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Item

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  1. Yangon University of Economics
  2. Master of Public Administrations (MPA/EMPA)

A STUDY ON PATIENT’S ADHERENCE ON ANTIMALARIAL TREATMENT PROVIDED BY COMMUNITY VOLUNTEER (Myint Oo, 2019)

http://hdl.handle.net/20.500.12678/0000001318
http://hdl.handle.net/20.500.12678/0000001318
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e5233e7d-7220-4494-95c6-6222266956b7
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Title
Title A STUDY ON PATIENT’S ADHERENCE ON ANTIMALARIAL TREATMENT PROVIDED BY COMMUNITY VOLUNTEER (Myint Oo, 2019)
Language en
Publication date 2019-02-01
Authors
MYINT OO
Description
Treatment adherence to Primaquine is crucial for radical cure and interruption of P. vivax malaria transmission. This study was carried out to examine the associated conditions related with the treatment incompleteness of 8-week Primaquine regimen (0.75mg/kg once weekly for 8 weeks), which, together with a 3-day course of chloroquine, was prescribed for uncomplicated P. vivax cases by community-based village malaria workers (VMWs). This is a descriptive study using quantitative information obtained by interviewing a sample of 140 P. vivax positive patients from Hpa-An, Hlaingbwe, Kawkareik and Myawaddy townships of Kayin State. Out of the total 342 P. vivax cases detected and reported in the 4 Townships from October 2017 to September 2018 by the 71 VMWs, 140 patients could be interviewed by the study team with a semi-structured questionnaire in November-December 2018. The results of the interviews showed that 100 (71%) of them were male, 100 (71%) were migrant, 89 (64%) were farmers and forest workers, and 111 (79%) were Kayin ethnicity. Of the 140 cases who received Primaquine treatment from VMWs, 83 (60%) were considered as probably adherent (completed full course of 8-week course at the right dose and right interval) based on their self-reported behavior. Among the 57 cases (40%) considered as non-adherents, Primaquine treatment incompleteness was found to be associated with being migrant vs non-migrant and being forest worker vs non- forest worker. But, no significant association was found with male vs female and Kayin vs non-Kayin ethnicity. The main reasons reported for incompleteness were forgetfulness (29%), travelling (11%), busy work (13%), long treatment course (2%), and dizziness (1%). Therefore, migrant status and forest-related works were the main factors associated with incompleteness to the Primaquine 8-week regimen.
Journal articles
Yangon University of Economics
Thesis/dissertations
Yangon University of Economics
U Thein Naing
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