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
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , , , , , , |
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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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 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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BMC |
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BMC |
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