Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study
Autor: | Wasif A. Khan, Kamala Thriemer, Mohammad Shafiul Alam, Ching Swe Phru, Mohammad Matin, Charlotte Gryseels, Nandini D P Sarkar, Koen Peeters Grietens, Benedikt Ley, Ric N. Price |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Microbiology (medical)
mixed methods Ethnic group Vulnerability malaria lcsh:Medicine Article Public healthcare Health services radical cure Precarity health seeking behaviour Environmental health Health care medicine vivax malaria Immunology and Allergy Molecular Biology General Immunology and Microbiology business.industry lcsh:R medicine.disease Infectious Diseases Geography business Malaria control Malaria |
Zdroj: | Pathogens Volume 9 Issue 10 Pathogens, Vol 9, Iss 840, p 840 (2020) |
ISSN: | 2076-0817 |
DOI: | 10.3390/pathogens9100840 |
Popis: | Bangladesh has achieved significant progress towards malaria elimination, although health service delivery for malaria remains challenging in remote forested areas such as the Chittagong Hill Tracts (CHT). The aim of this study was to investigate perceptions of malaria and its treatment among the local population to inform contextualized strategies for rolling out radical cure for P. vivax in Bangladesh. The study comprised two sequential strands whereby the preliminary results of a qualitative strand informed the development of a structured survey questionnaire used in the quantitative strand. Results show that ethnic minority populations in the CHT live in precarious socio-economic conditions which increase their exposure to infectious diseases, and that febrile patients often self-treat, including home remedies and pharmaceuticals, before attending a healthcare facility. Perceived low quality of care and lack of communication between Bengali health providers and ethnic minority patients also affects access to public healthcare. Malaria is viewed as a condition that affects vulnerable people weakened by agricultural work and taking away blood is perceived to increase such vulnerability. Healthcare providers that initiate and sustain a dialogue about these issues with ethnic minority patients may foster the trust that is needed for local malaria elimination efforts. |
Databáze: | OpenAIRE |
Externí odkaz: |