Sources of Information
Preferred Media
Channels
- Health staff from RHCs,
HWs, malaria teams
- Radio programs
- Posters, leaflets from
NGOs
- Hearsay from other
migrant workers
- Religious leaders
- Teachers
- Radio programs
- Video shows
- Drama
performances
- Posters, leaflets
- Interpersonal
communication
during health
outreach
1) The study examined the mobility patterns, health issues, and malaria knowledge of migrant workers in Myanmar through focus groups at various sites.
2) It found that worker movements varied in frequency depending on their job and other factors, and could influence the
International Association for Hospice and Palliative Care (IAHPC) – Международная ассоциация хосписной и паллиативной Помощи – некоммерческая организация, которая занимается развитием паллиативной помощи по всему миру.
Одно из приоритетных направлений работы ассоциации - образование. Во многих странах учебники по паллиативной помощи дороги или труднодоступны, поэтому IAHPC бесплатно распространяет руководство по паллиативной помощи.
Пока мы выкладываем это руководство на английском языке, но надеемся вскоре перевести его на русский - с вашей помощью, с помощью жертвователей и наших друзей.
Вы тоже можете помочь фонду - достаточно отправить СМС на номер 3443 со словом Вера и суммой пожертвования. Например, Вера 100.
Также пожертвование можно сделать через Пейпал, Яндекс-деньги, или просто кредитной карточкой - все варианты есть у нас на сайте hospicefund.ru/help
Palliative care is about providing well-being and the highest quality of life to patients with serious, progressive, chronic life-limiting illness, including during the dying process.
International Association for Hospice and Palliative Care (IAHPC) – Международная ассоциация хосписной и паллиативной Помощи – некоммерческая организация, которая занимается развитием паллиативной помощи по всему миру.
Одно из приоритетных направлений работы ассоциации - образование. Во многих странах учебники по паллиативной помощи дороги или труднодоступны, поэтому IAHPC бесплатно распространяет руководство по паллиативной помощи.
Пока мы выкладываем это руководство на английском языке, но надеемся вскоре перевести его на русский - с вашей помощью, с помощью жертвователей и наших друзей.
Вы тоже можете помочь фонду - достаточно отправить СМС на номер 3443 со словом Вера и суммой пожертвования. Например, Вера 100.
Также пожертвование можно сделать через Пейпал, Яндекс-деньги, или просто кредитной карточкой - все варианты есть у нас на сайте hospicefund.ru/help
Palliative care is about providing well-being and the highest quality of life to patients with serious, progressive, chronic life-limiting illness, including during the dying process.
Annual advances of Chinese minority traditional medicine in 2019LucyPi1
Abstract Traditional medicine systems practiced by various ethnic minorities represent an important part of traditional Chinese medicine. The past 12 months have witnessed extensive research pertaining to different Chinese minority traditional medicine (CMTM). The annual CMTM review evaluates research published during 2019 in different CMTM including Tibetan medicine, Uyghur medicine, Mongolian medicine, Korean medicine and Zhuang medicine. Research in the field of Tibetan medicine focused on pharmacology, pharmacy, plant sciences, medicinal chemistry and integrated complementary medicine and the top three countries were China, USA and India. Research in Uyghur medicine mainly pertained to chemistry, pharmacology, pharmacy, and food science technology and the publications were mainly from China. Research in Mongolian medicine mainly pertained to pharmacology, pharmacy, analytical chemistry, biochemistry, molecular biology and experimental research; the publications were mainly from China and Mongolia. In short, research related to traditional medicine of various ethnic minorities was mainly conducted in China and the neighboring countries. The research focus for each minority medicine is essentially on the effects and mechanisms of action of the active ingredients of the ethnodrugs and the special prescriptions or therapies. The generated evidence will facilitate further developments in this field.
