Malaria Chemoprophylaxis Compliance Improvement: A New Approach
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Résumé
Malaria Chemoprophylaxis Compliance Improvement: A New Approach Kelly J. Moynihan; Kelly J. Moynihan ExxonMobil Development Company Search for other works by this author on: This Site Google Scholar Jean-Marie M. Moreau; Jean-Marie M. Moreau ExxonMobil Medicine and Occupational Health Search for other works by this author on: This Site Google Scholar Leba G. Shallenberger; Leba G. Shallenberger ExxonMobil Medicine and Occupational Health Search for other works by this author on: This Site Google Scholar Kenneth C. Lindemann; Kenneth C. Lindemann ExxonMobil Medicine and Occupational Health Search for other works by this author on: This Site Google Scholar Philippe Guibert Philippe Guibert International SOS (France) S.A. Search for other works by this author on: This Site Google Scholar Paper presented at the SPE International Conference on Health, Safety, and Environment in Oil and Gas Exploration and Production, Calgary, Alberta, Canada, March 2004. Paper Number: SPE-86719-MS https://doi.org/10.2118/86719-MS Published: March 29 2004 Cite View This Citation Add to Citation Manager Share Icon Share Twitter LinkedIn Get Permissions Search Site Citation Moynihan, Kelly J., Moreau, Jean-Marie M., Shallenberger, Leba G., Lindemann, Kenneth C., and Philippe Guibert. "Malaria Chemoprophylaxis Compliance Improvement: A New Approach." Paper presented at the SPE International Conference on Health, Safety, and Environment in Oil and Gas Exploration and Production, Calgary, Alberta, Canada, March 2004. doi: https://doi.org/10.2118/86719-MS Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll ProceedingsSociety of Petroleum Engineers (SPE)SPE International Conference and Exhibition on Health, Safety, Environment, and Sustainability Search Advanced Search AbstractAwareness training, personal protection against mosquito bites, and vector control measures are all important in helping reduce Anopheles mosquito bites. However, these measures cannot completely eliminate the risk of contracting malaria. The prevention of malaria in non-immune individuals in sub-Saharan Africa relies heavily on the proper use of effective chemoprophylaxis. Compliance with effective chemoprophylactic regimens is problematic, especially in long-term expatriates who believe they have acquired natural immunity. In spite of implementing a comprehensive Malaria Control Program (MCP), with a goal of zero cases of malaria among non-immune individuals, the Chad Export Project experienced an increase in the number of malaria cases in the contractor non-immune workforce as construction activities in Chad and Cameroon accelerated. Several serious cases of Falciparum malaria were recorded, and four fatalities occurred. In response to this, a multidisciplinary team was formed to identify opportunities to enhance the effectiveness of the MCP. One of the team's key recommendations was to develop and implement a Malaria Chemoprophylaxis Compliance Program (MCCP) to address identified informational and behavioral shortcomings regarding malaria chemoprophylaxis use. The heart of the MCCP is awareness and education but compliance with chemoprophylaxis is further encouraged through collection of urine specimens from non-immune individuals for laboratory determination of effective anti-malaria medication usage. Data collected during the first 15 months that the MCCP was implemented in Chad and Cameroon show an overall low (i.e., <1%) rate of non-conforming specimens. After implementing the MCCP in Chad and Cameroon, the rate of malaria cases among non-immune workers decreased fifty percent and the program has been extended to other operating locations in Africa.IntroductionExxonMobil conducts business in over 100 countries worldwide. In some of these countries (especially those in sub-Saharan Africa, parts of south east Asia, and Latin America), one or more forms of malaria are endemic.2In order to safeguard its employees from the ill effects of malaria, ExxonMobil developed and implemented a comprehensive Malaria Control Program (MCP) based on the following "ABCD" strategy:3A wareness(Mosquito) B ite prevention.C hemoprophylaxis use by non-immune individuals.D iagnose and treat early.This paper discusses the Chad Export Project's5 implementation of the MCP and in particular the development and implementation of a Malaria Chemoprophylaxis Compliance Program (MCCP), a MCP enhancement aimed at ensuring effective malaria chemoprophylaxis use by non-immune individuals in order to achieve the MCP's goal of zero non-immune malaria cases.Chad Export Project - BackgroundProject Description and Background Information.The $US 3.5 billion Chad Export Project (the Project) is currently the largest private sector investment in sub-Saharan Africa. Over the Project's anticipated 25–30 year life, approximately one billion barrels of crude oil will be produced from three oilfields in the Doba basin region of southern Chad for export to world markets, with peak production being 225,000 barrels per day.A map providing some geographic context for the Project is provided in Figure 1. Keywords: specimen, chemoprophylaxis, malaria case, chad export project, cameroon, requirement, nonimmune individual, compliance program, mcp, malaria Subjects: Health, Infectious diseases (HIV/AIDS, malaria, tuberculosis) This content is only available via PDF. 2004. Society of Petroleum Engineers You can access this article if you purchase or spend a download.
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|---|---|---|
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