Effect of two different house screening interventions on exposure to malaria vectors and on anaemia in children in The Gambia: a randomised controlled trial

Kirby, Matthew J.; Ameh, David; Bottomley, Christian; Green, Clare; Jawara, Musa; Milligan, Paul; Snell, Paul; Conway, David J.; Lindsay, Steve W.

doi:10.1016/s0140-6736(09)60871-0

Cited by 242 publications

(323 citation statements)

References 31 publications

Supporting

Mentioning

303

Contrasting

Unclassified

Order By: Relevance

“…[61] Also, screening has no gender inequity concerns because protection does not target individuals. [65] The possibility of using expired ITNs [64] and locally affordable and accessible materials like mud, palms and sticks, [60,63] makes screening highly financially feasible and highly sustainable. [64] c) Include malaria prevention in school curricula.…”

Section: Strategies To Address Community Educationmentioning

confidence: 99%

Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review

Mbako¹

2017

CAJPH

View full text Add to dashboard Cite

Abstract:Despite 66 percent reduction in mortality between 2000 and 2015, malaria remains a major global public health problem, affecting mostly Sub-Saharan Africa. Cameroon remains endemic to malaria, with about 41 percent suffering at least one episode of malaria, annual overall mortality of 30 to 35 percent and 67 percent childhood mortality. Cameroon government's subsidy on artemisinin combination therapy (ACT) for uncomplicated malaria, intermittent preventive treatment for pregnant women (IPTp), free distribution of insecticide treated bed nets (ITNs) to pregnant women and under-fives have been more of a top-down approach, with the affected communities mainly at the receiving end. Challenges of failed adherence to test results, drug and insecticide resistance, substandard and self-medication, low ITN ownership and utilisation have been identified, especially in the rural areas. This study reviews malaria prevention in Cameroon and proposes community based context-specific complementary interventions strategies that will promote community participation in prevention and mitigate the effects of poverty towards achievement of the sustainable development goals targets for malaria. The study involved an in-depth review of secondary data from electronic and non-electronic documents. Electronic search was done in Global Health, PubMed, governmental and non-governmental organisation websites, journals and google scholar. Non-electronic documents from the University of Leeds and World Health Organisation (WHO), Geneva libraries were also used. A conceptual framework on integrated community-based approach on intervention to prevent neglected tropical diseases and infectious diseases of poverty was adapted and used, while different intervention strategies were analysed. A total of 96 publications were eligible for inclusion. Analysis of the factors influencing malaria prevention in Cameroon, reveals that current measures alone are insufficient. Therefore, a combination of multiple delivery strategies using an integrated community-based approach is likely to be more effective in breaking the transmission cycle than single programme interventions. Concurrent implementation of community mobilisation through social groups and Village Development Committees, education on house screening, training of mothers and caregivers and health promotion through environmental management were recommended as the best and most feasible strategies to complement current interventions in Cameroon.

show abstract

Section: Strategies To Address Community Educationmentioning

confidence: 99%

Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review

Mbako¹

2017

CAJPH

View full text Add to dashboard Cite

show abstract

“…Where men are often absent from home due to work opportunities in distant centres and mothers (or others) then act as caregivers of families, even less time and resources would be available to service the required actions inherent in community-based control programmes. Given the current success of IRS and associated support systems in malaria prevention in Limpopo 13 and elsewhere, unless other community-passive and successful methods for the prevention of malaria transmission can be developed (such as house screening or house design modifications) 25,26 that is as good or better than IRS, it seems unreasonable to expect poor communities to adopt a far more community-active system while they are still battling with poverty and other overriding day-to-day issues.…”

Section: Discussionmentioning

confidence: 99%

Implications for health education and intervention strategies arising from children's caregivers concerns following successful malaria control

Bornman

Schlemmer²,

Walt³

et al. 2012

Transactions of the Royal Society of Tropical Medicine and Hygi

View full text Add to dashboard Cite

SummaryWe investigated the interaction between social and economic circumstances with malaria awareness in rural South African villages effectively protected from malaria infection by community-passive, indoor residual spray (IRS) performed by government. We conducted interviews with 120 caregivers of children using both open-ended and closed fixed-answer questions. The mean income was between 27 and56% of the national mean, indicating a community under considerable pressure. Male parents were often absent due to work commitments. Unemployment, poverty, crime, and clean water were the main, unprompted, threats, but malaria was volunteered by none. Only when malaria was prompted (caregivers had good knowledge of malaria), did its concern rise. Malaria, therefore, was not a prominent conscious concern. This implies that alternatives to IRS that require increased community and personal engagement, behavioural changes, and time commitment (such as certain components of integrated vector management and bed nets), will 2 face implementation challenges. Unless community-passive malaria control measures can be developed that is as good or better than IRS, it seems unreasonable to expect poor communities to adopt community-active systems. Our findings should be considered in malaria control strategies, rural policy development, climate change adaptation, and communication strategies.

show abstract

“…21 In a recent large-scale randomized controlled trial, house screening with untreated fly-screen mesh, installed as ceilings or as full screening on the doors and windows, reduced anaemia due to malaria in young Gambian children by around 50 %. 22 Since anaemia due to malaria is a major killer of young children, house screening has the potential to substantially reduce malaria deaths in this age group. In urban Africa, malaria transmission is about 95 % lower than in rural areas 23 , with few vectors entering houses.…”

Section: Promoting Health and Advancing Development Through Improvedmentioning

confidence: 99%

“…47 The cost of full house screening is around $10 per person (assuming four people per house) and would be similar to insecticide-treated bednets or indoor residual spraying if it remained effective for 3-4 years. 22 In the case of water and sanitation technologies, costs are relatively low (Table 3) but still beyond the reach of the poorest. An important question for future analysis is the potential of greater economic efficiency for integrated interventions and delivery.…”

Section: Box 4 Incremental and Modular Architecturementioning

confidence: 99%

Promoting Health and Advancing Development through Improved Housing in Low-Income Settings

et al. 2012

View full text Add to dashboard Cite

There is major untapped potential to improve health in low-income communities through improved housing design, fittings, materials and construction. Adverse effects on health from inadequate housing can occur through a range of mechanisms, both direct and indirect, including as a result of extreme weather, household air pollution, injuries or burns, the ingress of disease vectors and lack of clean water and sanitation. Collaborative action between public health professionals and those involved in developing formal and informal housing could advance both health and development by addressing risk factors for a range of adverse health outcomes. Potential trade-offs between design features which may reduce the risk of some adverse outcomes whilst increasing the risk of others must be explicitly considered.

show abstract

Effect of two different house screening interventions on exposure to malaria vectors and on anaemia in children in The Gambia: a randomised controlled trial

Cited by 242 publications

References 31 publications

Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review

Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review

Implications for health education and intervention strategies arising from children's caregivers concerns following successful malaria control

Promoting Health and Advancing Development through Improved Housing in Low-Income Settings

Contact Info

Product

Resources

About