Malaria Control During Mass Population Movements and Natural Disasters (2003) / Chapter Skim
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9. Special Studies and Operational Research
9. Special Studies and Operational Research
Pages 103-108
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From page 103... ...
IS RESEARCH APPROPRIATE AND FEASIBLE IN EMERGENCY SETTINGS' What Are the Best Practices' Historically, there has been resistance to conducting research during complex emergencies, particularly during the acute phases of an emergency. The concern was that it is unethical to impose the burden of research on vulnerable populations that are traumatized, frequently in ill health, and attempting to survive in new surroundings.
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From page 104... ...
In November 1997 an international meeting on applied health research in complex emergencies was convened at the World Health Organization, and the Advisory Group on Research in Emergencies was established. Malaria was identified as one of the priority areas of communicable disease, and recommendations were specifically made to conduct research into the use of rapid diagnostic tests and prevention of transmission by use of insecticide-impregnated bed nets (World Health Organization, 1997b; Advisory Group on Research in Emergencies, 20001.1 Practical Considerations for Conducting Research While the need for malaria-related research is evident, the feasibility of such projects should be considered prior to attempting to initiate research or special studies during a complex emergency.
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From page 105... ...
While attempting to recognize the needs for collaboration with the host country's health care professionals, prioritization of antimalarial drug efficacy studies did not match the local priority of establishing a new national health care system. Although ultimately successful in meeting both sets of priorities to some degree, Ezard stresses the need to recognize the underlying tensions between the achievement of short-term research goals and longerterm transfer of skills and development of local self-determination.
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From page 106... ...
The World Health Organization originally standardized the methodology, and there have since been numerous modifications. For the purposes of evaluating the efficacy of malaria therapy on a national level, emphasis has been on long follow-ups of patients (14 to 28 days or even longer)
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From page 107... ...
Studies of health care delivery could focus on better ways to integrate malaria prevention and treatment during pregnancy with other reproductive health-related interests, such as general management of complications related to pregnancy, the care of pregnant women infected with the human immunodeficiency virus, and the need to strengthen the linkages between traditional midwife care and antenatal services. Questions pertaining to the feasibility and cost effectiveness of implementing preventive intermittent treatment for pregnant women also need to be addressed.
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From page 108... ...
This protocol includes a rapid assessment guide to gather behavioral data related to sociobehavioral components of malaria and pregnancy. Although the protocol has been used only in nonemergency situations, it could be adapted for use in the more stable postemergency phase of displacement.
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