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Integrated vector management for malaria control in Uganda: knowledge, perceptions and policy development.

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Date
2012-01-14
Authors
Mutero, Clifford M
Schlodder, Dieter
Kabatereine, Narcis
Kramer, Randall
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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 article
Subject
Animals
Attitude 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
Permalink
https://hdl.handle.net/10161/6986
Published Version (Please cite this version)
10.1186/1475-2875-11-21
Publication 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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Scholars@Duke

Kramer

Randall Kramer

Professor Emeritus of Environmental Economics
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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