High Mobility and Low Use of Malaria Preventive Measures Among the Jarai Male Youth Along the Cambodian-Vietnamese Border.


Gryseels, C; Peeters Grietens, K; Dierickx, S; Xuan, XN; Uk, S; Bannister-Tyrrell, M; Trienekens, S; Ribera, JM; Hausmann-Muela, S; Gerrets, R; D'Alessandro, U; Sochantha, T; Coosemans, M; Erhart, A; (2015) High Mobility and Low Use of Malaria Preventive Measures Among the Jarai Male Youth Along the Cambodian-Vietnamese Border. The American journal of tropical medicine and hygiene, 93 (4). pp. 810-8. ISSN 0002-9637 DOI: https://doi.org/10.4269/ajtmh.15-0259

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Abstract

: Malaria control along the Vietnam-Cambodia border presents a challenge for both countries' malaria elimination targets as the region is forested, inhabited by ethnic minority populations, and potentially characterized by early and outdoor malaria transmission. A mixed methods study assessed the vulnerability to malaria among the Jarai population living on both sides of the border in the provinces of Ratanakiri (Cambodia) and Gia Lai (Vietnam). A qualitative study generated preliminary hypotheses that were quantified in two surveys, one targeting youth (N = 498) and the other household leaders (N = 449). Jarai male youth, especially in Cambodia, had lower uptake of preventive measures (57.4%) and more often stayed overnight in the deep forest (35.8%) compared with the female youth and the adult population. Among male youth, a high-risk subgroup was identified that regularly slept at friends' homes or outdoors, who had fewer bed nets (32.5%) that were torn more often (77.8%). The vulnerability of Jarai youth to malaria could be attributed to the transitional character of youth itself, implying less fixed sleeping arrangements in nonpermanent spaces or non-bed sites. Additional tools such as long-lasting hammock nets could be suitable as they are in line with current practices.<br/>

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Disease Control
PubMed ID: 26283747
Web of Science ID: 362311800026
URI: http://researchonline.lshtm.ac.uk/id/eprint/2281282

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