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Integrated vector management for malaria control in Uganda: knowledge, perceptions and policy development.
Abstract
BACKGROUND: Integrated vector management (IVM) is increasingly being recommended as
an option for sustainable malaria control. However, many malaria-endemic countries
lack a policy framework to guide and promote the approach. The objective of the study
was to assess knowledge and perceptions in relation to current malaria vector control
policy and IVM in Uganda, and to make recommendations for consideration during future
development of a specific IVM policy. METHODS: The study used a structured questionnaire
to interview 34 individuals working at technical or policy-making levels in health,
environment, agriculture and fisheries sectors. Specific questions on IVM focused
on the following key elements of the approach: integration of chemical and non-chemical
interventions of vector control; evidence-based decision making; inter-sectoral collaboration;
capacity building; legislation; advocacy and community mobilization. RESULTS: All
participants were familiar with the term IVM and knew various conventional malaria
vector control (MVC) methods. Only 75% thought that Uganda had a MVC policy. Eighty
percent (80%) felt there was inter-sectoral collaboration towards IVM, but that it
was poor due to financial constraints, difficulties in involving all possible sectors
and political differences. The health, environment and agricultural sectors were cited
as key areas requiring cooperation in order for IVM to succeed. Sixty-seven percent
(67%) of participants responded that communities were actively being involved in MVC,
while 48% felt that the use of research results for evidence-based decision making
was inadequate or poor. A majority of the participants felt that malaria research
in Uganda was rarely used to facilitate policy changes. Suggestions by participants
for formulation of specific and effective IVM policy included: revising the MVC policy
and IVM-related policies in other sectors into a single, unified IVM policy and, using
legislation to enforce IVM in development projects. CONCLUSION: Integrated management
of malaria vectors in Uganda remains an underdeveloped component of malaria control
policy. Cooperation between the health and other sectors needs strengthening and funding
for MVC increased in order to develop and effectively implement an appropriate IVM
policy. Continuous engagement of communities by government as well as monitoring and
evaluation of vector control programmes will be crucial for sustaining IVM in the
country.
Type
Journal articleSubject
AnimalsAttitude of Health Personnel
Disease Transmission, Infectious
Health Knowledge, Attitudes, Practice
Health Policy
Health Services Research
Humans
Malaria
Mosquito Control
Policy Making
Surveys and Questionnaires
Uganda
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https://hdl.handle.net/10161/6986Published Version (Please cite this version)
10.1186/1475-2875-11-21Publication Info
Mutero, Clifford M; Schlodder, Dieter; Kabatereine, Narcis; & Kramer, Randall (2012). Integrated vector management for malaria control in Uganda: knowledge, perceptions
and policy development. Malar J, 11. pp. 21. 10.1186/1475-2875-11-21. Retrieved from https://hdl.handle.net/10161/6986.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Randall Kramer
Juli Plant Grainger Professor Emeritus of Global Environmental Health
Before coming to Duke in 1988, he was on the faculty at Virginia Polytechnic Institute
and State University. He has held visiting positions at IUCN--The World Conservation
Union, the Economic Growth Center at Yale University, and the Indonesian Ministry
of Forestry. He has served as a consultant to the World Bank, World Health Organization
and other international organizations. He was named Duke University's Scholar Teacher
of the Year in 2004.
Kramer's research is focused on the econ

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