Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi
Abstract Background To further reduce malaria, larval source management (LSM) is proposed as a complementary strategy to the existing strategies. LSM has potential to control insecticide resistant, outdoor biting and outdoor resting vectors. Concerns about costs and operational feasibility of implem...
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ftdoajarticles:oai:doaj.org/article:9f338c5de0ce4ffca06521c16bd5ac9f 2023-05-15T15:14:14+02:00 Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi Steven Gowelo Robert S. McCann Constantianus J. M. Koenraadt Willem Takken Henk van den Berg Lucinda Manda-Taylor 2020-06-01T00:00:00Z https://doi.org/10.1186/s12936-020-03268-8 https://doaj.org/article/9f338c5de0ce4ffca06521c16bd5ac9f EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03268-8 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03268-8 1475-2875 https://doaj.org/article/9f338c5de0ce4ffca06521c16bd5ac9f Malaria Journal, Vol 19, Iss 1, Pp 1-11 (2020) Malaria Larval source management Bacillus thuringiensis israelensis Community Malawi Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03268-8 2022-12-31T09:42:51Z Abstract Background To further reduce malaria, larval source management (LSM) is proposed as a complementary strategy to the existing strategies. LSM has potential to control insecticide resistant, outdoor biting and outdoor resting vectors. Concerns about costs and operational feasibility of implementation of LSM at large scale are among the reasons the strategy is not utilized in many African countries. Involving communities in LSM could increase intervention coverage, reduce costs of implementation and improve sustainability of operations. Community acceptance and participation in community-led LSM depends on a number of factors. These factors were explored under the Majete Malaria Project in Chikwawa district, southern Malawi. Methods Separate focus group discussions (FGDs) were conducted with members from the general community (n = 3); health animators (HAs) (n = 3); and LSM committee members (n = 3). In-depth interviews (IDIs) were conducted with community members. Framework analysis was employed to determine the factors contributing to community acceptance and participation in the locally-driven intervention. Results Nine FGDs and 24 IDIs were held, involving 87 members of the community. Widespread knowledge of malaria as a health problem, its mode of transmission, mosquito larval habitats and mosquito control was recorded. High awareness of an association between creation of larval habitats and malaria transmission was reported. Perception of LSM as a tool for malaria control was high. The use of a microbial larvicide as a form of LSM was perceived as both safe and effective. However, actual participation in LSM by the different interviewee groups varied. Labour-intensiveness and time requirements of the LSM activities, lack of financial incentives, and concern about health risks when wading in water bodies contributed to lower participation. Conclusion Community involvement in LSM increased local awareness of malaria as a health problem, its risk factors and control strategies. However, community ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Larval source management Bacillus thuringiensis israelensis Community Malawi Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Larval source management Bacillus thuringiensis israelensis Community Malawi Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Steven Gowelo Robert S. McCann Constantianus J. M. Koenraadt Willem Takken Henk van den Berg Lucinda Manda-Taylor Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi |
topic_facet |
Malaria Larval source management Bacillus thuringiensis israelensis Community Malawi Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background To further reduce malaria, larval source management (LSM) is proposed as a complementary strategy to the existing strategies. LSM has potential to control insecticide resistant, outdoor biting and outdoor resting vectors. Concerns about costs and operational feasibility of implementation of LSM at large scale are among the reasons the strategy is not utilized in many African countries. Involving communities in LSM could increase intervention coverage, reduce costs of implementation and improve sustainability of operations. Community acceptance and participation in community-led LSM depends on a number of factors. These factors were explored under the Majete Malaria Project in Chikwawa district, southern Malawi. Methods Separate focus group discussions (FGDs) were conducted with members from the general community (n = 3); health animators (HAs) (n = 3); and LSM committee members (n = 3). In-depth interviews (IDIs) were conducted with community members. Framework analysis was employed to determine the factors contributing to community acceptance and participation in the locally-driven intervention. Results Nine FGDs and 24 IDIs were held, involving 87 members of the community. Widespread knowledge of malaria as a health problem, its mode of transmission, mosquito larval habitats and mosquito control was recorded. High awareness of an association between creation of larval habitats and malaria transmission was reported. Perception of LSM as a tool for malaria control was high. The use of a microbial larvicide as a form of LSM was perceived as both safe and effective. However, actual participation in LSM by the different interviewee groups varied. Labour-intensiveness and time requirements of the LSM activities, lack of financial incentives, and concern about health risks when wading in water bodies contributed to lower participation. Conclusion Community involvement in LSM increased local awareness of malaria as a health problem, its risk factors and control strategies. However, community ... |
format |
Article in Journal/Newspaper |
author |
Steven Gowelo Robert S. McCann Constantianus J. M. Koenraadt Willem Takken Henk van den Berg Lucinda Manda-Taylor |
author_facet |
Steven Gowelo Robert S. McCann Constantianus J. M. Koenraadt Willem Takken Henk van den Berg Lucinda Manda-Taylor |
author_sort |
Steven Gowelo |
title |
Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi |
title_short |
Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi |
title_full |
Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi |
title_fullStr |
Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi |
title_full_unstemmed |
Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi |
title_sort |
community factors affecting participation in larval source management for malaria control in chikwawa district, southern malawi |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03268-8 https://doaj.org/article/9f338c5de0ce4ffca06521c16bd5ac9f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-11 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03268-8 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03268-8 1475-2875 https://doaj.org/article/9f338c5de0ce4ffca06521c16bd5ac9f |
op_doi |
https://doi.org/10.1186/s12936-020-03268-8 |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
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1766344698427867136 |