دورية أكاديمية
أعرض في EDS

Setting-up a cross-border action-research project to control malaria in remote areas of the Amazon: describing the birth and milestones of a complex international project (Malakit).

التفاصيل البيبلوغرافية
العنوان: Setting-up a cross-border action-research project to control malaria in remote areas of the Amazon: describing the birth and milestones of a complex international project (Malakit).
المؤلفون: Galindo MS; Centre d'Investigation Clinique Antilles-Guyane, Inserm 1424, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana. muriel.galindo@hotmail.fr., Lambert Y; Centre d'Investigation Clinique Antilles-Guyane, Inserm 1424, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana., Mutricy L; Centre d'Investigation Clinique Antilles-Guyane, Inserm 1424, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana., Garancher L; The Ink Link, Paris, France., Bordalo Miller J; DPAC Fronteira, Oiapoque, Brazil., Gomes JH; DPAC Fronteira, Oiapoque, Brazil., Sanna A; Agence Régionale de Santé de la Guyane, Cayenne, French Guiana., Peterka C; National Malaria Control Programme, Ministry of Health of Brazil, Brasilia, Brazil., Hilderal H; Centre d'Investigation Clinique Antilles-Guyane, Inserm 1424, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana., Cairo H; National Malaria Control Programme, Ministry of Health of Suriname, Paramaribo, Suriname., Hiwat H; National Malaria Control Programme, Ministry of Health of Suriname, Paramaribo, Suriname., Nacher M; Centre d'Investigation Clinique Antilles-Guyane, Inserm 1424, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana., Suárez-Mutis MC; Laboratory of Parasitic Diseases, Institute Oswaldo Cruz/Fiocruz, Rio de Janeiro, Brazil., Vreden S; Foundation for the Advancement of Scientific Research in Suriname, Paramaribo, Suriname., Douine M; Centre d'Investigation Clinique Antilles-Guyane, Inserm 1424, Centre Hospitalier de Cayenne Andrée Rosemon, Cayenne, French Guiana.
المصدر: Malaria journal [Malar J] 2021 May 11; Vol. 20 (1), pp. 216. Date of Electronic Publication: 2021 May 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101139802 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-2875 (Electronic) Linking ISSN: 14752875 NLM ISO Abbreviation: Malar J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2002-
مواضيع طبية MeSH: Communicable Disease Control/*methods , Malaria, Falciparum/*prevention & control , Malaria, Vivax/*prevention & control, Adult ; Brazil ; Female ; French Guiana ; Health Services Research ; Humans ; International Cooperation ; Male ; Middle Aged ; Suriname
مستخلص: Background: In French Guiana, gold miners working illegally represents a major reservoir of malaria. This mobile population, mainly of Brazilian descent, enters the French Guianese forest from neighbouring countries, Suriname and Brazil. A complex and innovative intervention was piloted as a cooperation with the three involved countries involved to control malaria in this specific population. The principle was that health workers called "facilitators" provide the participants with a self-diagnosis and self-treatment kit along with adequate training and material to rapidly manage an episode of malaria symptoms on their own, when they find themselves isolated from health care services.
Methods: This paper describes the design, development, content of the intervention and players' organization of this multi-country project, the opportunities and constraints encountered, and the lessons learnt at this stage.
Results: The choice not to implement the usual "Test and Treat" approach within the community is mainly driven by regulatory reasons. The content of medical messages tends to balance the tension between thoroughness, accuracy and efficacy. The wide range of tools developed through a participatory approach was intended to cope with the challenges of the literacy level of the target population. Despite the difficulties encountered due to language, regulation differences and distance between partners, cooperation was fruitful, due to the complementary of stakeholders, their involvement at all important stages and regular face-to-face meetings.
Discussion and Conclusion: This experience shows the feasibility of an ambitious project of action-research in a border malaria context, involving several countries and with a mobile and undocumented population. It reveals some factors of success which may be transferable in analogous settings.
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معلومات مُعتمدة: Synergy No. 3949 IACP-FEDER
فهرسة مساهمة: Keywords: Action-research; Border malaria; Complex intervention; Implementation science; Malaria control; Mining population; Mobile migrants; Neglected population
تواريخ الأحداث: Date Created: 20210512 Date Completed: 20210917 Latest Revision: 20210917
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8111981
DOI: 10.1186/s12936-021-03748-5
PMID: 33975624
قاعدة البيانات: MEDLINE
الوصف
تدمد:1475-2875
DOI:10.1186/s12936-021-03748-5