Multisectoral approach to support use of insecticide-
treated net for malaria prevention among mobile and
migrant populations in Myanmar: a systematic review
Background. Myanmar is a premalaria elimination country with artemisinin-resistant malaria. A strategy for transmission control
is focused on vulnerable groups such as mobile and migrant populations (MMPs), and includes improving access to insecticidetreated
bed nets in the Myanmar artemisinin resistance containment (MARC) zones using multisectoral approaches (MSA).
Methods. This narrative systematic review addressed MSAs targeted to MMPs in Myanmar for malaria prevention. We searched
relevant studies in electronic databases and present the narrative findings in 4 domains: stakeholder groups, net coverage and utilization,
social determinates, and facilitators/barriers.
Results. Nine studies were included. The review identified stakeholders involved in intersectoral collaboration. Net ownership was higher
than utilization rates in the MARC zones and rates remained below the WHO recommended target of 100%. There was inadequate description
of roles and responsibilities for implementation and on channels of communication within the partnerships and with the Government.
Conclusions. Findings show that interventions to distribute treated bed nets were supported by the multiple stakeholders. Due
to the design of the primary studies, analysis of the added value of intersectoral collaboration was limited. More attention must be
paid to designing studies to document and evaluate the contributions and outcomes of intersectoral collaboration.
Keywords. malaria; prevention; bed nets; multisectoral approach; artemisinin resistance containment zones; Myanmar
