Community perceptions and experiences of a non-pyrethroid insecticide-treated wall lining (ITWL) for malaria control in Tanzania: A qualitative study
Research Square (Research Square),
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 1, 2025
Abstract
Introduction
Although
long-lasting
insecticidal
nets
(LLINs)
and
indoor
residual
spraying
(IRS)
have
made
significant
contributions
to
malaria
reduction,
they
are
hampered
by
sustainability
issues,
increasing
insecticide
resistance,
operational
challenges,
low
uptake,
retention,
compliance.
Newer
more
effective
complementary
interventions
needed
address
these
issues.
A
non-pyrethroid
insecticide-treated
wall
lining
(ITWL)
was
piloted
challenges.
Objective:
We
explored
community
perceptions
experiences
that
impacted
the
acceptability
uptake
of
an
ITWL
when
used
together
with
LLINs
in
a
low-income
rural
Muheza
district,
Tanzania.
Methods:
The
study
combined
observations,
repeated
interviews,
focus
group
discussions
(FGDs).
In-depth
interviews
(IDIs)
were
conducted
village
leaders,
health
workers,
installers.
Observations
during
installation
follow-up
stages.
FGDs
held
male
heads
households,
mothers
children
under
5,
aged
5-11
years.
The
data
analysed
using
content
analysis
approach.
Results:
Due
its
long-term
experience
past
research,
communities
had
substantial
knowledge
awareness
control
tools.
seen
as
important
tool
against
vectors,
if
effective.
Nevertheless,
initial
implementation
challenges
historical
beliefs
around
insecticides
somewhat
threatened
reception.
ITWLs
generally
appreciated,
participants
emphasizing
their
aesthetic
value
ability
beautify
houses.
Some
cement
structures
environmental
circumstances
found
proved
be
challenging
for
installation,
maintenance
cleaning
material,
suggesting
need
modification
any
future
design
improvements.
Improper
fitting
provided
hiding
places
pests,
such
rats
snakes.
In
addition,
concerns
about
insecticides'
materials'
impact
on
human
slowed
household
and,
some
cases,
led
members
discarding
ITWLs.
Poor
houses
demanded
constant
maintenance,
which
reported
being
technically
demanding
trained
artisans.
Finally,
despite
encouraged
keep
after
receiving
ITWLs,
households
discontinued
LLINs,
threatening
sustained
protection.
Conclusions
improved
prototype
may
potential
prevention
tool,
but
practical
behaviour
would
require
engagement
education
strategies
increase
sustain
use,
conjunction
conventional
vector
tools
like
LLINs.
Language: Английский
Ownership and usage of insecticide-treated nets in Ghana: a scoping review of facilitators and barriers
Malaria Journal,
Journal Year:
2024,
Volume and Issue:
23(1)
Published: Aug. 10, 2024
Insecticide-treated
nets
(ITNs)
are
pivotal
tools
for
malaria
prevention
in
endemic
regions
like
Ghana.
Understanding
the
protective
factors
and
barriers
influencing
ITN
ownership
usage
is
crucial
designing
effective
interventions.
A
scoping
review
was
conducted
to
identify
studies
exploring
related
usage.
Language: Английский