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Table 2 Main normative behaviours and attitudes reported during the PD situation analysis in Sampov Luon, Cambodia, 2010

From: Positive deviance as a novel tool in malaria control and elimination: methodology, qualitative assessment and future potential

Migration Knowledge of malaria Healthcare seeking behaviour Preventive behaviours
Majority of migrant workers come for seasonal work in the area
Majority stay 15–30 days before returning to their hometown
A few migrants stay up to 3–4 months in the village
Both male and female migrants are hired by landowners
Migrants stay with the landlords in the village
Most respondents correctly identified signs and symptoms of malaria
Most respondents mentioned that mosquitoes spread malaria, but many related it to other causes such as dirty water, unhygienic environment, forest spirits and ‘changing of the land’
Men, especially male migrant workers, were recognised to be the highest risk group due to conducting activities in the forest and being out at night working or socialising
Delay in seeking healthcare for 1–2 days was a norm upon presentation of fever
Most respondents reported that they first consulted private drug sellers for treatment, and only if symptoms persisted would they go to health centre for diagnosis
Many reported using traditional medicine or coin rubbing when they get fever
Many preferred public facilities due to low cost; however, landowners often preferred private sector due to distance to heath centre and unreliable availability of staff or medicines at health centre
Many visited VMWs for testing but stated frustration that VMWs cannot do anything with a negative test result
Ownership and usage of LLINs by residents was high
Many residents reported wearing long sleeves and burning coils
Ownership and use of LLINs or LLIHNs by migrants was low
Reports of holes in LLINs was common
Correct usage of bed nets was poor
Some landowners kept extra nets to give to their migrant workers
  1. LLIHN long-lasting insecticide-treated hammock net, LLIN long-lasting insecticide-treated net, VMW village malaria worker