Indigenous Traditional Healing Care: Belief & Practices among Tribals of Sout...iosrjce
Globally, about 85% of the traditional medicines were used for primary healthcare which are
derived from plants. There is a need to document the indigenous knowledge related to Indian herbs and plants
and their medicinal and other uses and convert it into easily navigable computerize data base for easy access
and to secure patenting rights; to discourage other countries for patenting Indian heritage; to transfer
knowledge to all sectors who are interested to know about our Indian Systems of Medicine; most of our
knowledge is in Sanskrit, Arabic, Persian and other classical languages, which needs to be translated to other
modern languages. The tribes of Bastar region are known for their unique and distinctive tribal culture and
heritage in all over the world. Each tribal group in Bastar has their own distinct culture and enjoys their own
unique traditional living styles. To assess the Tribals traditional healing practices and knowledge, data were
collected by household surveys (viewed as the main component of the field work), oral histories (based on open
discussions with widely recognized knowledgeable elders), Focused discussions with mothers at local health
centers, local market surveys, questionnaires administered to elder members of villagers / healers and
structured interviews with (both modern and traditional) professional health practitioners.
Present studies, therefore bear special significance, to be first of its kind to document the traditional
knowledge of the primitive tribes of Bastar, Chhattisgarh as well as in India, with a systematic recording the
tribal knowledge
Carle Palliative Care Journal Club for 7/3/18Mike Aref
Journal club review of "Effect of Lorazepam With Haloperidol vs Haloperidol Alone on Agitated Delirium in Patients With Advanced Cancer Receiving Palliative Care: A Randomized Clinical Trial" by D. Hui et. al. in JAMA. 2017 Sep 19;318(11):1047-1056.
Medical Research: conflicts between autonomy and beneficence/non maleficence, euthanasia, informed consent, confidentiality, criticisms of orthodox medical ethics
Basics of palliative care including symptom management: pain, dyspnea, nausea and constipation; family meetings, goals-of-care, end-of-life care, and artificial nutrition.
Disorganized Diseases: Are they a Simple Explosion of Random Energy and there...asclepiuspdfs
Objective: The study has two objectives: (1) To determine the prevailing characteristics of a given set of patients with “disorganized disease” and (2) to determinate the prevailing outcomes for these patients in family medicine to assess their implications for decision-making. Participants and Methods: A qualitative, longitudinal, and retrospective cases series study based on a single cohort was carried out. Analyses based on a retrospective study of case records from June to October 2017, in a family medicine office in the Health Center Santa Maria de Benquerencia, Toledo, Spain. A convenience sample was selected consisting of patients who consulted during that period and who met the criteria for entering the study. These cases were considered in the epidemiological term as index cases, which means that beyond these the study should be expanded. Hence, in addition, using a technique of snowball “mental” or “astute clinical observation” others patients attended previously were included until the saturation of the data. The cases were described in short case reports. An analysis of the content of these reports was carried out, defining categories of qualitative data. The results were interpreted, and a generalization was drawn from these cases.
Annual advances of Chinese minority traditional medicine in 2019LucyPi1
Abstract Traditional medicine systems practiced by various ethnic minorities represent an important part of traditional Chinese medicine. The past 12 months have witnessed extensive research pertaining to different Chinese minority traditional medicine (CMTM). The annual CMTM review evaluates research published during 2019 in different CMTM including Tibetan medicine, Uyghur medicine, Mongolian medicine, Korean medicine and Zhuang medicine. Research in the field of Tibetan medicine focused on pharmacology, pharmacy, plant sciences, medicinal chemistry and integrated complementary medicine and the top three countries were China, USA and India. Research in Uyghur medicine mainly pertained to chemistry, pharmacology, pharmacy, and food science technology and the publications were mainly from China. Research in Mongolian medicine mainly pertained to pharmacology, pharmacy, analytical chemistry, biochemistry, molecular biology and experimental research; the publications were mainly from China and Mongolia. In short, research related to traditional medicine of various ethnic minorities was mainly conducted in China and the neighboring countries. The research focus for each minority medicine is essentially on the effects and mechanisms of action of the active ingredients of the ethnodrugs and the special prescriptions or therapies. The generated evidence will facilitate further developments in this field.
