Assessment of net lending strategy to better reach mobile and migrant populations in malaria endemic areas of Cambodia

Autor: Kheang Soy Ty, Nguon Sokomar, Deyer Gopinath, Dysoley Lek, Sreng Bun, Chy Say, Sopheab Heng, Huy Rekol, Sovann Ek
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Mosquito Control
Adolescent
030231 tropical medicine
Distribution (economics)
Lending
lcsh:Infectious and parasitic diseases
03 medical and health sciences
Young Adult
0302 clinical medicine
Malaria transmission
Surveys and Questionnaires
parasitic diseases
medicine
Humans
lcsh:RC109-216
030212 general & internal medicine
Mobile and migrant population
Socioeconomics
Sampling frame
Aged
Transients and Migrants
Farmers
Mosquito Nets
Case Study
Geography
Internal migration
business.industry
lcsh:Public aspects of medicine
Public health
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
General Medicine
Middle Aged
medicine.disease
Malaria
Net
Infectious Diseases
Cross-Sectional Studies
Population Surveillance
Tropical medicine
Cluster sampling
Female
business
Cambodia
Zdroj: Infectious Diseases of Poverty
Infectious Diseases of Poverty, Vol 7, Iss 1, Pp 1-13 (2018)
ISSN: 2049-9957
2095-5162
Popis: Background In Cambodia, internal migration involves migrants moving from non-malaria endemic areas to malaria endemic areas and vice versa. The majority of them work in farms or forests with various malaria transmission levels. In Cambodia, as one of the national approaches to ensure LLIN accessibility and use among mobile and migrant populations (MMPs), a lending scheme of long lasting insecticide treated nets (LLINs) was initiated among farm workers. Through this net lending program, LLINs and long-lasting insecticide treated hammock nets (LLIHNs) will be distributed annually at workplace (e.g. longstanding farms, plantations, industrial sites, as identified by operational district and health center staff) on a ratio of one LLIN per one worker. The main objective of this study is to assess MMPs’ accessibility to LLINs through a lending scheme with plantation owners in remote malaria endemic areas of Cambodia. Methods The study used a cross-sectional survey among MMPs using two-stage cluster sampling method. The sampling frame is the list of farms in the four provinces of Banteay Meanchey, Battambang, Pailin, and Pursat in western and northwestern Cambodia bordering with Thailand where the LLIN lending scheme was implemented and where an estimated 100 000 MMPs worked annually. The assessment was carried out from January to February 2013 in these four provinces. It was estimated that 768 workers would be required. Results A total of 702 MMPs were interviewed. The ratio of male: female is 1:1. The age group of 21–60 was the largest accounting for 77.6%. About 91% of the MMPs stayed on the farm for less than 6 months. 93.2% of them owned either untreated or insecticide treated nets. LLINs and LLIHNs accounted for 89.5%; and 46.6% of them borrowed the nets from a lending scheme. Among those workers who have LLINs/LLIHNs, 99% slept under LLINs/LLIHNs the night before. However, only 87.4% knew that sleeping under LLINs/LLIHNs protects against malaria. Conclusions LLIN lending scheme provides an important delivery channel for a substantial percentage of net accessibility (46.6%) to the Cambodian national free-net distribution campaign in remote malaria endemic areas. Electronic supplementary material The online version of this article (10.1186/s40249-018-0489-1) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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