Objective:To determine the prevalence and associated factors of intestinal parasitic infections in migrant workers in Nakhon Ratchasima Province,Northeast Thailand.Methods:A cross-sectional study was conducted from Au...Objective:To determine the prevalence and associated factors of intestinal parasitic infections in migrant workers in Nakhon Ratchasima Province,Northeast Thailand.Methods:A cross-sectional study was conducted from August 2017 to July 2018 in 600 Myanmar migrant workers.Questionnaires were employed for collecting the demographic data of participants.Stool samples were collected and examined using the formalinether concentration technique.Risk factors for intestinal parasitic infections were determined using multiple logistic regressions analyses.Results:The overall infection rate of intestinal parasitic infections was 27.67%(166/600).Among the intestinal helminthes observed,hookworm was most abundant(8.67%)followed by Trichuris trichiura(8.50%),Opisthorchis viverrini(4.17%),Ascaris lumbricoides(1.50%),Strogyloides stercoralis(1.17%)and Hymenolepis nana(0.5%).Meanwhile,Entamoeba coli was the most prevalent intestinal protozoa(4.33%,26/600)followed by Endolimax nana(1.33%),Entamoeba histolytica complex(1.17%),Blastocystis sp.(1.0%)and Giardia duodenalis(0.17%).The study found significant associations between gender and Strogyloides stercoralis infection(ORadj=5.61,95%CI=1.18–26.70,P=0.03),workers aged 30 years old were likely to have a lower risk of the T.trichiura infection(ORadj=0.45,95%CI=0.23–0.89).Moreover,the history of consuming raw or undercooked cyprinoid fish was a risk factor of Opisthorchis viverrini infection(ORadj=2.82,95%CI=1.22–6.49,P=0.015).Conclusions:There remains a high prevalence of intestinal parasitic infections among Myanmar migrant workers in the study area and therefore health screenings for all migrant workers in Thailand are required.展开更多
This paper studies the Myanmar migrant workers in Sidhiphatra Cold Storage Factory, Songkhla Province. This factory employs just over 2,000 Myanmar migrant workers. The authors study their "everyday life practices" ...This paper studies the Myanmar migrant workers in Sidhiphatra Cold Storage Factory, Songkhla Province. This factory employs just over 2,000 Myanmar migrant workers. The authors study their "everyday life practices" as expressed in relationships among various groups, such as relationships between the Myanmar migrant workers and the factory, and the relationships between the Myanmar migrant workers and the Thai people of the surrounding communities. In analyzing these relationships and negotiations, the authors borrow the concept of "tactics of everyday life" from Michel de Certeau as a framework for analysis. The authors' analyses are based on in-depth interviews, non-participant observations, and focus-group discussions that collectively explored the tactics, in de Certeau's sense, that the Myanmar migrant workers used in negotiating their relationships with the factory and with the various communities in the area. The results indicate that Myanmar migrant workers negotiate their relationship with the factory by expressing themselves as selected workers, good workers, and being obedient to the factory's rules. The conflicts caused by Myanmar and Cambodian migrant workers are negotiated. Besides, Myanmar migrant workers also negotiate their relationship with the Thai people living in the surrounding communities. Their approach is showing that they are part of the communities by participating in the activities with the aim to gain acceptance of the Thai people in the surrounding communities.展开更多
Background:Malaria is a major public health problem in Myanmar.Migrant populations are at high risk of contracting malaria and its control is more difficult than for settled population.Studies on malaria and migration...Background:Malaria is a major public health problem in Myanmar.Migrant populations are at high risk of contracting malaria and its control is more difficult than for settled population.Studies on malaria and migration are rare in Myanmar.This study was undertaken with the main objective of identifying socioeconomic and behavioural determinants of malaria among the migrant workers involved in gold mining,rubber and oil palm plantations.Methods:A cross-sectional analytic study was conducted using pretested interview-administered questionnaires among internal migrants(n=406)in the malaria endemic townships of Shwegyin,Bago Region,Thanbyuzayat,Mon State and Kawthaung,Taninthayi Region from August to November,2015.Data were collected by well-trained Basic Health Staff members in study areas,and then analysed by SPSS version 16.0 using Chi-square tests with significant level at 0.05.Results:Majority of participants were male,Bahmar nationals,married and with primary basic education level and below.The mean duration of migratory work was 4.51 years.43.1%of them gave definite previous history of malaria within last two years during migration.92.9%(377/406)of them always used bed nets.Malaria determinants found were male gender(OR=1.84,95%CI:1.22-2.77;P=0.0040),habit of going out at dawn(OR=2.36,95%CI:1.58-3.52;P<0.001),usual sleeping indoors(OR=2.14,95%CI:1.04-4.42;P=0.036),torn bed net or net with large hole(s)(OR=2.0,95%CI:1.21-3.3;P=0.006),habit of not always sleeping under a bed net at night(OR=2.02,95%CI:1.15-3.52;P=0.014),alcohol drinking(OR=2.71,95%CI:1.73-4.26;P<0.001)and failure to attend malaria health talk(OR=1.78,95%CI:1.2-2.65;P=0.004).Conclusions:The present study highlighted that it is warranted to launch an effective health education programme for malaria,and to encourage the proper use of insecticide-treated bed nets,blankets and/or mufflers and mosquito repellents to reduce the occurrence of malaria among the migrants.展开更多
