Traditional Beliefs, Practices, and Migration: A Risk to Malaria Transmission in Rural Nepal
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 da...
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Veröffentlicht in: | International journal of environmental research and public health 2022-12, Vol.19 (24), p.16872 |
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container_title | International journal of environmental research and public health |
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creator | Awasthi, Kiran Raj Jancey, Jonine Clements, Archie C A Sah, Rohit Kumar Koirala, Madan Prasad Chalise, Binaya Leavy, Justine E |
description | 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. |
doi_str_mv | 10.3390/ijerph192416872 |
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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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph192416872</identifier><identifier>PMID: 36554752</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Data analysis ; Data collection ; Decision making ; Disease transmission ; Families & family life ; Female ; Health risks ; Households ; Humans ; Insecticide-Treated Bednets ; Insecticides ; Interviews ; Malaria ; Malaria - epidemiology ; Malaria - prevention & control ; Medical research ; Menstruation ; Migration ; Mosquito Control - methods ; Nepal - epidemiology ; Population ; Public health ; Qualitative analysis ; Qualitative research ; Risk ; Rural areas ; Rural Population ; Sociocultural factors ; Surveys ; Vector-borne diseases ; Villages</subject><ispartof>International journal of environmental research and public health, 2022-12, Vol.19 (24), p.16872</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c375t-3dbe2bef2be4a0f14fbdbe140d5400d9701d7a409c7b1112ec2d2b7d9d9a13</cites><orcidid>0000-0002-7894-2896 ; 0000-0001-7292-1229 ; 0000-0001-8747-0424</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779137/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779137/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36554752$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Awasthi, Kiran Raj</creatorcontrib><creatorcontrib>Jancey, Jonine</creatorcontrib><creatorcontrib>Clements, Archie C A</creatorcontrib><creatorcontrib>Sah, Rohit Kumar</creatorcontrib><creatorcontrib>Koirala, Madan Prasad</creatorcontrib><creatorcontrib>Chalise, Binaya</creatorcontrib><creatorcontrib>Leavy, Justine E</creatorcontrib><title>Traditional Beliefs, Practices, and Migration: A Risk to Malaria Transmission in Rural Nepal</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>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.</description><subject>Data analysis</subject><subject>Data collection</subject><subject>Decision making</subject><subject>Disease transmission</subject><subject>Families & family life</subject><subject>Female</subject><subject>Health risks</subject><subject>Households</subject><subject>Humans</subject><subject>Insecticide-Treated Bednets</subject><subject>Insecticides</subject><subject>Interviews</subject><subject>Malaria</subject><subject>Malaria - epidemiology</subject><subject>Malaria - prevention & control</subject><subject>Medical research</subject><subject>Menstruation</subject><subject>Migration</subject><subject>Mosquito Control - methods</subject><subject>Nepal - epidemiology</subject><subject>Population</subject><subject>Public health</subject><subject>Qualitative analysis</subject><subject>Qualitative research</subject><subject>Risk</subject><subject>Rural areas</subject><subject>Rural Population</subject><subject>Sociocultural factors</subject><subject>Surveys</subject><subject>Vector-borne diseases</subject><subject>Villages</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkd9LwzAQx4Mobk6ffZOAr9blV5vFB2EOf8GmMvYohLRJt8yurUkr-N-bsTmmD8cdd9_73HEHwDlG15QK1LdL4-oFFoThZMDJAejiJEERSxA-3Is74MT7JUJ0wBJxDDo0iWPGY9IF7zOntG1sVaoC3pnCmtxfwTenssZmJoSq1HBi506tNTdwCKfWf8CmghNVKGcVDIDSr6z3oQ5tCaetC6gXU6viFBzlqvDmbOt7YPpwPxs9RePXx-fRcBxllMdNRHVqSGryYEyhHLM8DRnMkI4ZQlpwhDVXDImMpxhjYjKiScq10EJh2gO3G2jdpiujM1M2YQFZO7tS7ltWysq_ldIu5Lz6koJzgSkPgMstwFWfrfGNXFatC_fwkvA44SgZEBpU_Y0qc5X3zuS7CRjJ9S_kv1-Ejov9xXb63-PTH1ynh54</recordid><startdate>20221215</startdate><enddate>20221215</enddate><creator>Awasthi, Kiran Raj</creator><creator>Jancey, Jonine</creator><creator>Clements, Archie C A</creator><creator>Sah, Rohit Kumar</creator><creator>Koirala, Madan Prasad</creator><creator>Chalise, Binaya</creator><creator>Leavy, Justine E</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7894-2896</orcidid><orcidid>https://orcid.org/0000-0001-7292-1229</orcidid><orcidid>https://orcid.org/0000-0001-8747-0424</orcidid></search><sort><creationdate>20221215</creationdate><title>Traditional Beliefs, Practices, and Migration: A Risk to Malaria Transmission in Rural Nepal</title><author>Awasthi, Kiran Raj ; 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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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>36554752</pmid><doi>10.3390/ijerph192416872</doi><orcidid>https://orcid.org/0000-0002-7894-2896</orcidid><orcidid>https://orcid.org/0000-0001-7292-1229</orcidid><orcidid>https://orcid.org/0000-0001-8747-0424</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Data analysis Data collection Decision making Disease transmission Families & family life Female Health risks Households Humans Insecticide-Treated Bednets Insecticides Interviews Malaria Malaria - epidemiology Malaria - prevention & control Medical research Menstruation Migration Mosquito Control - methods Nepal - epidemiology Population Public health Qualitative analysis Qualitative research Risk Rural areas Rural Population Sociocultural factors Surveys Vector-borne diseases Villages |
title | Traditional Beliefs, Practices, and Migration: A Risk to Malaria Transmission in Rural Nepal |
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