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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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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. |
format | Online Article Text |
id | pubmed-7602388 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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