Curtin School of Population Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
Telethon Kids Institute, Perth, WA 6009, Australia.
Int J Environ Res Public Health. 2022 Dec 15;19(24):16872. doi: 10.3390/ijerph192416872.
The study aimed to explore sociocultural factors influencing the risk of malaria and practices and beliefs towards malaria prevention, transmission and treatment in a remote village in Khatyad Rural Municipality (KRM) of Nepal. A sequential exploratory mixed methods approach was used. Qualitative data were collected through 25 one-on-one, in-depth interviews followed by a face-to-face household survey (n = 218) among people from a village in KRM believed to have a high risk of malaria. Traditional practices such as requiring the seclusion of women during menstruation and post-partum, transhumance, and reliance on traditional healers for the management of malaria were common practices in the village. The household survey found 98.1% of women faced menstrual exile either inside the house or in a separate hut, with 64.2% not having access to Long-lasting Insecticidal Nets (LLINs). Hardships and economic constraints compelled villagers to migrate seasonally for work to malaria-endemic areas in India, thereby exposing themselves to the risk of malaria. Persistent traditional beliefs and seasonal migration could threaten the elimination goals set by the national malaria program.
本研究旨在探讨尼泊尔卡塔亚德农村自治市（KRM）一个偏远村庄中影响疟疾风险的社会文化因素，以及疟疾预防、传播和治疗方面的做法和观念。采用了顺序探索性混合方法。通过对 KRM 一个被认为疟疾风险较高的村庄的 25 名个人进行一对一深入访谈，收集了定性数据，随后对该村庄的 218 人进行了面对面的家庭调查。在该村庄，女性在经期和产后需要隔离、迁徙以及依赖传统治疗师来治疗疟疾等传统做法很常见。家庭调查发现，98.1%的女性要么被禁闭在家里，要么被禁闭在单独的小屋里，其中 64.2%的人无法获得长效驱虫蚊帐（LLINs）。困难和经济限制迫使村民季节性地迁移到印度的疟疾流行地区工作，从而使他们面临疟疾风险。持续的传统观念和季节性迁移可能会威胁到国家疟疾规划设定的消除目标。