Background:In the Yunnan province of China,18 counties in six prefectures border Myanmar.Due to its particular combination of geographic features,climate conditions,and cultural landscape,the area provides a suitable ...Background:In the Yunnan province of China,18 counties in six prefectures border Myanmar.Due to its particular combination of geographic features,climate conditions,and cultural landscape,the area provides a suitable environment for the spread of insect-borne diseases such as malaria.In five identified Myanmar Special Regions along the China-Myanmar border,economic development is lagging,people live in extreme poverty,and the healthcare system is fragile.Coupled with political and other reasons,this precludes malaria control work to be effectively carried out in Myanmar,resulting in a heavy burden of the disease.Frequent population movements and favorable conditions for malaria transmission on the border fuel difficulties in controlling and eliminating the spread of the disease in the area.Case presentation:To reduce the prevalence of malaria in the China-Myanmar border area and improve healthcare services for local residents in this particular environment,Health Poverty Action(HPA)has provided malaria aid in the area since the beginning of 2006,as a sub-recipient of the China Global Fund Malaria Programs.In this case study,we examined HPA’s activities as part of its malaria control programs in the area,analyzed and summarized the effectiveness and impact of the cross-border healthcare model as implemented by non-governmental organizations,and put forward suggestions for cross-border health aid models and for the prevention of malaria transmission in the Greater Mekong Subregion.Conclusions:HPA had carried out a great quantity of successful malaria control activities in border areas between China and Myanmar,strengthened the partnership and established the collaboration,coordination and cooperation channels among stakeholders.HPA has laid good groundwork and developed its valuable model that could be highlighted and referenced.展开更多
Background:This paper seeks to assess the function of malaria control consultation and service posts(MCCSPs)that are located on the border areas of Yunnan province,P.R.China,as a strategy for eliminating malaria among...Background:This paper seeks to assess the function of malaria control consultation and service posts(MCCSPs)that are located on the border areas of Yunnan province,P.R.China,as a strategy for eliminating malaria among the mobile and migrant population in these areas.Methods:A retrospective descriptive analytical study was conducted.Blood smear examinations conducted at all MCCSPs in Yunnan from 2008 to 2014 were analysed.A cross-sectional survey was conducted in 2014 to understand how the MCCSPs function and to elucidate the quality of the blood smear examinations that they conduct.Results:Out of the surveyed MCCSPs,66%(39/59),22%(13/59),and 12%(7/59)were attached to local township hospitals,village health clinics,and the county centre for disease control and prevention or private clinics,respectively.More than 64%(38/59)of the posts’staff were part-time workers from township hospitals and village health facilities.Less than 31%(18/59)of the posts’staff were full-time workers.A total of 35 positive malaria cases were reported from seven MCCSPs in 2014.Four MCCSPs were unable to perform their functions due to under staffing in 2014.There was a small fluctuation in blood smear examinations from January 2008 to June 2009,with two peaks during the period from July 2009 to October 2010.The number of blood smear examinations has been increasing since 2011.The yearly mean number of blood smear examinations in each post increased from 44 per month in 2011 to 109 per month in 2014,and the number of positive malaria cases detected by blood smear examinations has declined(χ^(2)=90.67,P=0.000).The percentage of people from Yingjiang county getting blood smear examinations increased between 2008 and 2014,while percentages of the mobile population including Myanmar people,people from other provinces,and people from other Yunnan counties getting blood smear examinations decreased.Conclusion:MCCSPs face challenges in the phase of malaria elimination in Yunnan,China.New case detection strategies should be designed for MCCSPs taking into account the current trends of migration.展开更多
基金supported by the Graduate Studies Division,Faculty of Medicine,Mahasarakham University,Maha Sarakham,ThailandDistinguished Research Professor Grant,Thailand Research Fund(grant number DPG6280002)