Indigenous Traditional Healing Care: Belief & Practices among Tribals of Sout...iosrjce
Globally, about 85% of the traditional medicines were used for primary healthcare which are
derived from plants. There is a need to document the indigenous knowledge related to Indian herbs and plants
and their medicinal and other uses and convert it into easily navigable computerize data base for easy access
and to secure patenting rights; to discourage other countries for patenting Indian heritage; to transfer
knowledge to all sectors who are interested to know about our Indian Systems of Medicine; most of our
knowledge is in Sanskrit, Arabic, Persian and other classical languages, which needs to be translated to other
modern languages. The tribes of Bastar region are known for their unique and distinctive tribal culture and
heritage in all over the world. Each tribal group in Bastar has their own distinct culture and enjoys their own
unique traditional living styles. To assess the Tribals traditional healing practices and knowledge, data were
collected by household surveys (viewed as the main component of the field work), oral histories (based on open
discussions with widely recognized knowledgeable elders), Focused discussions with mothers at local health
centers, local market surveys, questionnaires administered to elder members of villagers / healers and
structured interviews with (both modern and traditional) professional health practitioners.
Present studies, therefore bear special significance, to be first of its kind to document the traditional
knowledge of the primitive tribes of Bastar, Chhattisgarh as well as in India, with a systematic recording the
tribal knowledge
Carle Palliative Care Journal Club for 7/3/18Mike Aref
Journal club review of "Effect of Lorazepam With Haloperidol vs Haloperidol Alone on Agitated Delirium in Patients With Advanced Cancer Receiving Palliative Care: A Randomized Clinical Trial" by D. Hui et. al. in JAMA. 2017 Sep 19;318(11):1047-1056.
Medical Research: conflicts between autonomy and beneficence/non maleficence, euthanasia, informed consent, confidentiality, criticisms of orthodox medical ethics
Basics of palliative care including symptom management: pain, dyspnea, nausea and constipation; family meetings, goals-of-care, end-of-life care, and artificial nutrition.
Disorganized Diseases: Are they a Simple Explosion of Random Energy and there...asclepiuspdfs
Objective: The study has two objectives: (1) To determine the prevailing characteristics of a given set of patients with “disorganized disease” and (2) to determinate the prevailing outcomes for these patients in family medicine to assess their implications for decision-making. Participants and Methods: A qualitative, longitudinal, and retrospective cases series study based on a single cohort was carried out. Analyses based on a retrospective study of case records from June to October 2017, in a family medicine office in the Health Center Santa Maria de Benquerencia, Toledo, Spain. A convenience sample was selected consisting of patients who consulted during that period and who met the criteria for entering the study. These cases were considered in the epidemiological term as index cases, which means that beyond these the study should be expanded. Hence, in addition, using a technique of snowball “mental” or “astute clinical observation” others patients attended previously were included until the saturation of the data. The cases were described in short case reports. An analysis of the content of these reports was carried out, defining categories of qualitative data. The results were interpreted, and a generalization was drawn from these cases.
Gynecological Oncology Navigation by Penny Daugherty, RN, MS, OCN, ONN-CGPennyDaughertyRNMSOC
This session defines the various diagnoses classified as gynecological malignancies and address the discreet nuances of each disease, as well as recognition and management of specific side effects associated with individual syndromes. Conventional and targeted therapies are reviewed as well as discussions assisting patients in the selection of integrative approaches to care.
It is a planned professional conversation that enables the patient to communicate their symptoms , feeling and fear to the clinician, so that the nature of the patient’s real and suspected illness and mental attitudes may be determined.
Antibiotic Guardian Birmingham Workshop4 All of Us
Antibiotic resistance is one of the biggest threats facing us today!
European Antibiotic Awareness Day (EAAD) is part of the UK 5 Year Antimicrobial Resistance Strategy 2013 to 2018, which focuses on antibiotics and sets out actions to slow the development and spread of antimicrobial resistance.
