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评估社区参与和能力建设在非洲疟疾控制杀幼虫应用中的作用:一项范围综述。

Assessing the role of community involvement and capacity building in larviciding applications for malaria control in Africa: A scoping review.

作者信息

Shirima GloriaSalome, Masserey Thiery, Gervas Hamenyimana, Chitnis Nakul, Kiware Samson, Mirau Silas

机构信息

Ifakara Health Institute, P.O. Box 53, Ifakara, Tanzania.

The Nelson Mandela African Institution of Science and Technology (NM-AIST), P.O. Box 447, Tengeru, Arusha, Tanzania.

出版信息

Curr Res Parasitol Vector Borne Dis. 2025 Aug 14;8:100307. doi: 10.1016/j.crpvbd.2025.100307. eCollection 2025.

Abstract

Larviciding offers a supplementary approach in malaria vector control, particularly when applied through community engagement and capacity building. A scoping review was performed to evaluate existing larviciding delivery mechanisms and their impacts on African malaria control. A scoping review was conducted following the PRISMA-ScR guidelines. The search strategy utilized Medical Subject Headings (MeSH) and free-text terms related to "malaria", "larvicide", "community engagement" and "mosquito control". The databases PubMed, Scopus, and Embase were searched for relevant literature published until December 2024. Inclusion criteria focused on studies addressing community engagement in delivering larviciding within African settings. After applying inclusion and exclusion criteria, 32 papers were ultimately included in the analysis. The studies spanned 13 African countries, primarily in sub-Saharan regions, with findings indicating that larviciding significantly reduced mosquito density and, in some cases, malaria incidence. Community engagement strategies varied, with workshops and participatory meetings targeting various stakeholders to enhance awareness and ownership of larviciding programmes. Community engagement and capacity building were critical to successfully implementing larviciding programmes. While challenges, such as logistical barriers, lack of awareness, and financial constraints, persist, integrating technological innovations and strengthening monitoring systems can enhance the sustainability of these efforts.

摘要

杀幼虫剂是疟疾媒介控制的一种补充方法,特别是通过社区参与和能力建设来应用时。开展了一项范围综述,以评估现有的杀幼虫剂投放机制及其对非洲疟疾控制的影响。按照PRISMA-ScR指南进行了范围综述。搜索策略使用了与“疟疾”、“杀幼虫剂”、“社区参与”和“蚊虫控制”相关的医学主题词(MeSH)和自由文本词。在PubMed、Scopus和Embase数据库中搜索截至2024年12月发表的相关文献。纳入标准侧重于解决非洲地区社区参与杀幼虫剂投放问题的研究。在应用纳入和排除标准后,最终有32篇论文纳入分析。这些研究涵盖13个非洲国家,主要在撒哈拉以南地区,研究结果表明杀幼虫剂显著降低了蚊虫密度,在某些情况下还降低了疟疾发病率。社区参与策略各不相同,举办了针对不同利益相关者的讲习班和参与式会议,以提高对杀幼虫剂项目的认识和主人翁意识。社区参与和能力建设对于成功实施杀幼虫剂项目至关重要。虽然后勤障碍、缺乏认识和资金限制等挑战仍然存在,但整合技术创新和加强监测系统可以提高这些努力的可持续性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf8/12396400/84edcf182f3d/ga1.jpg

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