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dc.contributor.authorKate Sahanen_US
dc.contributor.authorChristopher Pellen_US
dc.contributor.authorFrank Smithuisen_US
dc.contributor.authorAung Kyaw Phyoen_US
dc.contributor.authorSai Maung Maungen_US
dc.contributor.authorChanida Indrasutaen_US
dc.contributor.authorArjen M. Dondorpen_US
dc.contributor.authorNicholas J. Whiteen_US
dc.contributor.authorNicholas P.J. Dayen_US
dc.contributor.authorLorenz Von Seidleinen_US
dc.contributor.authorPhaik Yeong Cheahen_US
dc.contributor.otherUniversity of Oxforden_US
dc.contributor.otherUniversity of Amsterdamen_US
dc.contributor.otherMedical Action Myanmaren_US
dc.contributor.otherNuffield Department of Clinical Medicineen_US
dc.contributor.otherMahidol Universityen_US
dc.contributor.otherAmsterdam Institute for Global Health and Developmenten_US
dc.date.accessioned2018-12-21T08:01:52Z
dc.date.accessioned2019-03-14T08:03:53Z-
dc.date.available2018-12-21T08:01:52Z
dc.date.available2019-03-14T08:03:53Z-
dc.date.issued2017-02-14en_US
dc.identifier.citationMalaria Journal. Vol.16, No.1 (2017)en_US
dc.identifier.issn14752875en_US
dc.identifier.other2-s2.0-85012865049en_US
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012865049&origin=inwarden_US
dc.identifier.urihttp://repository.li.mahidol.ac.th/dspace/handle/123456789/42851-
dc.description.abstract© 2017 The Author(s). Background: The spread of artemisinin-resistance in Plasmodium falciparum is a threat to current global malaria control initiatives. Targeted malaria treatment (TMT), which combines mass anti-malarial administration with conventional malaria prevention and control measures, has been proposed as a strategy to tackle this problem. The effectiveness of TMT depends on high levels of population coverage and is influenced by accompanying community engagement activities and the local social context. The article explores how these factors influenced attitudes and behaviours towards TMT in Kayin (Karen) State, Myanmar. Methods: Semi-structured interviews were conducted with villagers from study villages (N = 31) and TMT project staff (N = 14) between March and July 2015. Results: Community engagement consisted of a range of activities to communicate the local malaria situation (including anti-malarial drug resistance and asymptomatic malaria), the aims of the TMT project, and its potential benefits. Community engagement was seen by staff as integral to the TMT project as a whole and not a sub-set of activities. Attitudes towards TMT (including towards community engagement) showed that developing trusting relationships helped foster participation. After initial wariness, staff received hospitality and acceptance among villagers. Offering healthcare alongside TMT proved mutually beneficial for the study and villagers. A handful of more socially-mobile and wealthy community members were reluctant to participate. The challenges of community engagement included time constraints and the isolation of the community with its limited infrastructure and a history of conflict. Conclusions: Community engagement had to be responsive to the local community even though staff faced time constraints. Understanding the social context of engagement helped TMT to foster respectful and trusting relationships. The complex relationship between the local context and community engagement complicated evaluation of the community strategy. Nonetheless, the project did record high levels of population coverage.en_US
dc.rightsMahidol Universityen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85012865049&origin=inwarden_US
dc.subjectImmunology and Microbiologyen_US
dc.titleCommunity engagement and the social context of targeted malaria treatment: a qualitative study in Kayin (Karen) State, Myanmaren_US
dc.typeArticleen_US
dc.rights.holderSCOPUSen_US
dc.identifier.doi10.1186/s12936-017-1718-yen_US
Appears in Collections:Scopus 2016-2017

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