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

dc.contributor.author Kabatereine, N
dc.contributor.author Kramer, Randall A
dc.contributor.author Mutero, CM
dc.contributor.author Schlodder, D
dc.coverage.spatial England
dc.date.accessioned 2013-05-01T18:12:12Z
dc.date.issued 2012-01-14
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/22243516
dc.identifier 1475-2875-11-21
dc.identifier.uri http://hdl.handle.net/10161/6986
dc.description.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.
dc.language eng
dc.relation.ispartof Malar J
dc.relation.isversionof 10.1186/1475-2875-11-21
dc.subject Animals
dc.subject Attitude of Health Personnel
dc.subject Disease Transmission, Infectious
dc.subject Health Knowledge, Attitudes, Practice
dc.subject Health Policy
dc.subject Health Services Research
dc.subject Humans
dc.subject Malaria
dc.subject Mosquito Control
dc.subject Policy Making
dc.subject Surveys and Questionnaires
dc.subject Uganda
dc.title Integrated vector management for malaria control in Uganda: knowledge, perceptions and policy development.
dc.type Journal article
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/22243516
pubs.begin-page 21
pubs.organisational-group Duke
pubs.organisational-group Duke Science & Society
pubs.organisational-group Economics
pubs.organisational-group Environmental Sciences and Policy
pubs.organisational-group Global Health Institute
pubs.organisational-group Initiatives
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Nicholas School of the Environment
pubs.organisational-group Trinity College of Arts & Sciences
pubs.organisational-group University Institutes and Centers
pubs.publication-status Published online
pubs.volume 11
dc.identifier.eissn 1475-2875


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