Title :

Implementation of a novel malaria management strategy based on self-testing and self-treatment in remote areas in the Amazon (Malakit): confronting a-priori assumptions with reality

Author(s) :

Galindo, Muriel [Auteur]
Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française]
Lambert, Yann [Auteur]
Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française]
Mutricy, Louise [Auteur]
Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française]
Garancher, Laure [Auteur]
Miller, Jane [Auteur]
Gomes, José [Auteur]
Sanna, Alice [Auteur]
Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française]
Peterka, Cassio [Auteur]
Ministry of Health [Brasília, Brazil]
Cairo, Hedley [Auteur]
Hiwat, Helene [Auteur]
Adenis, Antoine [Auteur]
Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française]
Biomes Tropicaux et Immuno-Pathophysiologie = Tropical Biome and ImmunoPhysiopathology [Lille] [TBIP]
Centre d’Infection et d’Immunité de Lille - INSERM U 1019 - UMR 9017 - UMR 8204 [CIIL]
Nacher, Mathieu [Auteur]
Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française]
Biomes Tropicaux et Immuno-Pathophysiologie = Tropical Biome and ImmunoPhysiopathology [Lille] [TBIP]
Centre d’Infection et d’Immunité de Lille - INSERM U 1019 - UMR 9017 - UMR 8204 [CIIL]
Suárez-Mutis, Martha [Auteur]
Instituto Oswaldo Cruz = Oswaldo Cruz Institute [Rio de Janeiro] [IOC]
Vreden, Stephen [Auteur]
Foundation for the Advancement of Scientific Research in Suriname [Paramaribo] [SWOS]
Douine, Maylis [Auteur]
Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française]
Biomes Tropicaux et Immuno-Pathophysiologie = Tropical Biome and ImmunoPhysiopathology [Lille] [TBIP]
Centre d’Infection et d’Immunité de Lille - INSERM U 1019 - UMR 9017 - UMR 8204 [CIIL]

Journal title :

BMC Public health

Pages :

770

Publisher :

BioMed Central

Publication date :

2022-04-15

ISSN :

1471-2458

English keyword(s) :

Border malaria
Mining population
Remote health
Process evaluation
Implementation outcomes

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Background: A novel strategy to combat malaria was tested using a methodology adapted to a complex setting in the Amazon region and a hard-to-reach, mobile community. The intervention strategy tested was the distribution, ...
Show more >Background: A novel strategy to combat malaria was tested using a methodology adapted to a complex setting in the Amazon region and a hard-to-reach, mobile community. The intervention strategy tested was the distribution, after training, of malaria self-management kits to gold miners who cross the Surinamese and Brazilian borders with French Guiana to work illegally in the remote mining sites in the forest of this French overseas entity. Main text: This article aims at presenting all process and implementation outcomes following the Conceptual Framework of Implementation Fidelity i.e. adherence, including content and exposure, and moderators, comprising participant responsiveness, quality of delivery, facilitation strategies, and context. The information sources are the post-intervention survey, data collected longitudinally during the intervention, a qualitative study, data collected during an outreach mission to a remote gold mining site, supervisory visit reports, in-depth feedback from the project implementers, and videos self-recorded by facilitators based on opened ended questions. As expected, being part of or close to the study community was an essential condition to enable deliverers, referred to as "facilitators", to overcome the usual wariness of this gold mining population. Overall, the content of the intervention was in line with what was planned. With an estimated one third of the population reached, exposure was satisfactory considering the challenging context, but improvable by increasing ad hoc off-site distribution according to needs. Participant responsiveness was the main strength of the intervention, but could be enhanced by reducing the duration of the process to get a kit, which could be disincentive in some places. Regarding the quality of delivery, the main issue was the excess of information provided to participants rather than a lack of information, but this was corrected over time. The expected decrease in malaria incidence became a source of reduced interest in the kit. Expanding the scope of facilitators' responsibilities could be a suitable response. Better articulation with existing malaria management services is recommended to ensure sustainability.Show less >

Language :

Anglais

Peer reviewed article :

Oui

Audience :

Internationale

Popular science :

Non

Collections :

• Centre d'Infection et d'Immunité de Lille (CIIL) - U1019 - UMR 9017

Source :

Harvested from HAL