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A systematic review of factors influencing participation in two types of malaria prevention intervention in Southeast Asia

BACKGROUND: Multi-pronged malaria elimination strategies are increasingly being considered for accelerating efforts against malaria transmission in Southeast Asia. Two malaria prevention interventions used in in the region are insecticide-treated bed-nets (ITNs) and mass drug administration (MDA). U...

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Autores principales: Cheng, Breagh, Htoo, Saw Nay, Mhote, Naw Pue Pue, Davison, Colleen M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8056550/
https://www.ncbi.nlm.nih.gov/pubmed/33879186
http://dx.doi.org/10.1186/s12936-021-03733-y
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author Cheng, Breagh
Htoo, Saw Nay
Mhote, Naw Pue Pue
Davison, Colleen M.
author_facet Cheng, Breagh
Htoo, Saw Nay
Mhote, Naw Pue Pue
Davison, Colleen M.
author_sort Cheng, Breagh
collection PubMed
description BACKGROUND: Multi-pronged malaria elimination strategies are increasingly being considered for accelerating efforts against malaria transmission in Southeast Asia. Two malaria prevention interventions used in in the region are insecticide-treated bed-nets (ITNs) and mass drug administration (MDA). Universal access to ITNs is recommended and high population coverage (e.g. above 80%) is needed during MDA initiatives to maximize the impact of these interventions. However, variability in ITN use and individual MDA participation exists. This systematic review aims to provide a summary and overview of literature discussing factors influencing uptake of these two malaria control strategies in Southeast Asian countries. METHODS: A search of OVID Embase, OVID MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, OpenGrey, ProQuest, and Google Scholar was undertaken in February 2020. English-language publications with any study design using data from any of the ten member countries of the Association of Southeast Asian Nations were eligible for inclusion. In addition, reference lists of identified articles were manually searched. Websites for relevant international agencies were also searched to identify related grey literature. RESULTS: The review identified thirty publications that met the inclusion and exclusion criteria. Most discussed ITN use (n = 18) and were relevant to populations in Myanmar (n = 14). All MDA studies were published after 2016, whereas included ITN studies spanned from 1998 to 2020. Seven main themes emerged across the studies. Knowledge of malaria and attitudes towards ITNs were emphasized as key factors associated with ITN use. For MDA participation, key factors included the importance of positive attitudes towards the program, the influence of indirect costs and incentives, and the tendency for group decision-making. CONCLUSIONS: As countries in Southeast Asia continue to work towards becoming malaria-free by 2030, the knowledge and attitudes of local population sub-groups should be assessed and incorporated into the planning and implementation of malaria prevention activities. The role of incentives and group decision making should also be considered particularly as they relate to MDA. There is need for ongoing involvement of health educators, the continuation of implementation research and the prioritization of community engagement efforts alongside malaria interventions in the region. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12936-021-03733-y.
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spelling pubmed-80565502021-04-20 A systematic review of factors influencing participation in two types of malaria prevention intervention in Southeast Asia Cheng, Breagh Htoo, Saw Nay Mhote, Naw Pue Pue Davison, Colleen M. Malar J Research BACKGROUND: Multi-pronged malaria elimination strategies are increasingly being considered for accelerating efforts against malaria transmission in Southeast Asia. Two malaria prevention interventions used in in the region are insecticide-treated bed-nets (ITNs) and mass drug administration (MDA). Universal access to ITNs is recommended and high population coverage (e.g. above 80%) is needed during MDA initiatives to maximize the impact of these interventions. However, variability in ITN use and individual MDA participation exists. This systematic review aims to provide a summary and overview of literature discussing factors influencing uptake of these two malaria control strategies in Southeast Asian countries. METHODS: A search of OVID Embase, OVID MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, OpenGrey, ProQuest, and Google Scholar was undertaken in February 2020. English-language publications with any study design using data from any of the ten member countries of the Association of Southeast Asian Nations were eligible for inclusion. In addition, reference lists of identified articles were manually searched. Websites for relevant international agencies were also searched to identify related grey literature. RESULTS: The review identified thirty publications that met the inclusion and exclusion criteria. Most discussed ITN use (n = 18) and were relevant to populations in Myanmar (n = 14). All MDA studies were published after 2016, whereas included ITN studies spanned from 1998 to 2020. Seven main themes emerged across the studies. Knowledge of malaria and attitudes towards ITNs were emphasized as key factors associated with ITN use. For MDA participation, key factors included the importance of positive attitudes towards the program, the influence of indirect costs and incentives, and the tendency for group decision-making. CONCLUSIONS: As countries in Southeast Asia continue to work towards becoming malaria-free by 2030, the knowledge and attitudes of local population sub-groups should be assessed and incorporated into the planning and implementation of malaria prevention activities. The role of incentives and group decision making should also be considered particularly as they relate to MDA. There is need for ongoing involvement of health educators, the continuation of implementation research and the prioritization of community engagement efforts alongside malaria interventions in the region. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12936-021-03733-y. BioMed Central 2021-04-20 /pmc/articles/PMC8056550/ /pubmed/33879186 http://dx.doi.org/10.1186/s12936-021-03733-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cheng, Breagh
Htoo, Saw Nay
Mhote, Naw Pue Pue
Davison, Colleen M.
A systematic review of factors influencing participation in two types of malaria prevention intervention in Southeast Asia
title A systematic review of factors influencing participation in two types of malaria prevention intervention in Southeast Asia
title_full A systematic review of factors influencing participation in two types of malaria prevention intervention in Southeast Asia
title_fullStr A systematic review of factors influencing participation in two types of malaria prevention intervention in Southeast Asia
title_full_unstemmed A systematic review of factors influencing participation in two types of malaria prevention intervention in Southeast Asia
title_short A systematic review of factors influencing participation in two types of malaria prevention intervention in Southeast Asia
title_sort systematic review of factors influencing participation in two types of malaria prevention intervention in southeast asia
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8056550/
https://www.ncbi.nlm.nih.gov/pubmed/33879186
http://dx.doi.org/10.1186/s12936-021-03733-y
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