Vector Biology Department, Liverpool School of Tropical Medicine, Liverpool, UK.
Centre National de Recherche et Formation sur le Paludisme, Ouagadougou, Burkina Faso.
Anthropol Med. 2021 Dec;28(4):508-525. doi: 10.1080/13648470.2021.1884185. Epub 2021 May 10.
Credited with averting almost 68% of new cases between 2000 and 2015, insecticide-treated bednets (ITNs) are one of the most efficacious malaria-prevention tools. Their effectiveness, however, depends on if and how they are used, making 'compliance' (and the social factors affecting it) a key area of interest for research on malaria transmission. This article situates the notion of compliance with 'bednet use' within everyday practices in an area of south-west Burkina Faso with high malaria transmission. By drawing on ethnographic fieldwork conducted between 2017 and 2018, it critically describes the precarious micro-environments that foreground bednet use-from gender and age to the means of (re)production of social and labour conditions-and assesses the bednets' effectiveness and community uptake. Bednet use stems from concrete, ordinary dynamics that interweave only apparently at the margins of the time individuals most need to be protected by a net. This work conceptualises 'compliance' beyond binary indicators of intervention uptake and locates 'use' as the result of contingent assemblages.
经证实,2000 年至 2015 年期间,驱虫蚊帐(ITN)避免了近 68%的新增病例,是最有效的疟疾预防工具之一。然而,它们的有效性取决于是否以及如何使用,因此“合规性”(以及影响其的社会因素)成为疟疾传播研究的一个关键领域。本文将“蚊帐使用”的合规性概念置于布基纳法索西南部一个疟疾传播率较高地区的日常实践中。本文通过借鉴 2017 年至 2018 年期间进行的民族志实地调查,批判性地描述了蚊帐使用的不稳定微观环境——从性别和年龄到社会和劳动条件再生产的手段——并评估了蚊帐的效果和社区接受程度。蚊帐的使用源于具体的、普通的动态,这些动态只是在个人最需要用蚊帐保护的时间的边缘交织在一起。这项工作将“合规性”概念化,超越了干预措施接受程度的二元指标,并将“使用”定位为偶然组合的结果。