文摘Objective:To determine the prevalence and associated factors of intestinal parasitic infections in migrant workers in Nakhon Ratchasima Province,Northeast Thailand.Methods:A cross-sectional study was conducted from August 2017 to July 2018 in 600 Myanmar migrant workers.Questionnaires were employed for collecting the demographic data of participants.Stool samples were collected and examined using the formalinether concentration technique.Risk factors for intestinal parasitic infections were determined using multiple logistic regressions analyses.Results:The overall infection rate of intestinal parasitic infections was 27.67%(166/600).Among the intestinal helminthes observed,hookworm was most abundant(8.67%)followed by Trichuris trichiura(8.50%),Opisthorchis viverrini(4.17%),Ascaris lumbricoides(1.50%),Strogyloides stercoralis(1.17%)and Hymenolepis nana(0.5%).Meanwhile,Entamoeba coli was the most prevalent intestinal protozoa(4.33%,26/600)followed by Endolimax nana(1.33%),Entamoeba histolytica complex(1.17%),Blastocystis sp.(1.0%)and Giardia duodenalis(0.17%).The study found significant associations between gender and Strogyloides stercoralis infection(ORadj=5.61,95%CI=1.18–26.70,P=0.03),workers aged 30 years old were likely to have a lower risk of the T.trichiura infection(ORadj=0.45,95%CI=0.23–0.89).Moreover,the history of consuming raw or undercooked cyprinoid fish was a risk factor of Opisthorchis viverrini infection(ORadj=2.82,95%CI=1.22–6.49,P=0.015).Conclusions:There remains a high prevalence of intestinal parasitic infections among Myanmar migrant workers in the study area and therefore health screenings for all migrant workers in Thailand are required.
文摘This paper studies the Myanmar migrant workers in Sidhiphatra Cold Storage Factory, Songkhla Province. This factory employs just over 2,000 Myanmar migrant workers. The authors study their "everyday life practices" as expressed in relationships among various groups, such as relationships between the Myanmar migrant workers and the factory, and the relationships between the Myanmar migrant workers and the Thai people of the surrounding communities. In analyzing these relationships and negotiations, the authors borrow the concept of "tactics of everyday life" from Michel de Certeau as a framework for analysis. The authors' analyses are based on in-depth interviews, non-participant observations, and focus-group discussions that collectively explored the tactics, in de Certeau's sense, that the Myanmar migrant workers used in negotiating their relationships with the factory and with the various communities in the area. The results indicate that Myanmar migrant workers negotiate their relationship with the factory by expressing themselves as selected workers, good workers, and being obedient to the factory's rules. The conflicts caused by Myanmar and Cambodian migrant workers are negotiated. Besides, Myanmar migrant workers also negotiate their relationship with the Thai people living in the surrounding communities. Their approach is showing that they are part of the communities by participating in the activities with the aim to gain acceptance of the Thai people in the surrounding communities.
基金Funding was provided by Vector-borne Disease Control Program,Department of Public Health,Ministry of Health and Sports,Myanmar.
文摘Background:Malaria is a major public health problem in Myanmar.Migrant populations are at high risk of contracting malaria and its control is more difficult than for settled population.Studies on malaria and migration are rare in Myanmar.This study was undertaken with the main objective of identifying socioeconomic and behavioural determinants of malaria among the migrant workers involved in gold mining,rubber and oil palm plantations.Methods:A cross-sectional analytic study was conducted using pretested interview-administered questionnaires among internal migrants(n=406)in the malaria endemic townships of Shwegyin,Bago Region,Thanbyuzayat,Mon State and Kawthaung,Taninthayi Region from August to November,2015.Data were collected by well-trained Basic Health Staff members in study areas,and then analysed by SPSS version 16.0 using Chi-square tests with significant level at 0.05.Results:Majority of participants were male,Bahmar nationals,married and with primary basic education level and below.The mean duration of migratory work was 4.51 years.43.1%of them gave definite previous history of malaria within last two years during migration.92.9%(377/406)of them always used bed nets.Malaria determinants found were male gender(OR=1.84,95%CI:1.22-2.77;P=0.0040),habit of going out at dawn(OR=2.36,95%CI:1.58-3.52;P<0.001),usual sleeping indoors(OR=2.14,95%CI:1.04-4.42;P=0.036),torn bed net or net with large hole(s)(OR=2.0,95%CI:1.21-3.3;P=0.006),habit of not always sleeping under a bed net at night(OR=2.02,95%CI:1.15-3.52;P=0.014),alcohol drinking(OR=2.71,95%CI:1.73-4.26;P<0.001)and failure to attend malaria health talk(OR=1.78,95%CI:1.2-2.65;P=0.004).Conclusions:The present study highlighted that it is warranted to launch an effective health education programme for malaria,and to encourage the proper use of insecticide-treated bed nets,blankets and/or mufflers and mosquito repellents to reduce the occurrence of malaria among the migrants.
