作者
Daniel A Pfeffer, Timothy C Lucas, Colin Johnston, Jia Wei, Jonas Sandbrink, Benedikt Ley, Archie Clements, Peter W Gething, Ric N Price, Rosalind E Howes
发表日期
2019/11/1
期刊
American Journal of Tropical Medicine and Hygiene
卷号
101
期号
5_Suppl
出版商
American Society of Tropical Medicine and Hygiene
简介
The malaria program in Myanmar is currently transitioning from control to elimination phase in order to achieve its 2030 malaria elimination goal. As a consequence, malaria volunteers in Myanmar have been transforming into Integrated Community Malaria Volunteers (ICMVs) since 2017. This ICMV model was designed with no evidence base to include integrated services for malaria, lymphatic filariasis, dengue, tuberculosis (TB), HIV/AIDS and leprosy. To inform the evidence base, a series of studies aiming to develop an optimal and scientifically proven integrated communitydelivered malaria elimination model for Myanmar was conducted. Firstly, a systematic review and meta-analysis of 28 studies investigating the impact of community-delivered models was undertaken to estimate the effectiveness of these community-delivered models. Secondly, inductive thematic analyses of qualitative data collected from focus group discussions (n= 8), participatory workshops (n= 2) and semi-structured interviews (n= 19) were used to consolidate the perspectives of community leaders and members, and malaria stakeholders from Myanmar. In qualitative consultations, community leaders and members identified common health concerns in addition to malaria and included respiratory illness, childhood diarrhoea, skin infections and TB (in this order) and recommended incorporating preventive, and whenever possible curative, services for those diseases into the malaria volunteer model. Although stakeholders perceived that disease combination in ICMV model was optimal, community members perceived that more illnesses should be included …
学术搜索中的文章
DA Pfeffer, TC Lucas, C Johnston, J Wei, J Sandbrink… - American Journal of Tropical Medicine and Hygiene, 2019