This year, to run in line with EAAD; Public Health England has established the Antibiotic Guardian pledge campaign. It calls on everyone in the UK, the public and healthcare community to become antibiotics guardian by choosing one simple pledge about how they will make better use of these vital medicines.
To ensure that the information and knowledge on Antibiotic Stewardship is disseminated to those practising healthcare across the nation, a series of awareness and educational events have been developed. These educational workshop events, to be held in Leeds, Birmingham and London, will provide guidance, resources and information for practitioners on topics associated with antibiotic awareness. The events will provide an opportunity to understand how you and your organisation can support combat the global challenge faced by antibiotic resistance whilst gaining advice, support and resources to inform patients and staff.
Describes in detail the concept of compliance to therapeutic regimen, difference between adherence and compliance, factors which influence compliance, methods of assessing, reasons for non-compliance and strategies to improve compliance to the therapy.
This webinar will tell you what you need to know about clinical trials, their history, and help you prepare for a trial. If you’re currently considering participating in a clinical trial, we hope that this webinar helps to answer many of your questions.
In the presentation you'll learn the difference between different types of clinical trial and the design and purpose of clinical trials, and you'll get an inside look at the approval process.
The webinar was hosted by Dawn Richards, Director of Patient and Public Engagement at Clinical Trials Ontario and featured a panel of patients, James Davidson, Eric Pitters and Kathie LaForge.
History taking- oral pathology- Sreng at UHSSreng Pouv
History taking is very important for all doctor and dentist. Therefore, all doctor and dentist must spend 5-10mins for taking history from patients because it can make doctor's or dentist's treatment efficiency and potentially. In history-taking, there are 5 vital elements. They are :
- Date collection and chief complaint.
- Present History
- Past History
- Personal History
- Family History.
In those slides, also include the behaviour of doctor or dentist.
During interview, Dentist should be :
introduce yourself and asking some normal questions => patient feel comfortable for moving forward.
always listen carefully.
keep your appearance neat and clean => gain trust.
show courteous, respectful and confidential
always be friendly and interest in patients’ problems.
keep eye contact.
Migrant Workers and Malaria - Dr Win Maung.compressed
1. Myanmar Artemisinin Monotherapy
Replacement Project (AMTR)
Independent Evaluation
1 April 2015
Dissemination Workshop
Dr Myat Phone Kyaw
Dr Myo Min
Dr Win Maung
Working Paper 3 - June 2014
Situation of Mobile Migrant Workers and Malaria at Vulnerable
Sites in Myanmar: A Qualitative Research Paper
2. Research Objectives
• Discover the mobility dynamics of migrant workers at
four different sites and their group decisions to solve
common health problems including malaria
• Identify the workers understanding of malaria illness,
treatment seeking practices for suspected malaria,
and personal protective measures
• Find out their sources of information related to
malaria and preferences of media channels.
3. Research Design and Sites
• A cross-sectional,
exploratory, qualitative
research using FGD and
pre-tested question
guides
• Study sites and
population covered
mobile/migrant
workers with three
areas of economic
likelihood: fishing, gold
panning and mining.
4. Sample Size
Township Activity Mobility No. FGD
No. participants
(M/F)
Kawthaung Fishing low 2 17 (17/0)
Kawthaung Fishing high 2 15 (15/0)
Kawthaung Various low 3 22 (16/6)
Kawthaung Various high 2 18 (8/10)
Shwe Kyin Mining high 10 91 (60/31)
Shwe Kyin Mining/Plantation low 2 8 (5/3)
Dawei Various high 5 53 (27/26)
Dawei Mining high 3 25 (13/12)
Ye Phyu Plantation high 2 26 (18/8)
Total 31 275 (179/96)
5. Results 1 – Mobility Dynamics
• Movement frequency varied from < 1 to 2-3 per year
• Movements influenced by:
– nature of work
– financial status
– family ties, health (especially when afflicted by malaria)
and socio-cultural reasons
– special events/festive periods include water festival
(Thingyan); lighting festival (Thadingyut) & pagoda festival.
