As countries of sub-Saharan Africa expand irrigation to improve food security and foster economic growth, it is important to quantify the malaria risk associated with this process. Irrigated ecosystems can be associated with increased malaria risk, but this relationship is not fully understood. We studied this relationship at the Bwanje Valley Irrigation Scheme (800 hectares) in Malawi. Household prevalence of malaria and indoor Anopheles density were quantified in two cross-sectional studies in 2016 and 2017 (5,829 residents of 1,091 households). Multilevel logistic regression was used to estimate the association between distance to the irrigation scheme and malaria infection and mosquito density. The prevalence of malaria infection was 50.2% (2,765/5,511) by histidine-rich protein 2–based malaria rapid diagnostic tests and 30.1% (1,626/5,403) by microscopy. Individuals residing in households within 3 km of the scheme had significantly higher prevalence of infection (adjusted odds ratio [aOR] = 1.41; 95% confidence interval [CI] 1.18, 1.68); school-aged children had the highest prevalence among age groups (aOR = 1.34; 95% CI 1.11, 1.63). Individuals who reported bed net use, and households with higher socioeconomic status and higher level of education for household head or spouse, had lower odds of malaria infection. Female Anopheles mosquitoes (2,215 total; Anopheles arabiensis, 90.5%, Anopheles funestus, 9.5%) were significantly more abundant in houses located within 1.5 km of the scheme. Proximity of human dwellings to the irrigation scheme increased malaria risk, but higher household wealth index reduced risk. Therefore, multisectoral approaches that spur economic growth while mitigating increased malaria transmission are needed for people living close to irrigated sites.
Soil water management is typically by trial and error among smallholder farmers. Social learning in the use of farmer-friendly soil-water and nutrients monitoring tools were promoted in Malawi to improve productivity. A simple tool (chameleon) which was designed to fit the mental model of African farmers and to give an output that is linked to action was deployed to 198 farmers in nine irrigation schemes. Chameleon illustrates information on soil moisture status by coloursblue, green and red colours representing adequate moisture, moderate and dry soil status, respectively. The use of colours and not numbers promoted inclusiveness across illiterate and all gender categories. Farmers participated in sensors' installation, soil moisture measurement, data visualization and learning by doing to get insights from their participation. The chameleon was combined with an on-line communication and learning system to improve water management at scheme level. The results indicated that: (1) the tool gave farmers new frames of reference; (2) it improved farmers on time, labour and water saving by reducing irrigation intervals; (3) it gave farmers new reference of experience to change their irrigation traditions; (4) it also reduced conflict for water in irrigation schemes between users apart from improving water productivity. Use of these tools made a rigor that make scientists easily communicate science to lay farmer and initiated the movement of farmers who know how to manage water. Social learning in sensor technology helped to increase farmers' resilience to climate change and shaping the science of the future.
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