Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bangi, Kuala Lumpur, Malaysia.
Division of Molecular Parasitology, Proteo-Science Center, Ehime University, Matsuyama, Ehime, Japan.
BMJ Open. 2022 Jun 30;12(6):e060866. doi: 10.1136/bmjopen-2022-060866.
malaria is a zoonotic mosquito-borne disease with complex epidemiology. According to the WHO, the prevention and control of vector-borne diseases require community participation to increase coherence between malaria interventions and sustainable public health programmes. We describe a participatory research (PR) design for a study aimed at exploring the key anthropological drivers of and barriers to zoonotic malaria preventive behaviour among communities exposed to infection in Malaysia. Participatory approaches can facilitate policymakers in designing future zoonotic malaria control programmes by investigating community perspectives and concerns about zoonotic malaria in a local context.
The PR will be conducted over a period of 12 months, from March 2022 to March 2023, among adults (>18 years old) who are permanent residents in a rural village exposed to malaria in Sabah, Malaysia. We will select patients who were diagnosed with infection from January to December 2021 for focus group discussions (FGDs), as they can provide perspectives on the disease from the point of view of those previously diagnosed with infection. In-depth interviews (IDIs) with people of importance in the community, such as village heads, will also be conducted. Both FGDs and IDIs will be conducted from March 2022 until June 2022. Concurrently, a photovoice with adults over 18 years old who reside in the community will be conducted. The target sample sizes for FGDs, IDIs and photovoice are 6-8, 12 and 10-15 participants, respectively. We will use a study framework as a theoretical lens to guide the exploration of the beliefs, social contexts, barriers and drivers surrounding zoonotic malaria preventive behaviour.
This study has been approved by the Medical Research and Ethics Committee Ministry of Health Malaysia (NMRR ID-21-01980-JEH) and the Research and Innovation Secretariat, Faculty of Medicine, Universiti Kebangsaan Malaysia (FF-2021-462). All participants will provide consent prior to participation. The results will be reported in international peer-reviewed journals and presented at conferences and on other platforms.
疟疾是一种由蚊媒传播的人畜共患病，具有复杂的流行病学特征。根据世界卫生组织的说法， 病媒传播疾病的预防和控制需要社区参与，以增强疟疾干预措施与可持续公共卫生方案之间的一致性。我们描述了一项参与式研究（PR）的设计，该研究旨在探讨马来西亚受感染社区中动物源疟疾预防行为的关键人类学驱动因素和障碍。参与式方法可以通过在当地背景下调查社区对动物源疟疾的看法和关注，为决策者设计未来的动物源疟疾控制方案提供便利。
这项 PR 将在 2022 年 3 月至 2023 年 3 月期间进行，为期 12 个月，参与者为居住在马来西亚沙巴州一个受 疟疾感染的农村社区的成年人（>18 岁）。我们将选择 2021 年 1 月至 12 月期间被诊断患有 感染的患者进行焦点小组讨论（FGD），因为他们可以从以前被诊断患有感染的角度提供对该疾病的看法。还将对社区中有影响力的人（如村长）进行深入访谈（IDI）。FGD 和 IDI 将在 2022 年 3 月至 6 月进行。同时，将对居住在社区中的 18 岁以上成年人进行影像照护。FGD、IDI 和影像照护的目标样本量分别为 6-8、12 和 10-15 名参与者。我们将使用研究框架作为理论视角，指导对动物源疟疾预防行为的信仰、社会背景、障碍和驱动因素的探索。
这项研究已经获得马来西亚卫生部医学研究和伦理委员会（NMRR ID-21-01980-JEH）和马来西亚国民大学医学系研究与创新秘书处（FF-2021-462）的批准。所有参与者将在参与之前提供同意。研究结果将在国际同行评议期刊上报告，并在会议和其他平台上展示。