• Migrant groups on rubber and palm oil plantations =
low mobility, fishing sites = higher level of mobility.
• Cross-border migrant movements from fishing sites a
likely factor in the spread of drug resistant parasites
6. Results 2- Common Health Problems
• Common health problems other than malaria included:
– diarrhoea, flu and dengue (seasonal)
• Other health problems included:
– chronic/non-infectious illness - hypertension, diabetes
– Acute - abdominal pain, dizziness, headaches, muscle and joint
pain, nausea and fatigue.
• Care seeking and group decisions:
– Reported practices
• Self-medication
• approaching drug-sellers
• unlicensed practitioners (‘quacks’ or retired health staff)
• Malaria not generally perceived as a serious problem and
self-medication favoured.
• Respondents did not seek early diagnosis and prompt
treatment when suffering from acute undifferentiated fever.
7. Results 3 – Understanding Malaria
• Knowledge of Malaria Symptoms
– Symptoms reasonably well understood across all sites but
revealed misconceptions.
– Discussants often defined malaria fever based upon
traditional beliefs, cultural perceptions and personal
experience, symptoms included:
• fever with chills
• abdominal pain
• headache,
• dizziness, nausea and vomiting
• cold and clammy extremities
• alternate hot and cold sensations
• loss of appetite
• muscle spasms.
8. Results 3 – Understanding Malaria (Cont.)
• Knowledge of causes and modes of transmission included:
– Mosquito bites a major cause of malaria transmission.
– Intensity of mosquito bites linked to seasonality e.g. early part
of the rainy season coincides with month of Warso; and late
part of the dry season - Tabaung and Tagoo.
– Misconceptions on malaria transmission included:
• drinking stream / contaminated water
• eating contaminated food, bananas, cold / sour food, fatty /
oily meals;
• taking a bath in a stream at the wrong time.
– Ideas that stemmed from others’ experiences included:
• seasonal illnesses like flu,
• weather changes,
• physical stress and strain,
• sleeplessness, tiredness, weakness, and fatigue.
9. Results 4 - Malaria Experience, Diagnosis
and Seeking Treatment
• Malaria experience and first responses included:
– Seeking advice from people within the migrant group that
previously had malaria and shared their experience.
– Some people with fever, self diagnosed malaria based on
previous experience and did not seek confirmation from a
diagnostic test.
– In some cases, medication was obtained following a proper
diagnostic procedure by a doctor:
“ I think I should check my health status. If I checked, I would
know my condition. I live in the forest so I do not know what
the cause of last illness was. At that time, I doubted that it
was due to getting cold or working in rain”.
– Other first response was to seek treatment from local health
care providers if available.
10. Results 4 - Malaria Experience, Diagnosis
and Seeking Treatment (Cont.)
• Malaria Diagnosis
– Knowledge was good, most participants were aware of
rapid diagnostic tests (RDT).
– Sources for awareness included CHW, malaria team, radio,
hearsay, clinics, NGOs including IOM and UNICEF.
11. Results 4 - Malaria Experience, Diagnosis
and Seeking Treatment (Cont.)
• Medical Check-ups
– Most participants did not know the importance of
having malaria check-ups done before leaving for
another destination (including home).
– The motivation to test for malaria in their hometowns
was linked to experiencing fever and its seriousness
and to accessibility to testing.
12. Results 4 - Malaria Experience, Diagnosis
and Seeking Treatment (Cont.)
• Antimalarial awareness
– Familiar with Chloroquine, Quinine, Fansidar and Artesunate
– Combinations of antimalarials, including ACT available at RHCs
and midwives spread information.
– Artemisinin related compounds sold by drug sellers without
prescription.
– Familiar with ‘Padonmar’ as a trade name, not as ACT quality
seal.
– Other medicines used for treatment of malaria included
analgesics (Novalgin, paracetamol) & indigenous medicine
and herbs.
– Participants from non-endemic areas unaware of ACTs (e.g
workers at Shwe Kyin gold mine), but just follow doctors’
prescriptions.
