Next Article in Journal
Establishment of an In Vitro Model of Persistent Chicken Anemia Virus Infection
Next Article in Special Issue
An Ultra-Sensitive Technique: Using Pv-mtCOX1 qPCR to Detect Early Recurrences of Plasmodium vivax in Patients in the Brazilian Amazon
Previous Article in Journal
Diverse Epidemiology of Leptospira Serovars Notified in New Zealand, 1999–2017
Previous Article in Special Issue
Molecular Detection of Antimalarial Drug Resistance in Plasmodium vivax from Returned Travellers to NSW, Australia during 2008–2018
Open AccessArticle

Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study

1
International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68, Shaheed Tajuddin Ahmed Sarani Mohakhali, Dhaka 1212, Bangladesh
2
Department of Public Health, Institute of Tropical Medicine (ITM), Nationalestraat 155, 2000 Antwerp, Belgium
3
Global and Tropical Health Division, Menzies School of Health Research and Charles Darwin University, Rocklands Drive Casuarina, Darwin Northern Territory 0810, Australia
4
Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7LG, UK
5
Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvith Road, Tungphyathai, Bangkok 10400, Thailand
*
Author to whom correspondence should be addressed.
Pathogens 2020, 9(10), 840; https://doi.org/10.3390/pathogens9100840
Received: 15 September 2020 / Revised: 5 October 2020 / Accepted: 13 October 2020 / Published: 14 October 2020
(This article belongs to the Special Issue Addressing Plasmodium vivax: From Control to Elimination)
Bangladesh has achieved significant progress towards malaria elimination, although health service delivery for malaria remains challenging in remote forested areas such as the Chittagong Hill Tracts (CHT). The aim of this study was to investigate perceptions of malaria and its treatment among the local population to inform contextualized strategies for rolling out radical cure for P. vivax in Bangladesh. The study comprised two sequential strands whereby the preliminary results of a qualitative strand informed the development of a structured survey questionnaire used in the quantitative strand. Results show that ethnic minority populations in the CHT live in precarious socio-economic conditions which increase their exposure to infectious diseases, and that febrile patients often self-treat, including home remedies and pharmaceuticals, before attending a healthcare facility. Perceived low quality of care and lack of communication between Bengali health providers and ethnic minority patients also affects access to public healthcare. Malaria is viewed as a condition that affects vulnerable people weakened by agricultural work and taking away blood is perceived to increase such vulnerability. Healthcare providers that initiate and sustain a dialogue about these issues with ethnic minority patients may foster the trust that is needed for local malaria elimination efforts. View Full-Text
Keywords: malaria; vivax malaria; health seeking behaviour; mixed methods; radical cure malaria; vivax malaria; health seeking behaviour; mixed methods; radical cure
MDPI and ACS Style

Matin, M.A.; Sarkar, N.D.P.; Phru, C.S.; Ley, B.; Thriemer, K.; Price, R.N.; Peeters Grietens, K.; Ali Khan, W.; Alam, M.S.; Gryseels, C. Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study. Pathogens 2020, 9, 840. https://doi.org/10.3390/pathogens9100840

AMA Style

Matin MA, Sarkar NDP, Phru CS, Ley B, Thriemer K, Price RN, Peeters Grietens K, Ali Khan W, Alam MS, Gryseels C. Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study. Pathogens. 2020; 9(10):840. https://doi.org/10.3390/pathogens9100840

Chicago/Turabian Style

Matin, Mohammad A.; Sarkar, Nandini D.P.; Phru, Ching S.; Ley, Benedikt; Thriemer, Kamala; Price, Ric N.; Peeters Grietens, Koen; Ali Khan, Wasif; Alam, Mohammad S.; Gryseels, Charlotte. 2020. "Precarity at the Margins of Malaria Control in the Chittagong Hill Tracts in Bangladesh: A Mixed-Methods Study" Pathogens 9, no. 10: 840. https://doi.org/10.3390/pathogens9100840

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop