Publications by authors named "Maude R"

Dengue fever poses a significant public health burden in tropical regions, including Thailand, where periodic epidemics strain healthcare resources. Effective disease surveillance is essential for timely intervention and resource allocation. Various methods exist for spatiotemporal cluster detection, but their comparative performance remains unclear.

View Article and Find Full Text PDF

Background: The 1-3-7 approach to eliminate malaria was first implemented in China in 2012. It has since been expanded to multiple countries, but no systematic review has examined the evidence for its use. A systematic review was conducted aiming to evaluate the impact and effectiveness of the strategy and identify key challenges and variations in its implementation across different countries.

View Article and Find Full Text PDF

Since the early 2000s, malaria cases in Cambodia have declined steadily. Village malaria workers (VMWs) have played a critical role in reducing malaria transmission and progress towards malaria elimination. To prevent malaria re-establishment, however, implementation strategies need to consider carefully the changing healthcare needs in the communities as well as challenges to, and opportunities for, programme adaptation.

View Article and Find Full Text PDF
Article Synopsis
  • Acute undifferentiated febrile illnesses (AUFIs) in Thailand, including dengue and malaria, show varying case numbers before, during, and after COVID-19 preventive measures.
  • Phase 2 (March 2020 to April 2022) saw a significant reduction in AUFI cases, while Phase 3 (May to December 2022) experienced a rise in malaria and leptospirosis.
  • The study highlights how the prevalence of these diseases is influenced by the global pandemic and health interventions like masks and social distancing.
View Article and Find Full Text PDF

Introduction: Acute febrile illness (AFI), traditionally attributed to malaria, is a common reason for seeking primary healthcare in rural South and Southeast Asia. However, malaria transmission has declined while health workers are often poorly equipped to manage non-malarial AFIs. This results in indiscriminate antibiotic prescribing and care escalation, which promotes antibiotic resistance and may increase healthcare costs.

View Article and Find Full Text PDF
Article Synopsis
  • Community health workers (CHWs) play a crucial role in malaria elimination in the Greater Mekong Subregion, but as malaria cases decline, support for these services may also drop, prompting a need to expand CHWs' roles.
  • A systematic review found 29 programs in the Asia Pacific where CHWs provided both malaria and other health services, with some showing impact on malaria incidence and other diseases, though none affected malaria mortality.
  • Key factors for effective CHW program implementation included robust monitoring, collaboration with various stakeholders, adequate training, and integration into broader health services, emphasizing the need for supportive policies and funding to sustain these efforts.
View Article and Find Full Text PDF
Article Synopsis
  • Scrub typhus is increasingly recognized as a global public health issue, yet it remains underdiagnosed and underreported, prompting a systematic review to explore environmental factors affecting its occurrence and prediction methods.
  • The review analyzed 68 studies from multiple databases, highlighting key environmental risk factors like temperature, precipitation, humidity, sunshine duration, elevation, vegetation index, and cropland, while noting a lack of exploration into socioeconomic and biological factors.
  • Common predictive methods identified include Autoregressive Integrated Moving Average (ARIMA) for temporal trends and ecological niche modeling (ENM) for spatial distribution, with the study calling attention to knowledge gaps and recommending further research in disease prediction and burden analysis.
View Article and Find Full Text PDF

In Thailand, since the 2000s, malaria post (MP) workers have been tasked with promptly detecting and treating all malaria cases to prevent onward transmission in the communities. Expanding their roles to provide health services beyond malaria has been proposed as a strategy to sustain their activities until elimination is reached. This article examines the perspectives of stakeholders on community-based malaria care to assess prospects for expanding the role of MPs.

View Article and Find Full Text PDF

Background: There is a chronic lack of appropriately qualified nurses and midwives being attracted into and remaining in the academic workforce. Reasons for this are not well understood but have been linked to stressful work environments related to balancing multiple roles in sometimes unsupportive environments, resulting in overload and demoralisation.

Aim: To illuminate factors associated with nursing and midwifery academics' intention to remain in academia and factors associated with intention to leave.

View Article and Find Full Text PDF

Malaria Community Health Workers (CHWs) in the Greater Mekong Subregion (GMS) are an important component of malaria elimination efforts. As malaria declines with intensified efforts to eliminate by 2030, expanding their roles beyond malaria could help to sustain funding and provision of malaria services at the community level. Evidence of how programmes have implemented and managed CHWs performing both malaria and non-malaria roles across the Asia-Pacific region can provide insight into the viability of this strategy.

