Given the complexities of providing essential health care services to displaced populations, particularly in the beginning stages of an emergency, this is understandable. What local terms are used to describe febrile illness and malaria? And perceptions about preferential treatment for the displaced population can lead to feelings of resentment and/or hostility by the host population. Data on the quantitative assessment of malaria burden in Cameroon cities and the analysis of community attitudes and knowledge on malaria are currently lacking and could help to better design and monitor malaria control programs on the field. The major sources of information on malaria were television (74%), health professionals (66%), schools (62%), family/friends (60%), and the Internet … The goal of most current National Malaria Control Programs and most malaria activities is to reduce the number of malaria-related cases and deaths. The roundtable and the Program on Forced Migration at the Mailman School of Public Health of Columbia University have commissioned a series of epidemiological reviews on priority public health problems for forced migrants that will update the state of knowledge. Community participation (reflecting both understanding and acceptability of interventions) should be an essential element in both malaria prevention and control. There is almost no documented information about the malaria treatment-seeking practices of displaced populations. For example, if pregnant women are concerned about using antimalarial drugs during pregnancy, it would be necessary to offer comprehensive health education about malaria risks during pregnancy prior to implementing protective intermittent treatment programs. What is the degree of self-treatment? Show this book's table of contents, where you can jump to any chapter by name. Curative Services: Malaria Therapy and Case Management, 8. Preventing malaria in four steps Historically, those involved with health care issues in complex emergencies have given little attention to the sociocultural dimensions or to the wider global context within which complex emergencies develop. As emergencies stabilize and periods of displacement become longer in duration, communities attempt to re-create their formal patterns of social organization and informal social structures begin to resemble the preflight period, given the constraints of refuge. Conversely, if refugees are situated in “open” camps/settlements (camps that permit movement of the displaced population out of the identified area of refuge) or if refugees are self-settled, people may choose to use the health care services provided to the host population. Between 2013 and 2015, more than 7500 community health workers living in a thousand villages across 5 countries in sub-Saharan Africa will be trained to care for 1.2 million children. The approach is based on the conception that equipping communities with the necessary tools to help themselves while simultaneously increasing local demand for malaria control could significantly reduce malaria burden in the remaining - often hard-to-reach - pockets. Ready to take your reading offline? How does the malaria treatment offered to the displaced population differ from their home experience? The implications for their access to both malaria prevention and management have not been given adequate attention in complex emergencies. Rapid assessments (also called rapid ethnographic assessments, participatory rural appraisals, rapid community assessments, or rapid assessment procedures) refer to individual and group-based ethnographic methods to gather. If malaria (or febrile illness in general) is perceived as an illness for which personal actions cannot modify the acquisition or course of the illness, preventive behaviors would probably not be viewed as important. A lack of respect toward patients in general from health care. What prevention measures are unacceptable and why? Designing preventive approaches for displaced populations takes creative thought, given the constraints of situations where people have little control over where they live or the types of shelter available to them. Acknowledging the situational constraints of complex emergencies (i.e., the need for urgent decision making, the volume of work required to maintain day-to-day operations, limited budgets, and the fluid nature of an emergency), rapid assessments may be the most practical means of gathering data to inform programs, particularly in the early stages of an emergency. Examine sociopolitical influences that might affect the acceptability and use of malaria control strategies. What are the priorities for malaria control, as defined by the affected community? For example, are there any marginalized subgroups for whom participation in preventive programs (such as an insecticide-treated net reimpregnation program) might not be feasible due to security concerns? © 2020 National Academy of Sciences. Do you want to take a quick tour of the OpenBook's features? The availability of antimalarial drugs at health care facilities might also play a role in where people obtain care. sources of health care, such as traditional healers (herbalists, spiritual healers, bush doctors, etc. Also, there is limited information on socioeconomic factors that influence the prevalence of malaria. Some NGOs have been sensitive to the role that alternative healers have traditionally played in some communities and have incorporated traditional patterns of healing into the services offered by health care facilities. Interactions with the staff of a health care facility may affect treatment choices.

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