An Assessment of Participatory Integrated Vector Management for Malaria Control in Kenya

Autor:	Lydia kibe, Wolfgang R Mukabana, Joseph M. Mwangangi, Hippolyte Affognon, C. W. Gichuki, Susan S Imbahale, Benedict Orindi, Charles Mbogo, Melaku Girma, Wilber Lwande, Annah Njui, Mutero Cm
Rok vydání:	2015
Předmět:	Male Consumer Advocacy Mosquito Control Adolescent Health Toxicology and Mutagenesis Decision Making 030231 tropical medicine Malaria vector control World health 03 medical and health sciences 0302 clinical medicine medicine Animals Humans Vector management 030212 general & internal medicine Cooperative Behavior Child business.industry Research Environmental resource management Community Participation 1. No poverty Public Health Environmental and Occupational Health Infant Citizen journalism medicine.disease Kenya Malaria 3. Good health Mosquito control Culicidae Child Preschool Female business Malaria control
Zdroj:	Environmental Health Perspectives
ISSN:	1552-9924 0091-6765
DOI:	10.1289/ehp.1408748
Popis:	Background The World Health Organization (WHO) recommends integrated vector management (IVM) as a strategy to improve and sustain malaria vector control. However, this approach has not been widely adopted. Objectives We comprehensively assessed experiences and findings on IVM in Kenya with a view to sharing lessons that might promote its wider application. Methods The assessment used information from a qualitative external evaluation of two malaria IVM projects implemented between 2006 and 2011 and an analysis of their accumulated entomological and malaria case data. The project sites were Malindi and Nyabondo, located in coastal and western Kenya, respectively. The assessment focused on implementation of five key elements of IVM: integration of vector control methods, evidence-based decision making, intersectoral collaboration, advocacy and social mobilization, and capacity building. Results IVM was more successfully implemented in Malindi than in Nyabondo owing to greater community participation and multistakeholder engagement. There was a significant decline in the proportion of malaria cases among children admitted to Malindi Hospital, from 23.7% in 2006 to 10.47% in 2011 (p < 0.001). However, the projects’ operational research methodology did not allow statistical attribution of the decline in malaria and malaria vectors to specific IVM interventions or other factors. Conclusions Sustaining IVM is likely to require strong participation and support from multiple actors, including community-based groups, non-governmental organizations, international and national research institutes, and various government ministries. A cluster-randomized controlled trial would be essential to quantify the effectiveness and impact of specific IVM interventions, alone or in combination. Citation Mutero CM, Mbogo C, Mwangangi J, Imbahale S, Kibe L, Orindi B, Girma M, Njui A, Lwande W, Affognon H, Gichuki C, Mukabana WR. 2015. An assessment of participatory integrated vector management for malaria control in Kenya. Environ Health Perspect 123:1145–1151; http://dx.doi.org/10.1289/ehp.1408748
Databáze:	OpenAIRE
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