sensitivity to detect low level infections. Reactive drug administration (RDA), or presumptive treatment without testing, is an alternative approach, but better understanding regarding community acceptability and operational feasibility are needed.Methods: A qualitative study was conducted as part of a two-arm cluster randomized-controlled trial evaluating the effectiveness of RDA targeting high-risk villages and forest workers for reducing Plasmodium vivax and P. falciparum malaria in Thailand. Key informant interviews (KIIs) and focus group discussions (FGDs) were conducted virtually among key public health staff, village health volunteers (VHVs), and household members that implemented or received RDA activities. Transcriptions were reviewed, coded, and managed manually using Dedoose qualitative data analysis software, then underwent qualitative content analysis to identify key themes.Results: RDA was well accepted by household members and public health staff that implemented it. RDA participation was driven by fear of contracting malaria, eagerness to receive protection provided by malaria medicines, and the increased access to health care. Concerns were raised about the safety of taking malaria medicines without having an illness, particularly if underlying health conditions existed. Health promotion hospital (HPH) staff implementing RDA noted its operational feasibility, but highlighted difficulty in traveling to remote areas, and requested additional travel resources and hiring more VHVs. Other challenges were highlighted including the need for additional training for VHVs on malaria activities and the inability of HPH staff to conduct RDA due to other health priorities (e.g., Covid-19). More training and practice for VHVs were noted as ways to improve implementation of RDA.Conclusions: To maximize uptake of RDA, regular education and sensitization campaigns in collaboration with village leaders on the purpose and rationale of RDA will be critical. To alleviate safety concerns and increase participant safety, a rigorous pharmacovigilance program will be important. To accelerate uptake of RDA, trust between HPH staff and VHVs and the communities they serve must continue to be strengthened to ensure acceptance of the intervention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Reactive drug administration
- Feasibility
- Acceptability
- Malaria elimination
- Thailand
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Suwannarong, Kan ...
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Cotter, Chris
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Ponlap, Thanomsi ...
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Bubpa, Nisachon
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Thammasutti, Kan ...
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Chaiwan, Jintana
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visa fler...
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Finn, Timothy P.
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Kitchakarn, Sura ...
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Mårtensson, Andr ...
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Baltzell, Kimber ...
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Hsiang, Michelle ...
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Lertpiriyasuwat, ...
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Sudathip, Prayut ...
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Bennett, Adam
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