Promoting community malaria control in rural Myanmar through an active community participation program using the participatory learning approach
| Autor: | Jaranit Kaewkungwal, Thaung Hlaing, Kamolnetr Okanurak, Tassanee Silawan, Chan Nyein Maung, Than Tun Sein |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Rural Population Health Knowledge Attitudes Practice Emergency Medical Services medicine.medical_specialty Resource mobilization Health (social science) Adolescent Community participation 030231 tropical medicine Medicine (miscellaneous) Indigenous Antimalarials Young Adult 03 medical and health sciences 0302 clinical medicine Environmental health medicine Animals Humans 030212 general & internal medicine Developing Countries Aged Aged 80 and over business.industry Public health Community Participation Public Health Environmental and Occupational Health Participatory learning Middle Aged Patient Acceptance of Health Care medicine.disease Insect Vectors Malaria Leadership Culicidae Needs assessment Female Malaria control business Needs Assessment |
| Zdroj: | Rural and Remote Health. 17 |
| ISSN: | 1445-6354 |
| Popis: | INTRODUCTION Malaria is prevalent in more than 80% of townships in Myanmar. The National Malaria Control Programme (NMCP) has been implementing community-based malaria control programs nationwide. However, these programs are mostly developed and directed by health authorities, while communities are passively involved. This study aimed to increase community participation in malaria control and promote community malaria control knowledge and practice in rural Myanmar. METHODS A community-based study, which employed a mixed method approach, collecting data quantitatively and qualitatively, was conducted in two rural villages. The study implemented an active community participation program (ACPP) using the participatory learning approach in a village (ACPP village) but only routine malaria control was given in another village (non-ACPP village). All households with 142 and 96 household representatives from ACPP and non-ACPP villages participated in baseline and endline surveys. The ACPP was evaluated by process and outcome indicators. A spider gram analysis using five process indicators was applied to evaluate the process of the ACPP. Community participation status in malaria control activities and level of community malaria knowledge and practice were determined as outcomes of the ACPP. RESULTS The spider gram analysis showed that three indicators (needs assessment and planning, leadership and resource mobilization) gained a score of 4, the organization indicator a score of 5 and the management and evaluation indicator a score of 3. The outcome indicators of the program at 6 months showed that the community participation in malaria control activities in the ACPP village had significantly increased (6.9% to 49.3%) (p |
| Databáze: | OpenAIRE |
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