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08 Aug 2016

Migration, Mobility and Malaria: A Study on Migrants' Vulnerability to Malaria and Epidemiology of Artemisinin-Resistant Malaria in Binh Phuoc Province, Viet Nam (Vietnamese)

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In 2015, 12.6 per cent of Viet Nam’s population lived in malaria-endemic areas. Considerable progress has been made in decreasing overall rates of malaria and malaria-related deaths. However, there are some worrying trends, with noted slower progress in reducing malaria-related admissions and deaths in 2013 and 2014. Also of concern is the increasing level of resistance to artemisinin, a key drug for combatting malaria. Despite growing awareness of the importance of including migrants and mobile populations (MMP) in malaria strategies, this group of people continues to be referred to as a “homogenous risk group”. More-so, according to the World Health Organization, not enough is known about how “population mobility shapes malaria transmission and epidemiology” (WHO, 2015).

This report highlights the findings from an empirical study on migration, mobility and malaria conducted in Binh Phuoc, Viet Nam, with financial and technical support from IOM and WHO. 

Situated at the border with Cambodia, Binh Phuoc was selected as the research site on account of its high levels of both malaria and migration. The Province recorded Viet Nam’s first case of artemisinin resistance in 2009, and the highest malaria prevalence in 2015, with 1.96 cases per 1,000 population.

This report is valuable also on account of it providing important information which documents significant gaps between the different MMP groups, as well as between MMP and the local population in terms of knowledge, exposure and access to malaria treatment services.

  • 1. Introduction
    • 1.1. Malaria containment and elimination: the importance of focusing on migrant and mobile populations
    • 1.2. Malaria, migration and mobility in Viet Nam
    • 1.2.1. Malaria
      • 1.2.2. Migration, mobility and malaria
    • 1.3. Migration and malaria in Binh Phuoc Province
    • 1.4. Rationale and objectives of the study
    • 1.5. Methodology
      • 1.5.1. Study design
      • 1.5.2. Respondent sampling methods
      • 1.5.3. A note on the definition of migrants and mobile populations
      • 1.5.4. Survey methods, data entry and verification and ethical considerations
      • 1.5.5. Limitations
  • 2. Results
    • 2.1. Findings from the KAP survey in six communes
      • 2.1.1. Geographical distribution and general socioeconomic characteristics of the respondents
      • 2.1.2. Migrant provinces/countries of origin and ties with provinces of origin
      • 2.1.3. Access to services and information
        • Access to health services
        • Access to effective malaria-prevention services: mosquito nets and insecticides
        • Access to information about malaria
      • 2.1.4. Knowledge about malaria
      • 2.1.5. Malaria-prevention practices
      • 2.1.6. Health-care seeking behaviour and treatment
      • 2.1.7. Other vulnerability factors
        • Proximity to forest environments, border areas and streams
        • Housing type
    • 2.2. Findings from in-depth study in Dak O Commune
      • 2.2.1. General socioeconomic characteristics and geographical distribution of respondents
      • 2.2.2. Mobility within and beyond Dak O
      • 2.2.3. Household registration status and access to services
      • 2.2.4. Malaria incidence and experience
  • 3. Conclusion and recommendations
    • 3.1. Conclusion
      • 3.1.1. Mobility patterns
      • 3.1.2. Vulnerability to malaria
      • 3.1.3. Programming and outreach implications
    • 3.2. Recommendations
      • 3.2.1. Policy recommendations
      • 3.2.2. Research recommendations
  • 4. References