High Mobility and Low Use of Malaria Preventive Measures Among the Jarai Male Youth Along the Cambodia-Vietnam Border.
Gryseels, Charlotte;
Peeters Grietens, Koen;
Dierickx, Susan;
Xuan, Xa Nguyen;
Uk, Sambunny;
Bannister-Tyrrell, Melanie;
Trienekens, Suzan;
Ribera, Joan Muela;
Hausmann-Muela, Susanna;
Gerrets, René;
+4 more...D'Alessandro, Umberto;
Sochantha, Tho;
Coosemans, Marc;
Erhart, Annette;
(2015)
High Mobility and Low Use of Malaria Preventive Measures Among the Jarai Male Youth Along the Cambodia-Vietnam Border.
The American journal of tropical medicine and hygiene, 93 (4).
pp. 810-818.
ISSN 0002-9637
DOI: https://doi.org/10.4269/ajtmh.15-0259
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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.