Traditional beliefs, practices, and migration: a risk to malaria transmission in rural Nepal

Kiran Raj Awasthi; Jonine Jancey; Archie C.A. Clements; Rohit Kumar Sah; Madan Prasad Koirala; Binaya Chalise; Justine E. Leavy

doi:10.3390/ijerph192416872

Traditional beliefs, practices, and migration: a risk to malaria transmission in rural Nepal

Kiran Raj Awasthi^*, Jonine Jancey, Archie C.A. Clements, Rohit Kumar Sah, Madan Prasad Koirala, Binaya Chalise, Justine E. Leavy

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

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Abstract

The study aimed to explore sociocultural factors influencing the risk of malaria and practices and beliefs towards malaria prevention, transmission and treatment in a remote village in Khatyad Rural Municipality (KRM) of Nepal. A sequential exploratory mixed methods approach was used. Qualitative data were collected through 25 one-on-one, in-depth interviews followed by a face-to-face household survey (n = 218) among people from a village in KRM believed to have a high risk of malaria. Traditional practices such as Chhaupadi requiring the seclusion of women during menstruation and post-partum, transhumance, and reliance on traditional healers for the management of malaria were common practices in the village. The household survey found 98.1% of women faced menstrual exile either inside the house or in a separate hut, with 64.2% not having access to Long-lasting Insecticidal Nets (LLINs). Hardships and economic constraints compelled villagers to migrate seasonally for work to malaria-endemic areas in India, thereby exposing themselves to the risk of malaria. Persistent traditional beliefs and seasonal migration could threaten the elimination goals set by the national malaria program.

Original language	English
Article number	16872
Number of pages	11
Journal	International Journal of Environmental Research and Public Health
Volume	19
Issue number	24
DOIs	https://doi.org/10.3390/ijerph192416872
Publication status	Published - 15 Dec 2022
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2022 by the authors.

Keywords

Chhaupadi
control
malaria
migration
prevention
socio-cultural
transmission

ASJC Scopus subject areas

Pollution
Public Health, Environmental and Occupational Health
Health, Toxicology and Mutagenesis

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/ijerph192416872Licence: CC BY

Traditional beliefs, practices, and migration: a risk to malaria transmission in rural Nepal
Copyright 2022 the authors. This is an open access article published under a Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium, provided the author and source are cited.
Final published version, 334 KBLicence: CC BY

Cite this

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title = "Traditional beliefs, practices, and migration: a risk to malaria transmission in rural Nepal",

abstract = "The study aimed to explore sociocultural factors influencing the risk of malaria and practices and beliefs towards malaria prevention, transmission and treatment in a remote village in Khatyad Rural Municipality (KRM) of Nepal. A sequential exploratory mixed methods approach was used. Qualitative data were collected through 25 one-on-one, in-depth interviews followed by a face-to-face household survey (n = 218) among people from a village in KRM believed to have a high risk of malaria. Traditional practices such as Chhaupadi requiring the seclusion of women during menstruation and post-partum, transhumance, and reliance on traditional healers for the management of malaria were common practices in the village. The household survey found 98.1% of women faced menstrual exile either inside the house or in a separate hut, with 64.2% not having access to Long-lasting Insecticidal Nets (LLINs). Hardships and economic constraints compelled villagers to migrate seasonally for work to malaria-endemic areas in India, thereby exposing themselves to the risk of malaria. Persistent traditional beliefs and seasonal migration could threaten the elimination goals set by the national malaria program.",

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AU - Awasthi, Kiran Raj

AU - Jancey, Jonine

AU - Clements, Archie C.A.

AU - Sah, Rohit Kumar

AU - Koirala, Madan Prasad

AU - Chalise, Binaya

AU - Leavy, Justine E.

PY - 2022/12/15

Y1 - 2022/12/15

N2 - The study aimed to explore sociocultural factors influencing the risk of malaria and practices and beliefs towards malaria prevention, transmission and treatment in a remote village in Khatyad Rural Municipality (KRM) of Nepal. A sequential exploratory mixed methods approach was used. Qualitative data were collected through 25 one-on-one, in-depth interviews followed by a face-to-face household survey (n = 218) among people from a village in KRM believed to have a high risk of malaria. Traditional practices such as Chhaupadi requiring the seclusion of women during menstruation and post-partum, transhumance, and reliance on traditional healers for the management of malaria were common practices in the village. The household survey found 98.1% of women faced menstrual exile either inside the house or in a separate hut, with 64.2% not having access to Long-lasting Insecticidal Nets (LLINs). Hardships and economic constraints compelled villagers to migrate seasonally for work to malaria-endemic areas in India, thereby exposing themselves to the risk of malaria. Persistent traditional beliefs and seasonal migration could threaten the elimination goals set by the national malaria program.

AB - The study aimed to explore sociocultural factors influencing the risk of malaria and practices and beliefs towards malaria prevention, transmission and treatment in a remote village in Khatyad Rural Municipality (KRM) of Nepal. A sequential exploratory mixed methods approach was used. Qualitative data were collected through 25 one-on-one, in-depth interviews followed by a face-to-face household survey (n = 218) among people from a village in KRM believed to have a high risk of malaria. Traditional practices such as Chhaupadi requiring the seclusion of women during menstruation and post-partum, transhumance, and reliance on traditional healers for the management of malaria were common practices in the village. The household survey found 98.1% of women faced menstrual exile either inside the house or in a separate hut, with 64.2% not having access to Long-lasting Insecticidal Nets (LLINs). Hardships and economic constraints compelled villagers to migrate seasonally for work to malaria-endemic areas in India, thereby exposing themselves to the risk of malaria. Persistent traditional beliefs and seasonal migration could threaten the elimination goals set by the national malaria program.

KW - Chhaupadi

KW - control

KW - malaria

KW - migration

KW - prevention

KW - socio-cultural

KW - transmission

U2 - 10.3390/ijerph192416872

DO - 10.3390/ijerph192416872

M3 - Article

AN - SCOPUS:85144945896

SN - 1661-7827

VL - 19

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

IS - 24

M1 - 16872

ER -

Traditional beliefs, practices, and migration: a risk to malaria transmission in rural Nepal

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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