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Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study

Bangladesh has achieved significant progress towards malaria elimination, although health service delivery for malaria remains challenging in remote forested areas such as the Chittagong Hill Tracts (CHT). The aim of this study was to investigate perceptions of malaria and its treatment among the lo...

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Autores principales: Matin, Mohammad Abdul, Sarkar, Nandini D. P., Phru, Ching Swe, Ley, Benedikt, Thriemer, Kamala, Price, Ric N., Peeters Grietens, Koen, Ali Khan, Wasif, Alam, Mohammad Shafiul, Gryseels, Charlotte
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7602388/
https://www.ncbi.nlm.nih.gov/pubmed/33066621
http://dx.doi.org/10.3390/pathogens9100840
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author Matin, Mohammad Abdul
Sarkar, Nandini D. P.
Phru, Ching Swe
Ley, Benedikt
Thriemer, Kamala
Price, Ric N.
Peeters Grietens, Koen
Ali Khan, Wasif
Alam, Mohammad Shafiul
Gryseels, Charlotte
author_facet Matin, Mohammad Abdul
Sarkar, Nandini D. P.
Phru, Ching Swe
Ley, Benedikt
Thriemer, Kamala
Price, Ric N.
Peeters Grietens, Koen
Ali Khan, Wasif
Alam, Mohammad Shafiul
Gryseels, Charlotte
author_sort Matin, Mohammad Abdul
collection PubMed
description Bangladesh has achieved significant progress towards malaria elimination, although health service delivery for malaria remains challenging in remote forested areas such as the Chittagong Hill Tracts (CHT). The aim of this study was to investigate perceptions of malaria and its treatment among the local population to inform contextualized strategies for rolling out radical cure for P. vivax in Bangladesh. The study comprised two sequential strands whereby the preliminary results of a qualitative strand informed the development of a structured survey questionnaire used in the quantitative strand. Results show that ethnic minority populations in the CHT live in precarious socio-economic conditions which increase their exposure to infectious diseases, and that febrile patients often self-treat, including home remedies and pharmaceuticals, before attending a healthcare facility. Perceived low quality of care and lack of communication between Bengali health providers and ethnic minority patients also affects access to public healthcare. Malaria is viewed as a condition that affects vulnerable people weakened by agricultural work and taking away blood is perceived to increase such vulnerability. Healthcare providers that initiate and sustain a dialogue about these issues with ethnic minority patients may foster the trust that is needed for local malaria elimination efforts.
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spelling pubmed-76023882020-11-01 Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study Matin, Mohammad Abdul Sarkar, Nandini D. P. Phru, Ching Swe Ley, Benedikt Thriemer, Kamala Price, Ric N. Peeters Grietens, Koen Ali Khan, Wasif Alam, Mohammad Shafiul Gryseels, Charlotte Pathogens Article Bangladesh has achieved significant progress towards malaria elimination, although health service delivery for malaria remains challenging in remote forested areas such as the Chittagong Hill Tracts (CHT). The aim of this study was to investigate perceptions of malaria and its treatment among the local population to inform contextualized strategies for rolling out radical cure for P. vivax in Bangladesh. The study comprised two sequential strands whereby the preliminary results of a qualitative strand informed the development of a structured survey questionnaire used in the quantitative strand. Results show that ethnic minority populations in the CHT live in precarious socio-economic conditions which increase their exposure to infectious diseases, and that febrile patients often self-treat, including home remedies and pharmaceuticals, before attending a healthcare facility. Perceived low quality of care and lack of communication between Bengali health providers and ethnic minority patients also affects access to public healthcare. Malaria is viewed as a condition that affects vulnerable people weakened by agricultural work and taking away blood is perceived to increase such vulnerability. Healthcare providers that initiate and sustain a dialogue about these issues with ethnic minority patients may foster the trust that is needed for local malaria elimination efforts. MDPI 2020-10-14 /pmc/articles/PMC7602388/ /pubmed/33066621 http://dx.doi.org/10.3390/pathogens9100840 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Matin, Mohammad Abdul
Sarkar, Nandini D. P.
Phru, Ching Swe
Ley, Benedikt
Thriemer, Kamala
Price, Ric N.
Peeters Grietens, Koen
Ali Khan, Wasif
Alam, Mohammad Shafiul
Gryseels, Charlotte
Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study
title Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study
title_full Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study
title_fullStr Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study
title_full_unstemmed Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study
title_short Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study
title_sort precarity at the margins of malaria control in the chittagong hill tracts in bangladesh: a mixed-methods study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7602388/
https://www.ncbi.nlm.nih.gov/pubmed/33066621
http://dx.doi.org/10.3390/pathogens9100840
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