Acceptability and feasibility of malaria prophylaxis for forest goers: findings from a qualitative study in Cambodia

Abstract Background In the Greater Mekong Subregion, adults are at highest risk for malaria, particularly those who visit forests. The absence of effective vector control strategies and limited periods of exposure during forest visits suggest that chemoprophylaxis could be an appropriate strategy to...

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Autores principales:	Monnaphat Jongdeepaisal, Mom Ean, Chhoeun Heng, Thoek Buntau, Rupam Tripura, James J. Callery, Thomas J. Peto, Franca Conradis-Jansen, Lorenz von Seidlein, Panarasri Khonputsa, Kulchada Pongsoipetch, Ung Soviet, Siv Sovannaroth, Christopher Pell, Richard J. Maude
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Forest goer Malaria Prophylaxis Acceptability Feasibility Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/90a83f20d1ea496ea6d359c5d81be9af
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spelling	oai:doaj.org-article:90a83f20d1ea496ea6d359c5d81be9af2021-11-28T12:30:51ZAcceptability and feasibility of malaria prophylaxis for forest goers: findings from a qualitative study in Cambodia10.1186/s12936-021-03983-w1475-2875https://doaj.org/article/90a83f20d1ea496ea6d359c5d81be9af2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12936-021-03983-whttps://doaj.org/toc/1475-2875Abstract Background In the Greater Mekong Subregion, adults are at highest risk for malaria, particularly those who visit forests. The absence of effective vector control strategies and limited periods of exposure during forest visits suggest that chemoprophylaxis could be an appropriate strategy to protect forest goers against malaria. Methods Alongside a clinical trial of anti-malarial chemoprophylaxis in northern Cambodia, qualitative research was conducted, including in-depth interviews and observation, to explore the acceptability of malaria prophylaxis for forest goers, the implementation opportunities, and challenges of this strategy. Results Prophylaxis with artemether–lumefantrine for forest goers was found to be acceptable under trial conditions. Three factors played a major role: the community’s awareness and perception of the effectiveness of prophylaxis, their trust in the provider, and malaria as a local health concern. The findings highlight how uptake and adherence to prophylaxis are influenced by the perceived balance between benefits and burden of anti-malarials which are modulated by the seasonality of forest visits and its influence on malaria risk. Conclusions The implementation of anti-malarial prophylaxis needs to consider how the preventive medication can be incorporated into existing vector-control measures, malaria testing and treatment services. The next step in the roll out of anti-malarial prophylaxis for forest visitors will require support from local health workers.Monnaphat JongdeepaisalMom EanChhoeun HengThoek BuntauRupam TripuraJames J. CalleryThomas J. PetoFranca Conradis-JansenLorenz von SeidleinPanarasri KhonputsaKulchada PongsoipetchUng SovietSiv SovannarothChristopher PellRichard J. MaudeBMCarticleForest goerMalariaProphylaxisAcceptabilityFeasibilityArctic medicine. Tropical medicineRC955-962Infectious and parasitic diseasesRC109-216ENMalaria Journal, Vol 20, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Forest goer Malaria Prophylaxis Acceptability Feasibility Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216
spellingShingle	Forest goer Malaria Prophylaxis Acceptability Feasibility Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Monnaphat Jongdeepaisal Mom Ean Chhoeun Heng Thoek Buntau Rupam Tripura James J. Callery Thomas J. Peto Franca Conradis-Jansen Lorenz von Seidlein Panarasri Khonputsa Kulchada Pongsoipetch Ung Soviet Siv Sovannaroth Christopher Pell Richard J. Maude Acceptability and feasibility of malaria prophylaxis for forest goers: findings from a qualitative study in Cambodia
description	Abstract Background In the Greater Mekong Subregion, adults are at highest risk for malaria, particularly those who visit forests. The absence of effective vector control strategies and limited periods of exposure during forest visits suggest that chemoprophylaxis could be an appropriate strategy to protect forest goers against malaria. Methods Alongside a clinical trial of anti-malarial chemoprophylaxis in northern Cambodia, qualitative research was conducted, including in-depth interviews and observation, to explore the acceptability of malaria prophylaxis for forest goers, the implementation opportunities, and challenges of this strategy. Results Prophylaxis with artemether–lumefantrine for forest goers was found to be acceptable under trial conditions. Three factors played a major role: the community’s awareness and perception of the effectiveness of prophylaxis, their trust in the provider, and malaria as a local health concern. The findings highlight how uptake and adherence to prophylaxis are influenced by the perceived balance between benefits and burden of anti-malarials which are modulated by the seasonality of forest visits and its influence on malaria risk. Conclusions The implementation of anti-malarial prophylaxis needs to consider how the preventive medication can be incorporated into existing vector-control measures, malaria testing and treatment services. The next step in the roll out of anti-malarial prophylaxis for forest visitors will require support from local health workers.
format	article
author	Monnaphat Jongdeepaisal Mom Ean Chhoeun Heng Thoek Buntau Rupam Tripura James J. Callery Thomas J. Peto Franca Conradis-Jansen Lorenz von Seidlein Panarasri Khonputsa Kulchada Pongsoipetch Ung Soviet Siv Sovannaroth Christopher Pell Richard J. Maude
author_facet	Monnaphat Jongdeepaisal Mom Ean Chhoeun Heng Thoek Buntau Rupam Tripura James J. Callery Thomas J. Peto Franca Conradis-Jansen Lorenz von Seidlein Panarasri Khonputsa Kulchada Pongsoipetch Ung Soviet Siv Sovannaroth Christopher Pell Richard J. Maude
author_sort	Monnaphat Jongdeepaisal
title	Acceptability and feasibility of malaria prophylaxis for forest goers: findings from a qualitative study in Cambodia
title_short	Acceptability and feasibility of malaria prophylaxis for forest goers: findings from a qualitative study in Cambodia
title_full	Acceptability and feasibility of malaria prophylaxis for forest goers: findings from a qualitative study in Cambodia
title_fullStr	Acceptability and feasibility of malaria prophylaxis for forest goers: findings from a qualitative study in Cambodia
title_full_unstemmed	Acceptability and feasibility of malaria prophylaxis for forest goers: findings from a qualitative study in Cambodia
title_sort	acceptability and feasibility of malaria prophylaxis for forest goers: findings from a qualitative study in cambodia
publisher	BMC
publishDate	2021
url	https://doaj.org/article/90a83f20d1ea496ea6d359c5d81be9af
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Acceptability and feasibility of malaria prophylaxis for forest goers: findings from a qualitative study in Cambodia

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