Next Article in Journal
Impact of the “BALatrine” Intervention on Soil-Transmitted Helminth Infections in Central Java, Indonesia: A Pilot Study
Previous Article in Journal
Strengthening Surveillance Systems for Malaria Elimination by Integrating Molecular and Genomic Data
Open AccessArticle

Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing?

1
Community Partners International, Yangon 11201, Myanmar
2
International Union against Tuberculosis and Lung Disease (The Union), 75006 Paris, France
3
The Union South East Asia Office, New Delhi 110016, India
4
Karuna Trust, Bengaluru 560041, India
5
The Union Myanmar Country Office, Mandalay 05021, Myanmar
6
Vector Borne Disease Control Program, Department of Public Health, Ministry of Health and Sports, Nay Pyi Taw 15011, Myanmar
*
Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2019, 4(4), 140; https://doi.org/10.3390/tropicalmed4040140
Received: 15 October 2019 / Revised: 12 November 2019 / Accepted: 13 November 2019 / Published: 4 December 2019
Malaria accounted for 18% of all deaths in the ethnic communities of Myanmar. In this cross-sectional study, we assessed the extent of and factors associated with receipt of quality malaria treatment services provided by integrated community malaria volunteer (ICMV) under six ethnic health organisations. Data of people with malaria diagnosed by rapid diagnostic tests during 2017–2018 were extracted from the ICMV registers. Documentation of prescribing a complete course of drugs was used to assess quality. Of 2881 people with malaria, village-based ICMV diagnosed and treated 2279 (79%) people. Overall, 2726 (95%) people received correct drugs in the correct dose and adequate duration appropriate to malaria species, age and pregnancy status while 1285 (45%) people received ‘correct and timely (within 24 h of fever)’ treatment. Children under five years, those with severe malaria, mixed infection and falciparum malaria were less likely to receive the correct treatment. When compared to health posts, village-based ICMVs and mobile teams performed better in providing correct treatment and mobile teams in providing ‘correct and timely’ treatment. This calls for ensuring the early presentation of people to health workers within 24 h of undifferentiated fever through health promotion initiatives. Future studies should assess adherence to medication and clinical improvement. View Full-Text
Keywords: ethnic minorities; hard-to-reach areas; early diagnosis and treatment; management of malaria; undifferentiated fever; SORT IT ethnic minorities; hard-to-reach areas; early diagnosis and treatment; management of malaria; undifferentiated fever; SORT IT
Show Figures

Figure 1

MDPI and ACS Style

Minn, P.W.; Shewade, H.D.; Kyaw, N.T.T.; Phyo, K.H.; Linn, N.Y.Y.; Min, M.S.; Aung, Y.N.; Myint, Z.T.; Thi, A. Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing? Trop. Med. Infect. Dis. 2019, 4, 140.

Show more citation formats Show less citations formats
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
Back to TopTop