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社区参与生境管理和蚊幼虫控制以控制马拉维南部的疟疾媒介。

Community Participation in Habitat Management and Larviciding for the Control of Malaria Vectors in Southern Malawi.

机构信息

School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi.

Laboratory of Entomology, Wageningen University & Research, Wageningen, The Netherlands.

出版信息

Am J Trop Med Hyg. 2022 Nov 21;108(1):51-60. doi: 10.4269/ajtmh.21-1127. Print 2023 Jan 11.

Abstract

Larval source management (LSM) could reduce malaria transmission when executed alongside core vector control strategies. Involving communities in LSM could increase intervention coverage, reduce operational costs, and promote sustainability via community buy-in. We assessed the effectiveness of community-led LSM to reduce anopheline larval densities in 26 villages along the perimeter of Majete Wildlife Reserve in southern Malawi. The communities formed LSM committees which coordinated LSM activities in their villages following specialized training. Effectiveness of larviciding by LSM committees was assessed via pre- and post-spray larval sampling. The effect of community-led LSM on anopheline larval densities in intervention villages was assessed via comparisons with densities in non-LSM villages over a period of 14 months. Surveys involving 502 respondents were undertaken in intervention villages to explore community motivation and participation, and factors influencing these outcomes. Larviciding by LSM committees reduced anopheline larval densities in post-spray sampling compared with pre-spray sampling (P < 0.0001). No differences were observed between anopheline larval densities during pre-spray sampling in LSM villages and those in non-LSM villages (P = 0.282). Knowledge about vector biology and control, and someone's role in LSM motivated community participation in the vector control program. Despite reducing anopheline larval densities in LSM villages, the impact of the community-led LSM could not be detected in our study setting because of low mosquito densities after scale-up of core malaria control interventions. Still, the contributions of the intervention in increasing a community's knowledge of malaria, its risk factors, and its control methods highlight potential benefits of the approach.

摘要

幼虫源管理(LSM)可以在与核心病媒控制策略一起执行时降低疟疾传播。让社区参与 LSM 可以通过社区认可来提高干预措施的覆盖范围、降低运营成本并促进可持续性。我们评估了社区主导的 LSM 在减少马拉维南部 Majete 野生动物保护区周边 26 个村庄的按蚊幼虫密度方面的有效性。这些社区成立了 LSM 委员会,在接受专门培训后协调其村庄的 LSM 活动。通过在喷洒前和喷洒后进行幼虫采样来评估 LSM 委员会的幼虫杀灭效果。通过与 14 个月期间非 LSM 村庄的密度进行比较,评估了社区主导的 LSM 对干预村庄中按蚊幼虫密度的影响。在干预村庄进行了涉及 502 名受访者的调查,以探讨社区的动机和参与情况,以及影响这些结果的因素。与喷洒前采样相比,LSM 委员会的幼虫杀灭在喷洒后采样中降低了按蚊幼虫密度(P < 0.0001)。在 LSM 村庄和非 LSM 村庄的喷洒前采样期间,按蚊幼虫密度没有差异(P = 0.282)。关于病媒生物学和控制的知识以及某人在 LSM 中的角色激发了社区参与病媒控制计划的积极性。尽管在 LSM 村庄降低了按蚊幼虫密度,但由于核心疟疾控制干预措施扩大后蚊子密度较低,在我们的研究环境中无法检测到社区主导的 LSM 的影响。尽管如此,该干预措施在提高社区对疟疾及其危险因素和控制方法的认识方面的贡献突显了该方法的潜在益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dae/9833073/f82cb9ef78a7/ajtmh.21-1127f1.jpg

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