Publications by authors named "Nipaphan Kanthawang"

Northern Thailand and its neighbouring regions are home to several minority ethnic groups known as hill tribes, each with their own language and customs. Hill tribe communities live mostly in remote agricultural communities, face barriers in accessing health, and have a lower socio-economic status compared to the main Thai ethnic group. Due to their increased risk of infectious diseases, they are often participants in our research projects.

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Article Synopsis
  • Scrub typhus is a serious disease common in northern Thailand, but many in the community lack knowledge about it, prompting the development of an outreach project to raise awareness.
  • The project involved training healthcare workers and community health volunteers, who then educated their communities, with a follow-up to assess the effectiveness of this knowledge transfer.
  • Results showed that over 87% of participants increased their understanding of scrub typhus, with knowledge retention lasting for months, particularly among those with higher education levels, demonstrating the project’s success in culturally relevant health promotion.
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Background: Achieving meaningful consent can be challenging, particularly in contexts of diminished literacy, yet is a vital part of participant protection in global health research.

Method: We explored the challenges and potential solutions of achieving meaningful consent through a qualitative study in a predominantly hill tribe ethnic minority population in northern Thailand, a culturally distinctive population with low literacy. Semi-structured interviews were conducted with 37 respondents who had participated in scrub typhus clinical research, their family members, researchers and other key informants.

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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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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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The COPCOV study (chloroquine/ hydroxychloroquine prevention of coronavirus disease), which started recruitment in April 2020, is a multi-country double-blind, randomised, placebo-controlled trial which is being conducted in healthcare facilities involved in COVID-19 case management. Participants are staff employed in facilities managing people with proven or suspected COVID-19. As part of the study, we conducted a series of engagement sessions.

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Background: Researchers have a responsibility to protect all participants, especially vulnerable participants, from harm. Vulnerability is increasingly understood to be context specific, yet limited guidance is available regarding the vulnerability and agency of research participants in different cultural settings. This study aims to explore research participants' daily vulnerability and agency, and how these interact with participants' research experiences in their own words.

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