– Some misperceptions resulted in antimalarial tablets being
crushed in water to prevent malaria
13. • Treatment Seeking from:
– Unlicensed practitioners most easily accessible (majority of
consultations).
– HW’s and midwives from nearby rural health centres (fishing &
gold mining sites).
– Self-medication is common but if it becomes serious they
usually go to the hospital. Quotes:
• “If health conditions are in crisis, one of the health care
providers from Aung-Bar sub-centre comes to treat”.
• “We get treatment from the clinic, but there is no
screening”.
• “The retired mid-wife, Daw Mar Nyo, treats patients
suspected to have malaria but she does not conduct malaria
tests”.
Results 4 - Malaria Experience, Diagnosis
and Seeking Treatment (Cont.)
14. • Cost of Malaria Illness
– Reported cost of treating an acute episode of malaria
illness ranged from 1,000 to 100,000 Kyats dependent on :
• number of visits
• the health care provider, and
• the type of treatment given.
– Affordability was a major determining factor the type of
treatment sought.
– In Kawthaung, treatment costs were up to 500,000 kyats.
• Those who could not afford opted for traditional /
indigenous medicines.
• Reported needing to borrow money from their
employers.
• Similar situation noted for workers at gold panning sites
and in Heindar mines.
Results 4 - Malaria Experience, Diagnosis
and Seeking Treatment (Cont.)
15. • Major constraints reported for seeking diagnosis
and treatment were:
• high transportation charges
• difficulty in reaching health facilities during the rainy
season
• lack of health care providers at the worksite especially
during health emergencies
• long waiting time to see healthcare professionals
• lack of good information on malaria interventions
• Suggestions for increase centred on:
• Location/nearness of health clinic
• Availability of health care providers for early diagnosis
especially during the transmission season
• Availability of information on malaria diagnosis and
treatment
Results 4 - Malaria Experience, Diagnosis
and Seeking Treatment (Cont.)
16. Results 5 – Protection from Malaria
• Perceptions about malaria prevention
– Fishing and gold panning sites - not well-informed.
– Some still believe that it is not possible to protect against
malaria, it can only be treated once infected.
• Awareness of Specific Mosquito Bite Prevention Measures
– Common awareness on protective measures included:
• sleeping under a bed-net
• wearing long sleeved clothing
• using mosquito repellents and coils
– But also some incorrect views
• drinking boiled water; and
• keeping the environment clean
17. Results 5 – Protection from Malaria (Cont.)
• Awareness of ITNs/LLINs and preferences
– Awareness of free distribution of LLINs/ITNs at fishing and
gold panning sites.
– Some knew about insecticide kits but did no see them
anywhere.
– LLIN/ITN usage varied due to multiple personal reasons.
– Some express preference for simple bed nets over LLIN/ITN:
• LLIN smell and skin reactions to insecticide
• LLIN rough surface sometimes causing abrasion
• LLIN thickness (durability).
– Insufficient distribution of ITN/LLIN has hampered regular
use.
– The majority reported willingness to use LLIN/ITN.
18. • Perceptions towards sustainable use of ITNs/LLINs
– Majority interviewed, recognised challenges in the sustainability
of LLINs/ITNs use:
• Unable to use when out fishing
• Personal health problems (breathing difficulties & allergies)
• Irregular supply of the nets
• No replacements when the nets get torn or lost.
– “We are not accustomed to using bed nets so we cannot
sleep under them. Many have difficulties breathing when
using LLINs/ITNs”.
– “I cannot sleep under bed nets when I am on the boat
because the wind is so strong and there are no
mosquitoes”.
– “There should be more health education about malaria
so that people understand the advantages of sleeping
under bed nets”.
Results 5 – Protection from Malaria (Cont.)
