Evidence map›Paper›PMID 31088451›Full record

ArticleMalaria journal2019

Barriers in distribution, ownership and utilization of insecticide-treated mosquito nets among migrant population in Myanmar, 2016: a mixed methods study.

Shwe Yi Linn, Thae Maung Maung, Jaya Prasad Tripathy, Hemant Deepak Shewade, Swai Mon Oo, Zaw Linn, Aung Thi

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In one paragraph

Article in Malaria journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shwe Yi LinnVector Borne Disease Control, Naypyi Taw, Southern Shan State, Myanmar. sysy88.16@gmail.com.
Thae Maung MaungDepartment of Medical Research, Ministry of Health and Sports, Yangon, Myanmar.
Jaya Prasad TripathyInternational Union Against Tuberculosis and Lung Disease, The Union South East Asia Office, New Delhi, India.
Hemant Deepak ShewadeInternational Union Against Tuberculosis and Lung Disease, The Union South East Asia Office, New Delhi, India.
Swai Mon OoPopulation Services International, Yangon, Myanmar.
Zaw LinnVector Borne Disease Control Programme, Ministry of Health and Sports, Naypyi Taw, Myanmar.
Aung ThiVector Borne Disease Control Programme, Ministry of Health and Sports, Naypyi Taw, Myanmar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSleeping under insecticide-treated mosquito nets/long-lasting insecticidal nets (ITNs/LLINs henceforth referred to as ITNs) is one of the core interventions recommended by the World Health Organization to reduce malaria transmission and prevent malaria in high-risk communities, such as migrants, by preventing mosquito bites. The malaria burden among the migrant population is a big challenge for malaria elimination in Myanmar. In this context, this study aimed to assess the ownership and utilization of ITNs and to understand the barriers to distribution and utilization of ITNs among the high-risk migrant communities in the Regional Artemisinin Resistance Initiative (RAI) project areas of Myanmar.

methodsA sequential mixed methods study (quantitative component: cross-sectional study involving analysis of secondary data available from a survey conducted among migrant households in the RAI project areas of Myanmar in 2016 followed by a descriptive qualitative component in 2018). A total of 17 focus group discussions (involving 121 participants) with different groups of migrants and 17 key-informant interviews with key programme stakeholders were conducted in 4 selected townships of RAI project areas.

resultsOf 3230 migrant households, 63.3% had at least one ITN while 36% had sufficient ITNs (i.e., 1 ITN per 2 persons). Regarding ITN utilization, about 52% of household members reported sleeping under an ITN the previous night, which is similar among under-fives and pregnant women. Over half of all bed nets were ITNs, with nearly one-third having holes or already undergone repairs. The qualitative findings revealed that the key challenges for ITN utilization were insufficient ITNs in households and dislike of ITNs. The barriers to ITN distribution were incomplete migrant mapping due to resource constraints (time, money, manpower) and difficulties in transportation and carrying ITNs.

conclusionThis study highlights poor ownership and utilization of ITNs among migrants in the RAI project areas of Myanmar and barriers to their ownership and utilization. To achieve universal coverage and utilization, more programmatic support by the programme is needed to carry out complete migrant mapping and continuous ITN distribution in remote locations.

Indexed as

Transients and MigrantsAdolescentAdultAgedChild, PreschoolCross-Sectional StudiesFamily CharacteristicsFemaleHealth Knowledge, Attitudes, PracticeHumansInsecticide-Treated BednetsMalariaMaleMiddle AgedMosquito ControlMyanmarInsecticide-treated bed netMalariaMyanmarStructured Operational Research Training IniTiative (SORT IT)

Identifiers

PMID31088451
PMCPMC6518764

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.