Media, Health Workers, and Policy Makers' Relationship and Their Impact on Antimalarial Policy Adoption: A Population Genetics Perspective

Malisa, Allen L; Pearce, R. P.; Mutayoba, Benezeth; Abdullah, Salim; Mshinda, Hassan; Kachur, Patrick; Bloland, Peter B.; Roper, Cally

doi:10.4061/2011/217276

Cited by 1 publication

(1 citation statement)

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“…Since then there has been a number of policy analyses in Sub-Saharan Africa looking at malaria treatment policy ( Diap et al . 2010 ; Malisa et al . 2011 ; Martins et al .…”

Section: Discussionmentioning

confidence: 99%

National malaria vector control policy: an analysis of the decision to scale-up larviciding in Nigeria

Tesfazghi

Hill

Ranson

et al. 2015

Health Policy Plan.

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Background: New vector control tools are needed to combat insecticide resistance and reduce malaria transmission. The World Health Organization (WHO) endorses larviciding as a supplementary vector control intervention using larvicides recommended by the WHO Pesticides Evaluation Scheme (WHOPES). The decision to scale-up larviciding in Nigeria provided an opportunity to investigate the factors influencing policy adoption and assess the role that actors and evidence play in the policymaking process, in order to draw lessons that help accelerate the uptake of new methods for vector control.Methods: A retrospective policy analysis was carried out using in-depth interviews with national level policy stakeholders to establish normative national vector control policy or strategy decision-making processes and compare these with the process that led to the decision to scale-up larviciding. The interviews were transcribed, then coded and analyzed using NVivo10. Data were coded according to pre-defined themes from an analytical policy framework developed a priori.Results: Stakeholders reported that the larviciding decision-making process deviated from the normative vector control decision-making process. National malaria policy is normally strongly influenced by WHO recommendations, but the potential of larviciding to contribute to national economic development objectives through larvicide production in Nigeria was cited as a key factor shaping the decision. The larviciding decision involved a restricted range of policy actors, and notably excluded actors that usually play advisory, consultative and evidence generation roles. Powerful actors limited the access of some actors to the policy processes and content. This may have limited the influence of scientific evidence in this policy decision.Conclusions: This study demonstrates that national vector control policy change can be facilitated by linking malaria control objectives to wider socioeconomic considerations and through engaging powerful policy champions to drive policy change and thereby accelerate access to new vector control tools.

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“…Since then there has been a number of policy analyses in Sub-Saharan Africa looking at malaria treatment policy ( Diap et al . 2010 ; Malisa et al . 2011 ; Martins et al .…”

Section: Discussionmentioning

confidence: 99%