ArticleMalaria journal2017
Malaria risk factors and care-seeking behaviour within the private sector among high-risk populations in Vietnam: a qualitative study.
Article in Malaria journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- How can interventions that target forest-goers be tailored to accelerate malaria elimination in the Greater Mekong Subregion? A systematic review of the qualitative literature.Malaria journal · 2019Pooled it
- Implementation of a malaria prevention education intervention in Southern Ethiopia: a qualitative evaluation.BMC public health · 2022Trial
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- Understanding psychosocial determinants of malaria behaviours in low-transmission settings: a scoping review.Malaria journal · 2024Article
- Choice of health providers and health-seeking behaviour among forest goer population in Myanmar: findings from a cross-sectional household survey.Malaria journal · 2022Article
- High asymptomatic malaria among seasonal migrant workers departing to home from malaria endemic areas in northwest Ethiopia.Malaria journal · 2022Article
- The use of respondent‑driven sampling to assess febrile illness treatment-seeking behaviours among forest-goers in Cambodia and Vietnam.Malaria journal · 2021Article
- In search of the last malaria cases: ethnographic methods for community and private-sector engagement in malaria elimination in Vietnam, Laos, and Cambodia.Malaria journal · 2021Article
- Risk factors for malaria in high incidence areas of Viet Nam: a case-control study.Malaria journal · 2021Article
- Assessment of Malaria Microscopy Competency at Primary Health Institutions in the Chongqing Municipality.Frontiers in medicine · 2021Article
- Defining malaria risks among forest workers in Aceh, Indonesia: a formative assessment.Malaria journal · 2020Article
- Forest work and its implications for malaria elimination: a qualitative study.Malaria journal · 2019Article
- Health Inequality between Migrant and Non-Migrant Workers in an Industrial Zone of Vietnam.International journal of environmental research and public health · 2019Article
- Treatment-seeking behaviour for febrile illnesses and its implications for malaria control and elimination in Savannakhet Province, Lao PDR (Laos): a mixed method study.BMC health services research · 2019Article
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Authors and funding
9 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundVietnam has successfully reduced malaria incidence by more than 90% over the past 10 years, and is now preparing for malaria elimination. However, the remaining malaria burden resides in individuals that are hardest to reach, in highly remote areas, where many malaria cases are treated through the informal private sector and are not reported to public health systems. This qualitative study aimed to contextualize and characterize the role of private providers, care-seeking behaviour of individuals at high risk of malaria, as well as risk factors that should be addressed through malaria elimination programmes in Vietnam.
methodsSemi-structured qualitative interviews were conducted with 11 key informants in Hanoi, 30 providers, 9 potential patients, and 11 individuals at risk of malaria in Binh Phuoc and Kon Tum provinces. Audio recorded interviews were transcribed and uploaded to Atlas TI™, themes were identified, from which programmatic implications and recommendations were synthesized.
resultsQualitative interviews revealed that efforts for malaria elimination in Vietnam should concentrate on reaching highest-risk populations in remote areas as well their care providers, in particular private pharmacies, private clinics, and grocery stores. Among these private providers, diagnosis is currently based on symptoms, leaving unconfirmed cases that are not reported to public health surveillance systems. Among at-risk individuals, knowledge of malaria was limited, and individuals reported not taking full courses of treatment, a practice that threatens selection for drug resistance. Access to insecticide-treated hammock nets, a potentially important preventive measure for settings with outdoor biting Anopheles vectors, was also limited.
conclusionsMalaria elimination efforts in Vietnam can be accelerated by targeting improved treatment, diagnosis, and reporting practices to private pharmacies, private clinics, and grocery stores. Programmes should also seek to increase awareness and understanding of malaria among at-risk populations, in particular the importance of using preventive measures and adhering to complete courses of anti-malarial medicines.
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