180837 Using Information, Education, and Communication (IEC) Programs to Improve Drug Adherence Among Vivax Malaria Patients in Northern Thailand

Monday, October 27, 2008: 3:10 PM

Nardlada Khantikul , Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Piyarat Butraporn, DrPH , Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
Han Kim, PhD , School of Nursing and Health Sciences, Public Health Program, Westminster College, Salt Lake City, UT
Somjai Leemingswat, DrMedSc , Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
MA Sandra Bernardo Tempongko, DrPH , Faculty of Tropical Medicine, Mahidol University, SEAMEO TROPMED Network, Bangkok, Thailand
Wannapa Suwonkerd, PhD , Office of Disease Prevention & Control Region 10, Chiang Mai, Thailand
Introduction and Objective:

Drug adherence is very important in vivax malaria patients. In northern Thailand, 76.21% of vivax malaria patients failed to complete the 14 day course of medication. This study emphasizes the need to educate vivax malaria patients to comply with the treatment.


The quasi-experimental research was conducted in malaria clinics (MCs) in two districts in Mae Hong Son Province. The target populations were vivax malaria patients living in the vicinity of the MCs in Muang and Mae Sa Riang Districts. The Information, Education, and Communication (IEC) program, consisting of participatory learning and action methods, was administered to the intervention group. The Control Group only received current standard routine for malaria therapeutic treatments at malaria clinics. Both quantitative and qualitative data were collected from subjects. We compared pre-intervention questionnaire responses to post-intervention responses at 14 day after attending malaria clinics using the same questionnaire as pre-intervention. Data were analyzed using STATA version 8.0 (STATA Inc., College Station, TX). Chi-square test/Fisher extract test, Student's t-test, and paired t-test were used to describe the data.


We recruited 142 vivax malaria patients for the intervention group and 117 for the control group for the study. After receiving the IEC program at the malaria clinics, 71.1% of the patients in the intervention group completed their prescribed treatments. However, only 29.9% of the patients in the control group adhered to the treatment. The mean score for the intervention group regarding knowledge, perception of malaria treatment, self-efficacy in drug taking, and having satisfaction of health services and the IEC program from malaria clinics were significantly higher before the intervention than after, and significantly higher among the intervention group than the control group.


Successful malaria control requires more than just malaria case investigation and promptly treatment; proper health education and promotion about treatment is also necessary. Information, Education, and Communication programs are a powerful and effective means of encouraging the vivax malaria patients to adhere to their treatments. IEC programs in malaria clinics should be considered a necessary tool for malaria prevention and control.

Learning Objectives:
1. Identify the social factors that are associated with anti-malaria treatment compliance. 2. Discuss effective strategies to increase compliance to anti-malaria treatment, particularly among minority populations.

Keywords: Health Education Strategies, Infectious Diseases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a doctoral student in tropical medicine and I conducted the research being presented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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