Exploring the Role of Community Involvement in Reducing the Burden of Schistosomiasis and Other Neglected Tropical Diseases in Malawi: Where are We in the Fight Against Neglected Tropical Diseases?

• Main Authors: Lubanga AF, Bwanali AN, Munthali LE, Mphepo M, Chumbi GD, Kangoma M, Matola Y, Kaonga B, Moyo CS
• Format: Article in Journal/Newspaper
• Language: English
• Published: Dove Medical Press 2024
• Subjects: schistosomiasis; community prevention; water; sanitation; and hygiene; neglected tropical diseases; Arctic medicine. Tropical medicine; RC955-962; Arctic; Gertrude
• Online Access: https://doaj.org/article/71e8ead178844fe38dce24576188a246

Adriano Focus Lubanga,1,2 Akim Nelson Bwanali,1,3 Leonard Eston Munthali,2 Mzati Mphepo,3 Gertrude Diana Chumbi,2 Melina Kangoma,2 Yankho Matola,2 Byenala Kaonga,2 Chitemwa Sithando Moyo2 1Education and Research, Clinical Research Education and Management Services Ltd (CREAMS), Lilongwe, Malawi; 2Department of Clinical Services, Kamuzu Central Hospital, Lilongwe, Malawi; 3Department of Clinical Services, Queen Elizabeth Central Hospital, Blantyre, MalawiCorrespondence: Adriano Focus Lubanga, Education and Research, Clinical Research Education and Management Services Ltd (CREAMS), Anderson House, Area 43, P.O Box 31045, Lilongwe, Malawi, Tel [phone], Email [e-mail]; [e-mail]: Schistosomiasis has been endemic in Malawi since 1947. Despite the longevity of endemicity of the disease, it still maintains a high burden in Malawi. This could be attributed to insufficient coverage of preventive and therapeutic mass drug administration (MDA) which mainly targets school-aged children, leaving out adults who also bear a high burden of the disease. Additionally, despite well documented impact of community involvement in boosting up the effectiveness of health programmes, there is minimal community involvement in schistosomiasis control and prevention programmes. Therefore, this perspective seeks to discuss the historical background of schistosomiasis in Malawi, gaps in community engagement and participation and suggest ways of enhancing the role of the community in prevention and control programmes. Amongst other challenges, the control programmes are centralised, leading to minimal input at the district and community level as well as low awareness of schistosomiasis control and prevention methods at the community level. It is of utmost significance therefore to provide comprehensive schistosomiasis health education to the communities and devise a thorough outline of the specific roles and responsibilities of all stakeholders including community members in the fight ...