基金The case study was funded by China UK Global Health Support Programme(GHSP-OP202)-Centre of Excellence in Health Development Aid in China:Capacity Building and Information Dissemination.
文摘Background:In the Yunnan province of China,18 counties in six prefectures border Myanmar.Due to its particular combination of geographic features,climate conditions,and cultural landscape,the area provides a suitable environment for the spread of insect-borne diseases such as malaria.In five identified Myanmar Special Regions along the China-Myanmar border,economic development is lagging,people live in extreme poverty,and the healthcare system is fragile.Coupled with political and other reasons,this precludes malaria control work to be effectively carried out in Myanmar,resulting in a heavy burden of the disease.Frequent population movements and favorable conditions for malaria transmission on the border fuel difficulties in controlling and eliminating the spread of the disease in the area.Case presentation:To reduce the prevalence of malaria in the China-Myanmar border area and improve healthcare services for local residents in this particular environment,Health Poverty Action(HPA)has provided malaria aid in the area since the beginning of 2006,as a sub-recipient of the China Global Fund Malaria Programs.In this case study,we examined HPA’s activities as part of its malaria control programs in the area,analyzed and summarized the effectiveness and impact of the cross-border healthcare model as implemented by non-governmental organizations,and put forward suggestions for cross-border health aid models and for the prevention of malaria transmission in the Greater Mekong Subregion.Conclusions:HPA had carried out a great quantity of successful malaria control activities in border areas between China and Myanmar,strengthened the partnership and established the collaboration,coordination and cooperation channels among stakeholders.HPA has laid good groundwork and developed its valuable model that could be highlighted and referenced.
基金China UK Global Health Support programme(GHSP-OP101)for financial support.
文摘Background:This paper seeks to assess the function of malaria control consultation and service posts(MCCSPs)that are located on the border areas of Yunnan province,P.R.China,as a strategy for eliminating malaria among the mobile and migrant population in these areas.Methods:A retrospective descriptive analytical study was conducted.Blood smear examinations conducted at all MCCSPs in Yunnan from 2008 to 2014 were analysed.A cross-sectional survey was conducted in 2014 to understand how the MCCSPs function and to elucidate the quality of the blood smear examinations that they conduct.Results:Out of the surveyed MCCSPs,66%(39/59),22%(13/59),and 12%(7/59)were attached to local township hospitals,village health clinics,and the county centre for disease control and prevention or private clinics,respectively.More than 64%(38/59)of the posts’staff were part-time workers from township hospitals and village health facilities.Less than 31%(18/59)of the posts’staff were full-time workers.A total of 35 positive malaria cases were reported from seven MCCSPs in 2014.Four MCCSPs were unable to perform their functions due to under staffing in 2014.There was a small fluctuation in blood smear examinations from January 2008 to June 2009,with two peaks during the period from July 2009 to October 2010.The number of blood smear examinations has been increasing since 2011.The yearly mean number of blood smear examinations in each post increased from 44 per month in 2011 to 109 per month in 2014,and the number of positive malaria cases detected by blood smear examinations has declined(χ^(2)=90.67,P=0.000).The percentage of people from Yingjiang county getting blood smear examinations increased between 2008 and 2014,while percentages of the mobile population including Myanmar people,people from other provinces,and people from other Yunnan counties getting blood smear examinations decreased.Conclusion:MCCSPs face challenges in the phase of malaria elimination in Yunnan,China.New case detection strategies should be designed for MCCSPs taking into account the current trends of migration.