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Drama as a community engagement strategy for malaria in rural Cambodia

Background: Countries in Southeast Asia are working to eliminate multidrug-resistant falciparum malaria, a major cause of mortality in tropical regions. Malaria is declining but transmission persists in many rural areas and among forest workers and isolated populations. In these remote communities,...

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Autores principales: Lim, Renly, Tripura, Rupam, J Peto, Thomas, Sareth, Ma, Sanann, Nou, Davoeung, Chan, Nguon, Chea, Cheah, Phaik Yeong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000 Research Limited 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5645711/
https://www.ncbi.nlm.nih.gov/pubmed/29062919
http://dx.doi.org/10.12688/wellcomeopenres.12594.2
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author Lim, Renly
Tripura, Rupam
J Peto, Thomas
Sareth, Ma
Sanann, Nou
Davoeung, Chan
Nguon, Chea
Cheah, Phaik Yeong
author_facet Lim, Renly
Tripura, Rupam
J Peto, Thomas
Sareth, Ma
Sanann, Nou
Davoeung, Chan
Nguon, Chea
Cheah, Phaik Yeong
author_sort Lim, Renly
collection PubMed
description Background: Countries in Southeast Asia are working to eliminate multidrug-resistant falciparum malaria, a major cause of mortality in tropical regions. Malaria is declining but transmission persists in many rural areas and among forest workers and isolated populations. In these remote communities, conventional health services and education are limited. Mobilising and educating these populations require new approaches as many people are illiterate and do not attend village meetings. This article describes a qualitative study to assess the feasibility of a drama project as a community engagement strategy. Methods: A drama project was conducted in twenty villages in Cambodia with three key messages: to use insecticide-treated bednets and repellents, to get early diagnosis and treatment, and to learn about risks of forest-acquired malaria. Qualitative interviews were conducted with the drama team members, village malaria workers, local health staffs and villagers, to explore the feasibility of using drama to engage the community and the associated challenges. Results: 29 people were interviewed, which included 18 semi-structured interviews and one focus group discussion. Analysis of the interviews resulted in development of the following seven themes: i) exposure to malaria and engagement activities, ii) readiness and barriers to participation, iii) understanding and learning about malaria using drama, iv) entertainment value and engagement method preferences, v) challenges to community engagement, vi) future participation and vii) sustainability. The event saw a very positive response, with an encouraging average participation rate of 66%. The project faced several challenges including logistic problems, rescheduling due to raining season, and time- and budget-constraints. Conclusions: Our evaluation demonstrated that the drama project was feasible in promoting awareness and understanding of malaria prevention and control. Audience members perceived drama as entertaining and as the preferred choice of engagement activity. Participatory drama could be considered as part of the community engagement for malaria elimination.
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spelling pubmed-56457112017-10-23 Drama as a community engagement strategy for malaria in rural Cambodia Lim, Renly Tripura, Rupam J Peto, Thomas Sareth, Ma Sanann, Nou Davoeung, Chan Nguon, Chea Cheah, Phaik Yeong Wellcome Open Res Research Article Background: Countries in Southeast Asia are working to eliminate multidrug-resistant falciparum malaria, a major cause of mortality in tropical regions. Malaria is declining but transmission persists in many rural areas and among forest workers and isolated populations. In these remote communities, conventional health services and education are limited. Mobilising and educating these populations require new approaches as many people are illiterate and do not attend village meetings. This article describes a qualitative study to assess the feasibility of a drama project as a community engagement strategy. Methods: A drama project was conducted in twenty villages in Cambodia with three key messages: to use insecticide-treated bednets and repellents, to get early diagnosis and treatment, and to learn about risks of forest-acquired malaria. Qualitative interviews were conducted with the drama team members, village malaria workers, local health staffs and villagers, to explore the feasibility of using drama to engage the community and the associated challenges. Results: 29 people were interviewed, which included 18 semi-structured interviews and one focus group discussion. Analysis of the interviews resulted in development of the following seven themes: i) exposure to malaria and engagement activities, ii) readiness and barriers to participation, iii) understanding and learning about malaria using drama, iv) entertainment value and engagement method preferences, v) challenges to community engagement, vi) future participation and vii) sustainability. The event saw a very positive response, with an encouraging average participation rate of 66%. The project faced several challenges including logistic problems, rescheduling due to raining season, and time- and budget-constraints. Conclusions: Our evaluation demonstrated that the drama project was feasible in promoting awareness and understanding of malaria prevention and control. Audience members perceived drama as entertaining and as the preferred choice of engagement activity. Participatory drama could be considered as part of the community engagement for malaria elimination. F1000 Research Limited 2018-05-16 /pmc/articles/PMC5645711/ /pubmed/29062919 http://dx.doi.org/10.12688/wellcomeopenres.12594.2 Text en Copyright: © 2018 Lim R et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Lim, Renly
Tripura, Rupam
J Peto, Thomas
Sareth, Ma
Sanann, Nou
Davoeung, Chan
Nguon, Chea
Cheah, Phaik Yeong
Drama as a community engagement strategy for malaria in rural Cambodia
title Drama as a community engagement strategy for malaria in rural Cambodia
title_full Drama as a community engagement strategy for malaria in rural Cambodia
title_fullStr Drama as a community engagement strategy for malaria in rural Cambodia
title_full_unstemmed Drama as a community engagement strategy for malaria in rural Cambodia
title_short Drama as a community engagement strategy for malaria in rural Cambodia
title_sort drama as a community engagement strategy for malaria in rural cambodia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5645711/
https://www.ncbi.nlm.nih.gov/pubmed/29062919
http://dx.doi.org/10.12688/wellcomeopenres.12594.2
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