Evidence map›Paper›PMID 32631345›Full record

ArticleMalaria journal2020

Digging for care-seeking behaviour among gold miners in the Guyana hinterland: a qualitative doer non-doer analysis of social and behavioural motivations for malaria testing and treatment.

Shirley D Yan, Jennifer Orkis, Saifra Khan Sohail, Sean Wilson, TrishAnn Davis, J Douglas Storey

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Malaria journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Molecular Surveillance of Artemisinin-ResistantInternational journal of environmental research and public health · 2024
    Article
  7. Malaria in areas under mining activity in the Amazon: A review.Revista da Sociedade Brasileira de Medicina Tropical · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Review
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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

6 authors at 2 institutions in 1 country.

Shirley D YanJohns Hopkins Center for Communication Programs, 111 Market Place, Suite 310, Baltimore, MD, USA. syan8@alumni.jh.edu.ORCID http://orcid.org/0000-0001-7233-8674
Jennifer OrkisJohns Hopkins Center for Communication Programs, 111 Market Place, Suite 310, Baltimore, MD, USA.
Saifra Khan SohailJohns Hopkins Center for Communication Programs, 111 Market Place, Suite 310, Baltimore, MD, USA.
Sean WilsonBreakthrough ACTION Guyana, XX Barrack St., Georgetown, Guyana.
TrishAnn DavisJohns Hopkins Center for Communication Programs, 111 Market Place, Suite 310, Baltimore, MD, USA.
J Douglas StoreyJohns Hopkins Center for Communication Programs, 111 Market Place, Suite 310, Baltimore, MD, USA.
Johns Hopkins University · USBreakthrough · US

Funding

United States Agency for International Development (US) #AID-OAA-A-17-00017
6 · The paper itself

Abstract

backgroundAlthough Guyana has made significant progress toward malaria control, limited access to malaria testing and treatment services threatens those gains. Mining activities create breeding environments for mosquitoes, and the migrant and mobile mining populations are hard to reach with information and services. The Ministry of Public Health (MoPH) has trained volunteers to test and treat malaria cases in remote regions. However, it remains unclear how miners perceive these testers, the services they provide, or what their malaria care-seeking behaviour is in general. To better address these challenges, Breakthrough ACTION Guyana and MoPH conducted qualitative research from October to November 2018 in Regions 7 and 8 in Guyana.

methodsA total of 109 individuals, 70 miners, 17 other mining camp staff, and 22 other key stakeholders (e.g. community health workers, pharmacists, and regional leadership), participated in semi-structured interviews and focus group discussions. Results were derived using a framework analysis, with an adjusted doer and non-doer analysis, and organized using the integrated behaviour framework.

resultsMiners sought MoPH-approved services because of close geographic proximity to testing services, a preference for public service treatment, and a desire to correctly diagnose and cure malaria rather than just treat its symptoms. Those who chose to initiate self-treatment-using unregulated medications from the private and informal sector-did so out of convenience and the belief that self-treatment had worked before. Miners who completed the full MoPH-approved treatment understood the need to complete the treatment, while those who prematurely stopped treatment did so because of medication side effects and a desire to feel better as soon as possible.

conclusionReasons why miners do and do not pursue malaria testing and treatment services are diverse. These results can inform better MoPH programming and new solutions to improve malaria outcomes in Guyana.

Indexed as

MalariaMotivationGoldGuyanaHumansMaleMinersPatient Acceptance of Health CareGoldCare-seekingGold minerGuyanaMalariaRapid diagnostic testsSocial behaviour change

Identifiers

PMID32631345
PMCPMC7336500
OpenAlexW3040253829

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.