Evidence map›Paper›PMID 41310590›Full record

ArticleMalaria journal2025

Evaluating the acceptability and feasibility of new mosquito bite prevention tools in a "forest pack" to support malaria elimination in Cambodia.

David J McIver, Dyna Doum, Chean Men, Josselyn Neukom, Neil F Lobo, Jason H Richardson, Michael Macdonald, Priya B Shete, Siv Sovannaroth, Allison Tatarsky

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Malaria journal, 2025. 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
–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

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.

  1. Article
  2. 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

10 authors.

David J McIverMalaria Elimination Initiative, Institute for Global Health Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA. davidjmciver@gmail.com.
Dyna DoumMalaria Elimination Initiative, Institute for Global Health Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.
Chean MenMalaria Elimination Initiative, Institute for Global Health Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.
Josselyn NeukomMalaria Elimination Initiative, Institute for Global Health Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.
Neil F LoboEck Institute for Global Health, University of Notre Dame, South Bend, IN, 46556, USA.
Jason H RichardsonInnovative Vector Control Consortium, Liverpool, UK.
Michael MacdonaldInnovative Vector Control Consortium, Liverpool, UK.
Priya B SheteCenter for Tuberculosis, Institute for Global Health Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.
Siv SovannarothNational Center for Parasitology, Entomology and Malaria Control, 477, Phnom Penh, Cambodia.
Allison TatarskyMalaria Elimination Initiative, Institute for Global Health Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCambodia is nearing malaria elimination after years of sustained progress. The remaining challenges are at-risk populations living or working in forested areas exposed to outdoor and early evening biting and where treated nets or residual spraying is not practical. This study evaluates the acceptability and feasibility of additional mosquito bite protection products, delivered to these high-risk populations.

methodsThis study was conducted in two high-malaria burden operational districts (OD) in Cambodia, targeting high-risk individuals: forest goers, forest dwellers, and forest rangers. A total of 28,000 forest packs containing a volatile pyrethroid spatial repellent (VPSR) and topical repellent (TR), were distributed over four rounds and clothing was treated with insecticide over two rounds. Social and Behavior Change Communication (SBCC) materials to support adoption were included. The evaluation included surveys, key informant interviews, and focus group discussions. Outcomes were assessed using implementation science frameworks and descriptive statistics.

resultsA total of 2935 individuals from 18 villages were enrolled. Product distribution through village malaria workers reached 85% of the target population in Sen Monorom OD and between 72-102% in Phnom Srouch OD, though pack fidelity varied, with fewer complete packs delivered than planned, particularly in Phnom Srouch. Coverage of ITC was very low across both ODs (1-40% in Sen Monorom and 1-5% in Phnom Srouch). Reported acceptability and appropriateness of the products increased over time, with up to 96% of participants finding the SE acceptable, 93% for TR, and 100% for insecticide treated clothing (ITC). Reported product use was high, particularly among forest dwellers; forest rangers had lower reported use, especially for topical repellent. Users indicated the potential for early and consistent SBCC engagement to improve use. Having trusted members of the community deliver tools and SBCC is important. Each tool was reported to be most useful in different use scenarios and at different times of the day. Government and NGO implementers believed the products were appropriate for the targeted groups and that, while delivery to remote communities was challenging, especially for ITC, they support implementation of these products for malaria elimination.

conclusionThis study demonstrated the acceptability and feasibility of new bite prevention products distributed together with SBCC, from the perspective of forest-exposed, at-risk community members. It highlighted the need for better implementation to ensure more timely and consistent dissemination of product and SBCC materials. Further studies are needed to assess the epidemiological impact of combined bite prevention tools.

Indexed as

Disease EradicationInsect Bites and StingsInsect RepellentsMalariaMosquito ControlPatient Acceptance of Health CareAdolescentAdultAgedAnimalsCambodiaChildChild, PreschoolFeasibility StudiesFemaleForestsInsecticidesInsect Repellents

Identifiers

PMID41310590
PMCPMC12715958

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.