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

Detalhes bibliográficos
Autor(a) principal: Galindo, Muriel Suzanne
Data de Publicação: 2022
Outros Autores: Lambert, Yann, Mutricy, Louise, Garancher, Laure, Miller, Jane Bordalo, Gomes, José Hermenegildo, Sanna, Alice, Peterka, Cassio, Cairo, Hedley, Hiwat, Helene, Adenis, Antoine, Nacher, Mathieu, Suárez‑Mutis, Martha Cecilia, Vreden, Stephen, Douine, Maylis
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/54590
Resumo: Centre d’Investigation Clinique Antilles‑Guyane, Inserm CIC 1424, Cayenne Hospital, Cayenne, French Guiana.
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spelling Galindo, Muriel SuzanneLambert, YannMutricy, LouiseGarancher, LaureMiller, Jane BordaloGomes, José HermenegildoSanna, AlicePeterka, CassioCairo, HedleyHiwat, HeleneAdenis, AntoineNacher, MathieuSuárez‑Mutis, Martha CeciliaVreden, StephenDouine, Maylis2022-08-11T12:55:41Z2022-08-11T12:55:41Z2022GALINDO, Muriel Suzanne et al. 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. BMC Public Health, v. 22, n. 770, p. 1 - 17, 2022.1471-2458https://www.arca.fiocruz.br/handle/icict/5459010.1186/s12889-022-12801-0engBMCImplementaçãoNova MaláriaEstratégia de gestãoAutotesteAuto tratamentoÀreas remotas na Amazônia (Malakit)ImplementationNovel malariaManagement strategySelf‑testingSelf‑treatmentRemote areas in the Amazon (Malakit)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 realityinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleCentre d’Investigation Clinique Antilles‑Guyane, Inserm CIC 1424, Cayenne Hospital, Cayenne, French Guiana.Centre d’Investigation Clinique Antilles‑Guyane, Inserm CIC 1424, Cayenne Hospital, Cayenne, French Guiana.Centre d’Investigation Clinique Antilles‑Guyane, Inserm CIC 1424, Cayenne Hospital, Cayenne, French Guiana.The Ink Link, Paris, France.DPAC Fronteira, Oiapoque, Brasil.DPAC Fronteira, Oiapoque, Brasil.Centre d’Investigation Clinique Antilles‑Guyane, Inserm CIC 1424, Cayenne Hospital, Cayenne, French Guiana.Ministério da Saúde. Programa Nacional de Controle da Malária. Brasília, DF, Brasil.Ministério da Saúde do Suriname. Programa Nacional da Malária. Paramaribo, Suriname.Ministério da Saúde do Suriname. Programa Nacional da Malária. Paramaribo, Suriname.Centre d’Investigation Clinique Antilles‑Guyane, Inserm CIC 1424, Cayenne Hospital, Cayenne, French Guiana / TBIP, Université de Guyane, Université de Lille, CNRS, Inserm, Institut Pasteur de Lille, U1019-UMR9017-CIIL Centre d’Infection Et d’Im munité de Lille, Cayenne, French Guiana.Centre d’Investigation Clinique Antilles‑Guyane, Inserm CIC 1424, Cayenne Hospital, Cayenne, French Guiana / TBIP, Université de Guyane, Université de Lille, CNRS, Inserm, Institut Pasteur de Lille, U1019-UMR9017-CIIL Centre d’Infection Et d’Im munité de Lille, Cayenne, French Guiana.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Doenças Parasitárias. Rio de Janeiro, RJ, Brasil.Foundation for the Advancement of Scientific Research, Paramaribo, Suriname.Centre d’Investigation Clinique Antilles‑Guyane, Inserm CIC 1424, Cayenne Hospital, Cayenne, French Guiana / TBIP, Université de Guyane, Université de Lille, CNRS, Inserm, Institut Pasteur de Lille, U1019-UMR9017-CIIL Centre d’Infection Et d’Im munité de Lille, Cayenne, French Guiana.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.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/54590/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALMarthaCeciliaMutis_etal_IOC_2022.pdfMarthaCeciliaMutis_etal_IOC_2022.pdfapplication/pdf2594272https://www.arca.fiocruz.br/bitstream/icict/54590/2/MarthaCeciliaMutis_etal_IOC_2022.pdf7731bd5ab1a2480d57d935ec6e986245MD52icict/545902022-08-11 09:55:41.729oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352022-08-11T12:55:41Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv 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
