Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

    We have a manual that explains all the features 

Record number 539490
Title Community-based malaria control in southern Malawi : A description of experimental interventions of community workshops, house improvement and larval source management
Author(s) Berg, Henk van den; Vugt, Michèle van; Kabaghe, Alinune N.; Nkalapa, Mackenzie; Kaotcha, Rowlands; Truwah, Zinenani; Malenga, Tumaini; Kadama, Asante; Banda, Saidon; Tizifa, Tinashe; Gowelo, Steven; Mburu, Monicah M.; Phiri, Kamija S.; Takken, Willem; McCann, Robert S.
Source Malaria Journal 17 (2018)1. - ISSN 1475-2875
DOI https://doi.org/10.1186/s12936-018-2415-1
Department(s) Laboratory of Entomology
PE&RC
Publication type Refereed Article in a scientific journal
Publication year 2018
Keyword(s) Community participation - Community workshops - Health education - House improvement - Integrated vector management - Larval source management - Malaria transmission - Vector control
Abstract

Background: Increased engagement of communities has been emphasized in global plans for malaria control and elimination. Three interventions to reinforce and complement national malaria control recommendations were developed and applied within the context of a broad-based development initiative, targeting a rural population surrounding a wildlife reserve. The interventions, which were part of a 2-year research trial, and assigned to the village level, were implemented through trained local volunteers, or 'health animators', who educated the community and facilitated collective action. Results: Community workshops on malaria were designed to increase uptake of national recommendations; a manual was developed, and training of health animators conducted, with educational content and analytical tools for a series of fortnightly community workshops in annual cycles at village level. The roll-back malaria principle of diagnosis, treatment and use of long-lasting insecticidal nets was a central component of the workshops. Structural house improvement to reduce entry of malaria vectors consisted of targeted activities in selected villages to mobilize the community into voluntarily closing the eaves and screening the windows of their houses; the project provided wire mesh for screening. Corrective measures were introduced to respond to field challenges. Committees were established at village level to coordinate the house improvement activities. Larval source management (LSM) in selected villages consisted of two parts: one on removal of standing water bodies by the community at large; and one on larviciding with bacterial insecticide Bacillus thuringiensis israelensis by trained village committees. Community workshops on malaria were implemented as 'core intervention' in all villages. House improvement and LSM were implemented in addition to community workshops on malaria in selected villages. Conclusions: Three novel interventions for community mobilization on malaria prevention and control were described. The interventions comprised local organizational structure, education and collective action, and incorporated elements of problem identification, planning and evaluation. These methods could be applicable to other countries and settings.

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