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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