View Article and Find Full Text PDF

Background: Dengue remains a persistent public health concern, especially in tropical and sub-tropical countries like Thailand. The development and utilization of quantitative tools and information technology show significant promise for enhancing public health policy decisions in integrated dengue control. However, the effective implementation of these tools faces multifaceted challenges and barriers that are relatively underexplored.

View Article and Find Full Text PDF

Background: In Vietnam, multiple types of community-based malaria workers are recruited to promote access to malaria testing and treatment for at-risk mobile and migrant populations. However, as the country approaches elimination, these roles are at risk from declining investment. This article characterises the different types of workers and relevant health policy in Vietnam, and explores stakeholder perspectives on sustaining and expanding the roles of these workers in the malaria elimination context.

View Article and Find Full Text PDF

Background: The government of Lao PDR has increased efforts to control malaria transmission in order to reach its national elimination goal by 2030. Weather can influence malaria transmission dynamics and should be considered when assessing the impact of elimination interventions but this relationship has not been well characterized in Lao PDR. This study examined the space-time association between climate variables and Plasmodium falciparum and Plasmodium vivax malaria incidence from 2010 to 2022.

View Article and Find Full Text PDF

Background: Thailand aimed to eliminate malaria by 2024, and as such is planning for future prevention of re-establishment in malaria free provinces. Understanding the receptivity of local areas to malaria allows the appropriate targeting of interventions. Current approaches to assessing receptivity involve collecting entomological data.

View Article and Find Full Text PDF

Background: Thailand is approaching local elimination of malaria in the eastern provinces. It has successfully reduced the number of cases over the past decade, but there are persistent transmission hot spots in and around forests. This study aimed to use data from the malaria surveillance system to describe the spatiotemporal trends of malaria in Northeast Thailand and fine-scale patterns in locally transmitted cases between 2011 and 2021.

View Article and Find Full Text PDF

Objectives: Scrub typhus is underdiagnosed and underreported but emerging as a global public health problem. We aimed to provide the first comprehensive review on the seroprevalence, incidence, mortality of and risk factors for scrub typhus.

Methods: We searched PubMed, Scopus, Web of Science, China National Knowledge Infrastructure and other databases.

View Article and Find Full Text PDF

Introduction: Birth is a normal physiological process, and many women want a natural birth. Women use a range of non-pharmacological pain relief methods to reduce labour pain intensity, to help manage labour pain and to induce relaxation. The purpose of this study was to explore the experiences of women using Virtual Reality as a non-pharmacological method of pain relief in labour.

View Article and Find Full Text PDF

Scrub typhus, a vector-borne bacterial infection, is an important but neglected disease globally. Accurately characterizing the burden is challenging because of nonspecific symptoms and limited diagnostics. Prior seroepidemiology studies have struggled to find consensus cutoffs that permit comparisons of estimates across contexts and time.

View Article and Find Full Text PDF

Background: Lao PDR has made significant progress in malaria control. The National Strategic Plans outline ambitious targets, aiming for the elimination of Plasmodium falciparum and P. vivax malaria from all northern provinces by 2025 and national elimination by 2030.

View Article and Find Full Text PDF

Background: Mental illness poses a substantial global public health challenge, including in Thailand, where exploration of access to mental health services is limited. The spatial and temporal dimensions of mental illness in the country are not extensively studied, despite the recognized association between poor mental health and socioeconomic inequalities. Gaining insights into these dimensions is crucial for effective public health interventions and resource allocation.

View Article and Find Full Text PDF
Article Synopsis
  • - The South and Southeast Asia Community-based Trials Network (SEACTN) is conducting a survey to better understand the prevalence of various diseases among rural populations in low to middle-income countries in Southeast Asia, as part of its Rural Febrile Illness project (RFI).
  • - A cross-sectional household survey will be carried out in Bangladesh, Cambodia, and Thailand, using a two-stage cluster-sampling method to enroll about 1,500 participants per country, who will undergo interviews, physical examinations, and laboratory testing.
  • - The study, which has received ethical approval, aims to present disease prevalence data and analyze associations with sociodemographic factors, ultimately contributing to improved healthcare resource allocation in the region.
View Article and Find Full Text PDF

Background: Dengue is the most common and widespread mosquito-borne arboviral disease globally estimated to cause >390 million infections and >20,000 deaths annually. There are no effective preventive drugs and the newly introduced vaccines are not yet available. Control of dengue transmission still relies primarily on mosquito vector control.

View Article and Find Full Text PDF

Background: Dengue is a mosquito-borne disease that causes over 300 million infections worldwide each year with no specific treatment available. Effective surveillance systems are needed for outbreak detection and resource allocation. Spatial cluster detection methods are commonly used, but no general guidance exists on the most appropriate method for dengue surveillance.

View Article and Find Full Text PDF