Global Health and Tropical Medicine, Associate Laboratory in Translation and Innovation Towards Global Health, LA-REAL, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa (IHMT-NOVA), Rua da Junqueira 100, 1349-008, Lisbon, Portugal.
Centro de Investigação Operacional da Beira, Instituto Nacional de Saúde, Ministério de Saúde, Rua Correia de Brito 1323, Ponta Gea, Beira, Mozambique.
Malar J. 2024 Aug 29;23(1):264. doi: 10.1186/s12936-024-05084-w.
The community involvement and the people's knowledge allow detailed information about the distribution, location, and identification of mosquito breeding-sites. Information which is fundamental for their efficient management and elimination. Since participatory mapping has proven to be an effective tool to identify health determinants, the study aimed to apply the methodology to identify and map potential mosquito breeding-sites in Tambai, Nhamatanda, Mozambique.
A study was conducted using an open-question guide. Discussions were held with 94 participants within ten focus groups, selected in collaboration with local community leaders. A thematic content analysis was performed. Descriptive statistics were used to characterize sociodemographic data. Geographic Positioning System (GPS) was used to compare and map potential breeding-sites. Children under 5 years of age who tested positive for malaria, were georeferenced to the maps.
Participants were aware of causes and transmission of malaria, no major differences between groups were observed regarding knowledge and identification of principal potential breeding sites. Gender and age determined specific information, number, and diversity of identified potential breeding sites. A total of 125 potential breeding-sites (36 permanent and 89 temporary) were mapped.
Several potential mosquito breeding-sites were identified, located throughout the community, often near house conglomerates and malaria cases. Community participatory mapping could be used to identify potential mosquito breeding-sites by the national malaria control programmes to establish an efficient larval surveillance system, while improving community engagement and control strategies.
ClinicalTrials.gov ID: NCT04419766.
社区参与和民众知识可以提供有关蚊子滋生地的分布、位置和识别的详细信息。这些信息对于蚊子的有效管理和消灭至关重要。由于参与式绘图已被证明是确定健康决定因素的有效工具，因此本研究旨在应用该方法在坦巴伊、纳马坦达（Nhamatanda）、莫桑比克识别和绘制潜在的蚊子滋生地。
本研究采用开放式问题指南进行。在十个焦点小组中与 94 名参与者进行了讨论，这些小组是与当地社区领导人合作选定的。进行了主题内容分析。采用描述性统计来描述社会人口统计学数据。使用全球定位系统（GPS）来比较和绘制潜在的滋生地。对检测出疟疾阳性的 5 岁以下儿童进行地理定位，将其与地图进行关联。
参与者了解疟疾的病因和传播途径，在知识和识别主要潜在滋生地方面，各组之间没有明显差异。性别和年龄决定了特定信息、识别出的潜在滋生地的数量和多样性。共绘制了 125 个潜在滋生地（36 个永久性和 89 个临时性）。
确定了几个潜在的蚊子滋生地，这些滋生地分布在整个社区，通常靠近房屋群和疟疾病例。国家疟疾控制规划可以利用社区参与式绘图来识别潜在的蚊子滋生地，建立有效的幼虫监测系统，同时提高社区参与度和控制策略。
ClinicalTrials.gov ID：NCT04419766。
