Publications by authors named "Napat Khirikoekkong"

Article Synopsis
  • Antepartum depression affects 15% of pregnant women globally and can negatively impact their children's development, with refugee and migrant women, particularly those on the Thai-Myanmar border, facing unique barriers to diagnosis and care.
  • This study analyzed interviews from 32 women diagnosed with persistent antepartum depression to identify factors that contribute to or protect against their mental health challenges.
  • Key contributing factors included financial issues, interpersonal violence, and poor health, while protective factors revolved around social support, accessible healthcare, and distractions, emphasizing the importance of addressing these areas in resource-limited settings.
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Article Synopsis
  • Deaths in lower income countries often go unrecorded, making verbal autopsy, a method to determine causes of death through interviews with family members, essential for gathering critical health data.
  • A study in Southeast Asia highlighted the importance of understanding local customs and cultural practices surrounding death to ensure emotional sensitivity during interviews.
  • Key findings included variations in mourning practices across different demographics, recommendations on timing for interviews, and the necessity for respectful community engagement to facilitate effective data collection.
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Melioidosis is a bacterial infection which kills an estimated 89,000 people per year in tropical and sub-tropical regions, chiefly affecting the poorest. Diabetes is the primary risk factor, conferring a 12-fold increase in risk. Despite limited funding compared to other neglected tropical diseases, melioidosis vaccine development has generated several candidates for clinical development.

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Background: Fever is a common reason to seek healthcare in Southeast Asia, and the decline of malaria has complexified how is perceived, and what actions are taken towards it. We investigated the concept of fever and the determinants influencing health-seeking behaviours among migrants on the Thai-Myanmar border, where rapid economic development collides with precarious political and socio-economic conditions.

Methods: We implemented a mixed-methods study between August to December 2019.

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Despite advances, international research ethics guidelines still tend to consist of high-level ethical principles reflecting residual influence from North American and European traditions of ethics. Local ethics committees and community advisory boards can offer more culturally-sensitive approaches to training but most institutions lack substantive practical ethics guidance to engage rich moral understandings in day-to-day research practice in diverse cultural contexts. To address this gap, we conducted an international series of qualitative research ethics case studies, linked prospectively to active research programs in diverse settings.

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Non-academic partners can be vital in successful public engagement activities on antimicrobial resistance. With collaboration between academic and non-academic partners, we developed and launched an open-access web-based application, the 'antibiotic footprint calculator', in both Thai and English. The application focused on a good user experience, addressing antibiotic overuse and its impact, and encouraging immediate action.

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In this paper, we describe the development of the film, "Under the Mask," which follows the lives of three fictional characters who live on the Thai-Myanmar border as they journey from diagnosis of tuberculosis (TB) to completion of treatment. Under the Mask was filmed on location on the Thai-Myanmar border by local filmmakers and former refugee populations. Cast members were chosen from communities living along the border.

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Background: Research ethics guidelines set a high bar for conducting research with vulnerable populations, often resulting in their exclusion from beneficial research. Our study aims to better characterise participants' vulnerabilities, agency, resourcefulness and sources of support.

Methods: We undertook qualitative research around two clinical studies involving migrant women living along the Thai-Myanmar border.

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Background: Research funders, regulatory agencies, and journals are increasingly expecting that individual-level data from health research will be shared. Broad consent to such sharing is considered appropriate, feasible and acceptable in low- and middle-income settings, but to date limited empirical research has been conducted to inform the design of such processes. We examined stakeholder perspectives about how best to seek broad consent to sharing data from the Mahidol Oxford Tropical Medicine Research Unit, which implemented a data sharing policy and broad consent to data sharing in January 2016.

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