Evidence map›Paper›PMID 31806025›Full record

ArticleMalaria journal2019

Assessing the role of the private sector in surveillance for malaria elimination in Haiti and the Dominican Republic: a qualitative study.

Abigail Sidibe, Alysse Maglior, Carmen Cueto, Ingrid Chen, Arnaud Le Menach, Michelle A Chang, Thomas P Eisele, Katherine Andrinopolous, Joseph Cherubin, Jean Frantz Lemoine and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 35% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Establishing a National Molecular Surveillance Program for the Detection ofThe American journal of tropical medicine and hygiene · 2020
    Article
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

11 authors at 4 institutions in 1 country.

Abigail SidibeMalaria Elimination Initiative, The Global Health Group, University of California, San Francisco, CA, USA.
Alysse MagliorMalaria Elimination Initiative, The Global Health Group, University of California, San Francisco, CA, USA.
Carmen CuetoMalaria Elimination Initiative, The Global Health Group, University of California, San Francisco, CA, USA.
Ingrid ChenMalaria Elimination Initiative, The Global Health Group, University of California, San Francisco, CA, USA.
Arnaud Le MenachClinton Health Access Initiative, Washington, DC, USA.
Michelle A ChangMalaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Thomas P EiseleSchool of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA.
Katherine AndrinopolousSchool of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA.
Joseph CherubinMOSCTHA, Santo Domingo, Dominican Republic.
Jean Frantz LemoineMinistry of Public Health and Population, Port-au-Prince, Haiti.
Adam BennettMalaria Elimination Initiative, The Global Health Group, University of California, San Francisco, CA, USA. Adam.Bennett@ucsf.edu.ORCID http://orcid.org/0000-0002-7028-311X
University of California, San Francisco · USTulane University · USCenters for Disease Control and Prevention · USClinton Health Access Initiative · US

Funding

Bill and Melinda Gates Foundation OPP1089413
6 · The paper itself

Abstract

backgroundHaiti and the Dominican Republic (DR) are targeting malaria elimination by 2022. The private health sector has been relatively unengaged in these efforts, even though most primary health care in Haiti is provided by non-state actors, and many people use traditional medicine. Data on private health sector participation in malaria elimination efforts are lacking, as are data on care-seeking behaviour of patients in the private health sector. This study sought to describe the role of private health sector providers, care-seeking behaviour of individuals at high risk of malaria, and possible means of engaging the private health sector in Hispaniola's malaria elimination efforts.

methodsIn-depth interviews with 26 key informants (e.g. government officials), 62 private providers, and 63 patients of private providers, as well as 12 focus group discussions (FGDs) with community members, were conducted within seven study sites in Haiti and the DR. FGDs focused on local definitions of the private health sector and identified private providers for interview recruitment, while interviews focused on private health sector participation in malaria elimination activities and treatment-seeking behaviour of febrile individuals.

resultsInterviews revealed that self-medication is the most common first step in the trajectory of care for fevers in both Haiti and the DR. Traditional medicine is more commonly used in Haiti than in the DR, with many patients seeking care from traditional healers before, during, and/or after care in the formal health sector. Private providers were interested in participating in malaria elimination efforts but emphasized the need for ongoing support and training. Key informants agreed that the private health sector needs to be engaged, especially traditional healers in Haiti. The Haitian migrant population was reported to be one of the most at-risk groups by participants from both countries.

conclusionMalaria elimination efforts across Hispaniola could be enhanced by engaging traditional healers in Haiti and other private providers with ongoing support and trainings; directing educational messaging to encourage proper treatment-seeking behaviour; and refining cross-border strategies for surveillance of the high-risk migrant population. Increasing distribution of rapid diagnostic tests (RDTs) and bi-therapy to select private health sector facilities, accompanied by adopting regulatory policies, could help increase numbers of reported and correctly treated malaria cases.

Indexed as

Population SurveillanceAdultAgedDisease EradicationDominican RepublicFemaleFocus GroupsHaitiHumansMalaria, FalciparumMaleMiddle AgedPatient Acceptance of Health CarePrivate SectorQualitative ResearchYoung AdultCare-seeking behaviorDominican RepublicHaitiMalariaMigrant populationPrivate health sectorPrivate sector engagementTraditional healers

Identifiers

PMID31806025
PMCPMC6896765
OpenAlexW2993813669

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.