The UK residents are well-recognized international travelers exploring different parts of the world including disease endemic regions like the Indian Sub-continent & the Africa. This pattern of travel makes them vulnerable to infectious diseases like malaria and diarrhea, which are communicable in nature impacting social, health and economic wellbeing of the population. These impacts may be minimized by administering appropriate pre-travel advice. The dynamics of international travel render the erstwhile travel advice practices ineffective very fast, creating a situation where up-to-date knowledge on the effectiveness of pre-travel advice is hardly available.
[...] The results of this study in a way shall provide the platform for launching a pre-travel advice standardization mission where the minimum requirements for infrastructure, qualified professionals and protocols can be specified for compulsory implementation by all travel health advice and consultation service units. Successful implementation of this may reduce the uncertainties of the travelers, improve quality of service and importantly, result in better compliance. REFERENCES Behrens, RH ‘Protecting the health of the international traveler', Trans R Soc Trop Med Hyg; 84: 611- Collin, J and Lee, K. [...]
[...] Conclusions The conclusions will throw light on whether proper pre-travel advice capacitates a traveler to keep away from contracting severe malaria and diarrhea while abroad consequently minimizing the need for medical assistance in the touring country. Important indicators like reduction of visits of returned travelers to the local GPs, infection risks of travelers vs. non-travelers, etc. shall be identified to appraise and conclude on the efficacy of the present pre-travel advice system in the UK. Background The world is fast becoming a global village and the best manifestation of this globalization is the phenomenal rise in international travel. [...]
[...] This study needs to assess the travel advice or primary health care set-up existing in the UK at present and for this it is necessary to gather knowledge and evidences on the personal, social and the behavioral aspects of the UK travelers. Such aspects may not be represented in quantitative terms; hence it is an automatic choice to adopt this innovative qualitative research methodology in case of this study. The main reasons for selecting the qualitative method are (Jon Dowell, 1995): Purpose- qualitative methods allow access to the process through which behaviors, systems or relationships are changed or sustained. [...]
[...] Data analysis to determine the overall effectiveness of the pre-travel advice involves comparison of the data points in the control section of the wedge with those in the intervention section as shown in Figure-2. Fig-2: A Typical RCT Design This stepped-wedge design has been preferred as this also allows underlying temporal changes to be considered as a variable in the data analysis which in turn helps determine whether season or disease progression have any impact on the effectiveness of the intervention. [...]
[...] Highlights the differences and commonalities in views and experience. Enables researchers to work with a group in order to identify their own Priorities. Aids exploration of sensitive issues (by being ‘safe' and providing some anonymity). Can be used beyond the exploratory phase of a research project. Can be used as a stand-alone method. Points to note: Focusing and facilitating the groups is critical. Considerable time is needed for preparation and organisation. Analysis is complex and time-consuming. CONTEXTUAL DATA Strengths of contextual data: May provide critical information to aid data analysis. [...]
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