A qualitative study of community perspectives surrounding cleaning practices in the context of Zika prevention in El Salvador: implications for community-based Aedes aegypti control

Autor: Anne Ballard Sara, Sean Maloney, Tilly A. Gurman, Eric Rodriguez, Gabrielle Hunter, Margarita Ramírez, Elli Leontsini
Rok vydání: 2020
Předmět:
Male
Health Knowledge
Attitudes
Practice
Community control of Aedes aegypti
Mosquito Control
Dengue
0302 clinical medicine
Aedes
Pregnancy
Residence Characteristics
Medicine
030212 general & internal medicine
Qualitative Research
Arbovirus prevention
biology
Zika Virus Infection
lcsh:Public aspects of medicine
Behavior change
Focus Groups
Middle Aged
Female
Research Article
Adult
medicine.medical_specialty
Adolescent
030231 tropical medicine
Aedes aegypti
Young Adult
03 medical and health sciences
Zika
Water Supply
Environmental health
El Salvador
Animals
Humans
Water storage containers
ZIKA PREVENTION
business.industry
Public health
Public Health
Environmental and Occupational Health
Water
lcsh:RA1-1270
Zika Virus
Behavioral determinants
biology.organism_classification
Focus group
Chikungunya
Norm (social)
Untadita
Biostatistics
business
Mosquito ovicidal technique
Qualitative research
Zdroj: BMC Public Health
BMC Public Health, Vol 20, Iss 1, Pp 1-14 (2020)
ISSN: 1471-2458
Popis: Background In El Salvador, Aedes aegypti mosquitoes transmitting Zika and other arboviruses use water storage containers as important oviposition sites. Promotion of water storage container cleaning is a key element of prevention programs. We explored community perceptions surrounding cleaning practices among pregnant women, male partners of pregnant women, and women likely to become pregnant. Methods Researchers conducted 11 focus groups and 12 in-depth interviews which included individual elicitations of Zika prevention measures practiced in the community. Focus group participants rated 18 images depicting Zika-related behaviors according to effectiveness and feasibility in the community context, discussed influencing determinants, voted on community intentions to perform prevention behaviors, and performed washbasin cleaning simulations. In-depth interviews with male partners of pregnant women used projective techniques with images to explore their perceptions on a subset of Zika prevention behaviors. Results General cleaning of the home, to ensure a healthy environment, was a strong community norm. In this context, participants gave water storage container cleaning a high rating, for both its effectiveness and feasibility. Participants were convinced that they cleaned their water storage containers effectively against Zika, but their actual skills were inadequate to destroy Aedes aegypti eggs. A further constraint was the schedule of water availability. Even during pregnancy, male partners rarely cleaned water storage containers because water became available in homes when they were at work. Furthermore, prevailing gender norms did not foster male participation in domestic cleaning activities. Despite these factors, many men were willing to provide substantial support with cleaning when their partners were pregnant, in order to protect their family. Conclusions Behavior change programs for the prevention of Zika and other arboviruses need to improve community members’ mosquito egg destruction skills rather than perpetuate the promotion of non-specific cleaning in and around the home as effective. Egg elimination must be clearly identified as the objective of water storage container maintenance and programs should highlight the effective techniques to achieve this goal. In addition, programs must build the skills of family members who support pregnant women to maintain the frequency of effective egg destruction in all water storage containers of the home.
Databáze: OpenAIRE
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