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Progress and challenges to control malaria in a remote area of Chittagong hill tracts, Bangladesh

BACKGROUND: Malaria is endemic in 13 eastern districts where the overall infection prevalence is 3.97%. In 2006, Bangladesh received US$ 36.9 million from the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) to support the national malaria control programme of Bangladesh. OBJECTIVES: The...

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Autores principales: Haque, Ubydul, Hashizume, Masahiro, Sunahara, Toshihiko, Hossain, Shahed, Ahmed, Syed Masud, Haque, Rashidul, Yamamoto, Taro, Glass, Gregory E
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910016/
https://www.ncbi.nlm.nih.gov/pubmed/20537127
http://dx.doi.org/10.1186/1475-2875-9-156
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author Haque, Ubydul
Hashizume, Masahiro
Sunahara, Toshihiko
Hossain, Shahed
Ahmed, Syed Masud
Haque, Rashidul
Yamamoto, Taro
Glass, Gregory E
author_facet Haque, Ubydul
Hashizume, Masahiro
Sunahara, Toshihiko
Hossain, Shahed
Ahmed, Syed Masud
Haque, Rashidul
Yamamoto, Taro
Glass, Gregory E
author_sort Haque, Ubydul
collection PubMed
description BACKGROUND: Malaria is endemic in 13 eastern districts where the overall infection prevalence is 3.97%. In 2006, Bangladesh received US$ 36.9 million from the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) to support the national malaria control programme of Bangladesh. OBJECTIVES: The objective of this study was to i) clarify factors associated with treatment seeking behaviours of malaria ii) distribution of LLIN, and iii) re-treatment of ITN in remote area of a CHT district of Bangladesh two years after implementation of national control programme. METHODS: All households of Rajasthali sub-district of Rangamati district (households about 5,322, population about 24,097), all BRAC health workers (n = 15), health facilities and drug vendors' locations were mapped. Distances from households to health facilities, BRAC health workers and drug vendors were calculated. Logistic regression analysis was performed to assess the associations between the choice of the treatment and the distance to various treatment sources, education, occupation and ethnicity. SaTScan was used to detect clustering of treatment-seeking approaches. FINDINGS: LLIN distribution and the re-treatment of ITN exceeded target goals. The most common treatment facility for malaria-associated fever was malaria control programme led by BRAC and government (66.6%) followed by the drug vendor (48.8%). CONCLUSION: Closeness to health facilities run by the malaria control programme and drug vendors were significantly associated with the choice of treatment. A high proportion of people preferred drug vendors without having a proper diagnosis. Drug vendors are highly patronized and thus there is a need to improve their services for public health good. Otherwise it may cause incomplete treatment, misuse of anti-malarial drugs that will contribute to the risk of drug resistance and jeopardize the present malaria control efforts in Bangladesh.
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spelling pubmed-29100162010-07-27 Progress and challenges to control malaria in a remote area of Chittagong hill tracts, Bangladesh Haque, Ubydul Hashizume, Masahiro Sunahara, Toshihiko Hossain, Shahed Ahmed, Syed Masud Haque, Rashidul Yamamoto, Taro Glass, Gregory E Malar J Research BACKGROUND: Malaria is endemic in 13 eastern districts where the overall infection prevalence is 3.97%. In 2006, Bangladesh received US$ 36.9 million from the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) to support the national malaria control programme of Bangladesh. OBJECTIVES: The objective of this study was to i) clarify factors associated with treatment seeking behaviours of malaria ii) distribution of LLIN, and iii) re-treatment of ITN in remote area of a CHT district of Bangladesh two years after implementation of national control programme. METHODS: All households of Rajasthali sub-district of Rangamati district (households about 5,322, population about 24,097), all BRAC health workers (n = 15), health facilities and drug vendors' locations were mapped. Distances from households to health facilities, BRAC health workers and drug vendors were calculated. Logistic regression analysis was performed to assess the associations between the choice of the treatment and the distance to various treatment sources, education, occupation and ethnicity. SaTScan was used to detect clustering of treatment-seeking approaches. FINDINGS: LLIN distribution and the re-treatment of ITN exceeded target goals. The most common treatment facility for malaria-associated fever was malaria control programme led by BRAC and government (66.6%) followed by the drug vendor (48.8%). CONCLUSION: Closeness to health facilities run by the malaria control programme and drug vendors were significantly associated with the choice of treatment. A high proportion of people preferred drug vendors without having a proper diagnosis. Drug vendors are highly patronized and thus there is a need to improve their services for public health good. Otherwise it may cause incomplete treatment, misuse of anti-malarial drugs that will contribute to the risk of drug resistance and jeopardize the present malaria control efforts in Bangladesh. BioMed Central 2010-06-10 /pmc/articles/PMC2910016/ /pubmed/20537127 http://dx.doi.org/10.1186/1475-2875-9-156 Text en Copyright ©2010 Haque et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Haque, Ubydul
Hashizume, Masahiro
Sunahara, Toshihiko
Hossain, Shahed
Ahmed, Syed Masud
Haque, Rashidul
Yamamoto, Taro
Glass, Gregory E
Progress and challenges to control malaria in a remote area of Chittagong hill tracts, Bangladesh
title Progress and challenges to control malaria in a remote area of Chittagong hill tracts, Bangladesh
title_full Progress and challenges to control malaria in a remote area of Chittagong hill tracts, Bangladesh
title_fullStr Progress and challenges to control malaria in a remote area of Chittagong hill tracts, Bangladesh
title_full_unstemmed Progress and challenges to control malaria in a remote area of Chittagong hill tracts, Bangladesh
title_short Progress and challenges to control malaria in a remote area of Chittagong hill tracts, Bangladesh
title_sort progress and challenges to control malaria in a remote area of chittagong hill tracts, bangladesh
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910016/
https://www.ncbi.nlm.nih.gov/pubmed/20537127
http://dx.doi.org/10.1186/1475-2875-9-156
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