International Medical University, Kuala Lumpur, Malaysia.
Division of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia.
J Infect Dis. 2020 Oct 29;222(Suppl 8):S717-S725. doi: 10.1093/infdis/jiaa335.
Myanmar is a premalaria elimination country with artemisinin-resistant malaria. A strategy for transmission control is focused on vulnerable groups such as mobile and migrant populations (MMPs), and includes improving access to insecticide-treated bed nets in the Myanmar artemisinin resistance containment (MARC) zones using multisectoral approaches (MSA).
This narrative systematic review addressed MSAs targeted to MMPs in Myanmar for malaria prevention. We searched relevant studies in electronic databases and present the narrative findings in 4 domains: stakeholder groups, net coverage and utilization, social determinates, and facilitators/barriers.
Nine studies were included. The review identified stakeholders involved in intersectoral collaboration. Net ownership was higher than utilization rates in the MARC zones and rates remained below the WHO recommended target of 100%. There was inadequate description of roles and responsibilities for implementation and on channels of communication within the partnerships and with the Government.
Findings show that interventions to distribute treated bed nets were supported by the multiple stakeholders. Due to the design of the primary studies, analysis of the added value of intersectoral collaboration was limited. More attention must be paid to designing studies to document and evaluate the contributions and outcomes of intersectoral collaboration.
缅甸是一个消除前期疟疾的国家，存在抗青蒿素疟疾。传播控制策略侧重于流动人口和移民等弱势群体（MMPs），包括利用多部门方法（MSA）在缅甸青蒿素耐药遏制（MARC）区域提高对驱虫蚊帐的获取。
本叙述性系统评价针对缅甸针对疟疾预防的 MMPs 的多部门方法。我们在电子数据库中搜索了相关研究，并在 4 个领域呈现叙述性结果：利益相关者群体、蚊帐覆盖率和利用率、社会决定因素以及促进因素/障碍。
纳入了 9 项研究。该综述确定了参与部门间合作的利益相关者。在 MARC 区域，蚊帐的拥有率高于利用率，且仍低于世界卫生组织推荐的 100%目标。对于实施的角色和责任以及伙伴关系内部以及与政府之间的沟通渠道，描述不足。
研究结果表明，分发经过处理的蚊帐的干预措施得到了多个利益相关者的支持。由于主要研究的设计，部门间合作的附加值分析受到限制。必须更加注意设计研究，以记录和评估部门间合作的贡献和成果。