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
spellingShingle 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
Galindo, Muriel Suzanne
Implementação
Nova Malária
Estratégia de gestão
Autoteste
Auto tratamento
Àreas remotas na Amazônia (Malakit)
Implementation
Novel malaria
Management strategy
Self‑testing
Self‑treatment
Remote areas in the Amazon (Malakit)
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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 Galindo, Muriel Suzanne
author_facet Galindo, Muriel Suzanne
Lambert, Yann
Mutricy, Louise
Garancher, Laure
Miller, Jane Bordalo
Gomes, José Hermenegildo
Sanna, Alice
Peterka, Cassio
Cairo, Hedley
Hiwat, Helene
Adenis, Antoine
Nacher, Mathieu
Suárez‑Mutis, Martha Cecilia
Vreden, Stephen
Douine, Maylis
author_role author
author2 Lambert, Yann
Mutricy, Louise
Garancher, Laure
Miller, Jane Bordalo
Gomes, José Hermenegildo
Sanna, Alice
Peterka, Cassio
Cairo, Hedley
Hiwat, Helene
Adenis, Antoine
Nacher, Mathieu
Suárez‑Mutis, Martha Cecilia
Vreden, Stephen
Douine, Maylis
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Galindo, Muriel Suzanne
Lambert, Yann
Mutricy, Louise
Garancher, Laure
Miller, Jane Bordalo
Gomes, José Hermenegildo
Sanna, Alice
Peterka, Cassio
Cairo, Hedley
Hiwat, Helene
Adenis, Antoine
Nacher, Mathieu
Suárez‑Mutis, Martha Cecilia
Vreden, Stephen
Douine, Maylis
dc.subject.other.pt_BR.fl_str_mv Implementação
Nova Malária
Estratégia de gestão
Autoteste
Auto tratamento
Àreas remotas na Amazônia (Malakit)
topic Implementação
Nova Malária
Estratégia de gestão
Autoteste
Auto tratamento
Àreas remotas na Amazônia (Malakit)
Implementation
Novel malaria
Management strategy
Self‑testing
Self‑treatment
Remote areas in the Amazon (Malakit)
dc.subject.en.pt_BR.fl_str_mv Implementation
Novel malaria
Management strategy
Self‑testing
Self‑treatment
Remote areas in the Amazon (Malakit)
description Centre d’Investigation Clinique Antilles‑Guyane, Inserm CIC 1424, Cayenne Hospital, Cayenne, French Guiana.
publishDate 2022
dc.date.accessioned.fl_str_mv 2022-08-11T12:55:41Z
dc.date.available.fl_str_mv 2022-08-11T12:55:41Z
dc.date.issued.fl_str_mv 2022
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv GALINDO, Muriel Suzanne et al. 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. BMC Public Health, v. 22, n. 770, p. 1 - 17, 2022.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/54590
dc.identifier.issn.pt_BR.fl_str_mv 1471-2458
dc.identifier.eissn.none.fl_str_mv 10.1186/s12889-022-12801-0
identifier_str_mv GALINDO, Muriel Suzanne et al. 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. BMC Public Health, v. 22, n. 770, p. 1 - 17, 2022.
1471-2458
10.1186/s12889-022-12801-0
url https://www.arca.fiocruz.br/handle/icict/54590
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/54590/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/54590/2/MarthaCeciliaMutis_etal_IOC_2022.pdf
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