Knowledge,access and utilization of bednets among stable and seasonal migrants in an artemisinin resistance containment area of Myanmar

作     者：Wint Phyo Than Tin Oo Khin Thet Wai Aung Thi Philip Owiti Binay Kumar Hemant Deepak Shewade Rony Zachariah 

作者机构：Regional Public Health DepartmentMinistry of HealthBagoMyanmar Department of Medical ResearchMinistry of HealthYangonMyanmar National Malaria Control ProgramMinistry of HealthNaypyitawMyanmar Academic Model Providing Access to Healthcare(AMPATH)EldoretKenya GAVI the Vaccine AllianceGenevaSwitzerland International Union Against Tuberculosis and Lung Disease(The Union)South-East Asia Regional OfficeNew DelhiIndia Medecins Sans FrontieresOperational Research Unit(LuxOR)Luxembourg CityLuxembourg 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2017年第6卷第1期

页      面：1227-1234页

核心收录：

学科分类：08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

基　　金：The program was funded by WHO/TDR Impact grant to two TDR alumni from DMR.The funders had no role in study design data collection and analysis decision to publish or preparation of the manuscript 

主　　题：Operational research Malaria Transmission Artemisinin Greater Mekong sub-region Mosquito 

摘      要：Background:Myanmar lies in the Greater Mekong sub-region of South-East Asia faced with the challenge of emerging resistance to artemisinin combination therapies(ACT).Migrant populations are more likely than others to spread ACT resistance.A vital intervention to reduce malaria transmission,resistance spread and eliminate malaria is the use of bed *** seasonal and stable migrants in an artemisinin resistance containment region of Myanmar,we compared a)their household characteristics,b)contact with health workers and information material,and c)household knowledge,access and utilization of bed ***:Secondary data from community-based surveys on 2484 migrant workers(2013 and 2014,Bago Region)were analyzed of which 37%were seasonal *** net access and utilization were assessed using a)availability of at least one bed net per household,and b)one bed net per two persons,and c)proportion of household members who slept under abed net during the previous night(Indicator targets=100%).Results:Over 70%of all migrants were from unstable work settings with short transitory *** household size was five(range 1-25)and almost half of all households had children under-five *** 10%of migrants were night-time *** than 40%of households had contact with health workers and less than 30%had exposure to information education and communication(IEC)materials,the latter being significantly lower among seasonal *** 70%of households were aware of the importance of insecticide-treated bed-nets/long-lasting insecticidal nets(ITNs/LLINs),but knowledge on insecticide impregnation and retreatment of ITNs was poor(10%).Although over 95%of households had access to at least one bed net,the number with one bed net per two persons was grossly inadequate(13%for stable migrants and 9%for seasonal migrants,P=0.001).About half of all household members slept under a bed net during the previous ***:This study reveals important short-fa