Perceptions on Malaria and its Prevention among Rubber Plantation Workers in Myeik Township, Thanintharyi Region, Myanmar

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1 Introduction
1.1 Context of the Study
In Myanmar, Malaria remains a major public health problem, which is influenced by climate change and ecological changes, population migration, development of multi-drug resistant Plasmodium- falciparum, development of insecticide resistant vectors and changes in behaviors of malaria vectors (Ministry of Health, 2013).
According to the World Malaria Report produced by World Health Organization (WHO) in 2012, 60% of the total population of Myanmar resides in malaria risk areas. The malaria morbidity rate in Myanmar is 24 per 1,000 population and the mortality rate is 1.2 per 100,000 population. In 2011, there were 1.2 million microscopically confirmed malaria cases of which approximately 68% were caused by P. falciparum (WHO, 2012).
Over the last decade, the malaria situation has shown some improvement as a result of scaling up of preventive and curative interventions including distribution of insecticide-treated mosquito nets (ITNs), particularly long lasting insecticidal nets (LLINs), as well as impregnation of existing mosquito nets with insecticidal tablets and increased access to artemisinin-based combination therapies (ACTs) through health facilities and volunteers in both public and private sectors. Although there is a trend towards decreasing malaria morbidity and mortality in Myanmar, malaria still remains one of the leading causes of morbidity and mortality in this country (Ministry of Health, 2013).
Malaria is also a major health problem in high risk groups especially non-immune internal migrants including laborers in development projects and people who resettled in endemic areas. Due to the outdoor biting behaviour of the major malaria vectors, people working in forests and stay...

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... interviews and the literature review. The qualitative data collected from the FGDs, IDIs and the notes of the moderators will be transcribed. Content analysis initially will be undertaken employing reading, coding, displaying and reducing of data and will be done by the research team ensuring extensive and intensive interpretations.

3.3 Ethical Aspects
The study will be reviewed by the responsible ethical authority at Heidelberg University in Germany and by the Department of Medical Research in Myanmar. A plain language statement will be prepared and will outline the objectives, risks involved in the study, types of information sought and reasons for seeking such information. Oral written informed consent will be obtained from those who take part in the study. All study participants will be assured regarding confidential and anonymous handling of the data.

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