Abstract
BackgroundAs part of a targeted malaria elimination project, mass drug administrations (MDAs) were conducted in Vietnam. The impact of MDAs on malaria transmission depends largely on the efficacy of the anti-malarial drug regimen, the malaria epidemiology in the site and the population coverage. To explore why some people participate in MDAs and others do not, a quantitative survey of the villagers’ perceptions was undertaken in Vietnam.MethodsIn 2013/2014 MDAs were conducted in a village in Binh Phuoc province and a village in Ninh Thuan province. Within three months of the drug administration, 59 respondents in a village in Binh Phuoc and 79 respondents in a village in Ninh Thuan were randomly selected and interviewed.ResultsComprehension of the purpose of the intervention was of paramount importance for participation in the intervention. Respondents aware that the intervention aims to protect against malaria were significantly more likely to participate than respondents who were unaware of the MDA’s purpose. Secondly, how and by whom villagers were informed was critical for participation. There was a strong association between sensitization by an informant such as a member of the local health team with participation in the intervention.ConclusionsThe study suggests several approaches to increase participation in mass drug administration campaigns. Training trustworthy informants to sensitize the study population is critical to maximize village participation in this setting. To achieve high coverage the entire community must understand and agree with the intervention.
Highlights
As part of a targeted malaria elimination project, mass drug administrations (MDAs) were conducted in Vietnam
The MDAs were conducted from November 2013 to January 2014 in Binh Phuoc and from January 2014 to March 2014 in Ninh Thuan
The findings from this study suggest several approaches to maximize participation in mass drug administration campaigns and thereby contribute to a broader understanding what makes community engagement successful
Summary
As part of a targeted malaria elimination project, mass drug administrations (MDAs) were conducted in Vietnam. With the growing threat of multidrug resistance in the Greater Mekong subregion, the international malaria community is recognizing the need for additional measures, including mass drug administrations (MDAs) as a component of rapid malaria elimination efforts [1]. Their popularity has gone through cycles, MDAs have been used for malaria control and. The most successful campaigns invested in a two-pronged approach by engaging the leaders of the targeted communities as well as the community members themselves. A better understanding what makes a successful campaign would be helpful for the design of future campaigns
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