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Table 3 PD behaviours identified during the PD process in Sampov Luon, Cambodia, and their link to strengthening other standard control initiatives

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

  PD behaviour Link to other control strategies
Bed net use Correct usage of bed nets—clearing mosquitoes from the net first, tucking into mattress, repairing holes, etc Universal coverage has been achieved in many areas of the GMS, yet residual transmission remains. Usage of bed nets and correct usage is a key factor in achieving maximal impact from universal coverage
Usage of LLIN/LLIHN among migrant community and by forest-goers Transmission in the GMS is characterized by forest transmission and high-risk in MMPs, who are difficult to target with malaria control initiatives
Landowner that keeps extra nets to supply to migrant workers There is difficulty in targeting MMPs for malaria interventions and commodities distribution. Landowners represent a potential target point of access
Healthcare seeking Seek treatment for fever without delay Delay in seeking treatment contributes to malaria transmission
Seek diagnosis and treatment from public health facilities or VMWs In Cambodia, cases at PPs are mostly not reported to the national surveillance system. Use of facilities where cases are linked to surveillance systems is critical in pre-elimination and elimination settings
Landowner that encourages migrant workers to go to the health centre if sick There is lower uptake of services by MMPs. Landowners represent a potential target point of access
General Cover arms and legs in the evening Prevention of mosquito biting to lower transmission
  1. GMS greater Mekong subregion, LLIN long-lasting insecticide-treated net, LLIHN long-lasting insecticide-treated hammock net, MMP mobile and migrant population, PP private provider, VMW village malaria worker