Malaria incidence is generally lower in cities than rural areas. However, reported urban malaria incidence may not accurately reflect the level of ongoing transmission, which has potentially large ...implications for prevention efforts. To guide mosquito net distribution, we assessed the extent of malaria transmission in Conakry, Guinea, in 2018. We found evidence of active malaria transmission.
Net care and repair behaviours are essential for prolonging the durability of long-lasting insecticidal nets. Increased net durability has implications for protection against malaria as well as cost ...savings from less frequent net distributions. This study investigated behaviours and motivations for net care and repair behaviours in Senegal with the aim of informing social and behaviour change communication (SBCC) programmes, using the Health Belief Model as a framework.
Data were collected from 114 participants in eight regions of Senegal. Participants were eligible for the study if they were at least 18 years old and if their household owned at least one net. These respondents included 56 in-depth interview respondents and eight focus groups with 58 participants. In addition, the qualitative data were supplemented with observational questionnaire data from a total of 556 sleeping spaces. Of these spaces, 394 had an associated net.
Reported net care and repair behaviours and motivations varied substantially within this sample. Children and improper handling were seen as major sources of net damage and respondents often tried to prevent damage by storing nets when not in use. Washing was seen as an additional method of care, but practices for washing varied and may have been damaging to nets in some cases. Participants mentioned a sense of pride of having a net in good condition and the uncertainty around when they could expect another net distribution as motivations for net care. Net repair appeared to be a less common behaviour and was limited by the perspective that net degradation was inevitable and that repairs themselves could weaken nets.
These findings can be understood using the Health Belief Model framework of perceived severity, perceived susceptibility, perceived barriers, perceived benefits, self-efficacy, and cues to action. This model can guide SBCC messages surrounding net care and repair to promote practices associated with net longevity. Such messages should promote the benefits of intact nets and provide tools for overcoming barriers to care and repair.
Summary
Background Despite a broadening consensus about the effectiveness of intermittent preventive treatment (IPTp) in preventing the adverse outcomes of malaria during pregnancy, policy change to ...IPTp was initially limited to East Africa. In West Africa, where the policy change process for the prevention of malaria during pregnancy started much later, IPTp has been taken up swiftly.
Objective To describe the factors that contributed to the rapid adoption of policies to prevent malaria during pregnancy in West Africa.
Results and Conclusion Several factors appear to have accelerated the process: (1) recognition of the extent of the problem of malaria during pregnancy and its adverse consequences; (2) a clear, evidence‐based program strategy strongly articulated by an important multilateral organization (World Health Organization); (3) subregionally generated evidence to support the proposed strategy; (4) a subregional forum for dissemination of data and discussion regarding the proposed policy changes; (5) widespread availability of the proposed intervention drug (sulfadoxine–pyrimethamine); (6) technical support from reputable and respected institutions in drafting new policies and planning for implementation; (7) donor support for pilot experiences in integrating proposed policy change into a package of preventive services; and (8) financial support for scaling up the proposed interventions.
Données de base Malgré le consentement générale sur l'efficacité du traitement préventif intermittent (TPI) dans la prévention des effets adverses de la malaria pendant la grossesse, la politique de changement vers le TPI était seulement limitée à l'Afrique de l'est. En Afrique de L'ouest où le processus de changement de politique de prévention de la malaria pendant la grossesse a démarré plus tard, le TPI est adopté beaucoup plus rapidement.
Objectif Décrire les facteurs qui ont contribuéà l'adoption rapide des politiques de prévention de la malaria pendant la grossesse en Afrique de l'ouest.
Résultats et conclusion: Plusieurs facteurs ont contribuéà l'accélération du processus: 1) La reconnaissance le l'ampleur du problème de la malaria pendant la grossesse et ses conséquences, 2) une stratégie de programme claire, bas ée sur l’évidence et fortement articulée par une organisation multilatérale (OMS), 3) une évidence sous‐régionale générée pour soutenir la stratégie proposée, 4) un forum sous‐régionale pour la dissémination des données et des discussions par rapport aux changements de politique proposés, 5) une disponibilitéétendue du médicament utlisé dans l'intervention (sulfadoxine‐pyrimethamine), 6) un support technique d'institutions réputées et respectées dans la formulation des nouvelles politiques et dans la planification de leur implémentation, 7) des donneurs pour soutenir les expérimentations pilotes de l'intégration des changements de politique proposés dans un domaine de services préventifs, et 8) un support financier pour mesurer les interventions proposées.
Antecedentes A pesar del consenso cada vez mayor sobre la efectividad del tratamiento preventivo intermitente (IPTp) en la prevención de los resultados adversos de la malaria durante el embarazo, el cambio político hacia el IPTp se limitó inicialmente a África del Este. Sin embargo, en África del Oeste, donde el proceso de cambio de políticas para la prevención de la malaria durante el embarazo comenzó mucho más tarde, el IPTp se ha aceptado con mayor rapidez.
Objetivo Describir los factores que contribuyen a la adopción rápida de políticas para prevenir la malaria durante el embarazo en África del Oeste.
Resultados y conclusión Varios factores parecen haber acelerado el proceso: (1) el reconocimiento de la extensión del problema de la malaria durante el embarazo y sus consecuencias adversas; (2) un programa estratégico claro, basado en la evidencia y articulado por una importante organización multilateral (OMS); (3) la evidencia generada a nivel subregional, que apoya la estrategia propuesta; (4) un forum subregional para la diseminación de datos y la discusión de los cambios de política propuestos; (5) una amplia disponibilidad del medicamento propuesto para la intervención (sulfadoxina‐pyrimetamina); (6) el apoyo técnico de instituciones respetadas en el desarrollo del borrador de las nuevas políticas y en la planeación de la implementación; (7) el apoyo de donantes para realizar experiencias piloto en la integración de los cambios de política propuestos dentro de un paquete de servicios de prevención; y (8) el apoyo financiero para escalar las intervenciones propuestas.
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