19. Results 6 – Information and Media
Channels
Type of Malaria
Information
– Cause of
malaria
– Mode of
transmission
– Prevention
– Diagnosis
– Treatment
Format and
delivery
– Leaflets
– Posters
– TV discussion
and adverts
– Radio
discussions
and adverts
– Village/town
meetings
Source of Malaria
Information
– Health care
providers
– LHV
– Midwives
– NGOs on health
education
sessions for
cross-border
migrants
20. Summary of Findings
• Major factors identified that influence migrant
workers’ decisions on seeking diagnosis and/or care
for fever:
1. The perceived cause and severity of the illness:
• Few hospitalizations or deaths due to malaria.
• Severe illness, they went to hospital for treatment.
2. The availability of services in the vicinity:
• Perceived better quality services from trained public
providers in rural health centres and hospitals
• Availability an issue.
3. The affordability of mitigation and treatment i.e.
the cost in relation to availability of funds:
• Ultimate decisive factor to treatment outcome.
• Workers were willing to spend what they had and
borrow money.
21. Summary of findings
• Prevention and BCC
– Knowledge of prevention of mosquito bites – sleeping
under a net/ ITN.
– Almost all had heard of treated nets and many owned
LLINs distributed by the Health Department, UNICEF,
World Vision or IOM.
– Some expressed preferences for simple bed nets over
LLINs/ITNs, based on perceived side effects such as smell
and skin reactions
– Many saw added advantages of better protection by
LLINs/ITNs.
– General health and malaria relevant messages reached
groups through a variety of channels, and that they
appreciated the information.
– Preferred information source were radio programmes,
especially at night time, due to their high mobility.
22. General Recommendations
• Enhance existing knowledge on malaria transmission,
prevention, diagnosis and treatment using high quality and
target-oriented BCC programmes taking into account the
specific working situation of the migrants.
• Bring subsidized (or reasonably priced RDT and QA-ACT)
closer to the work sites through an extension of mobile
public workers (volunteers), and stronger engagement of
the informal private sector, to ensure affordable diagnosis
and treatment is within easy reach migrant workers at all
times of the year even when weather conditions are
unfavourable.
• Emphasize the need for malaria check-ups before
movement between work sites and villages of origin, or
when moving on to another work site, and make these
services more widely available.
23. Specific Recommendations for the AMTR
Project
• The great importance of migrant populations in the
containment of the spread of artemisinin resistance
in Plasmodium falciparum, a specific
recommendation for the AMTR project is:
– As the AMTR project rolls out its strategy to introduce
Rapid Diagnostic Tests in the private sector, PSI should
focus its BCC activities on migrant populations in Tier
1 of the Resistance Containment areas and strengthen
awareness and knowledge about RDTs, and also the
treatment practices of private sector providers in
these areas and ensure the availability of QA-ACT.
24. Conclusion
Find out the mobility dynamics of migrant workers at four
different sites and their group decisions to solve common
health problems including malaria;
• Mobility dynamics
– Varied level of movement across the 4 study sites.
– Commonly low mobility of migrant groups in bi-directional
movements (plantation and mining sites).
– Frequent cross-border movements from fishing sites.
Islanders identified as high risk to potentially spread
resistant parasites.
• Decisions solving common health problems on malaria
– Subsidized health commodities
– Bring mobile health workers
– Strong emphasis on the need for malaria check-ups before
movement between work sites and villages of origin
25. • There is general knowledge to seek for health; need to
situate mobile health posts instead of seeking for local
unlicensed workers.
• Train local health workers and distribute free RDTs to
encourage check ups and reduced OPE.
• Availability of information on malaria diagnosis and
treatment
• Adequate awareness of the importance of LLINs as a
protective measures.
• Continuous distribution and/or replacement of LLINs
Conclusion
Identify the workers understanding of malaria
illness, treatment seeking practices for suspected
malaria, and personal protective measures
26. • Preferred information sources – radio programmes,
especially at night time, due to their high mobility.
• Others are:
• Night time village/community meetings and video shows
• Leaflets
• Posters
Conclusion
Find out their sources of information related to
malaria and preferences of media channels.
27. Myanmar Artemisinin Monotherapy Replacement
Project (AMTR) Independent Evaluation
is implemented by
In partnership with
Thank you for listening!