Community factors affecting participation in larval source management for malaria control in Chikwawa District, Southern Malawi.

摘要: To further reduce malaria, larval source management (LSM) is proposed as a complementary strategy to the existing strategies. LSM has potential control insecticide resistant, outdoor biting and resting vectors. Concerns about costs operational feasibility of implementation at large scale are among reasons not utilized in many African countries. Involving communities could increase intervention coverage, improve sustainability operations. Community acceptance participation community-led depends on number factors. These factors were explored under Majete Malaria Project Chikwawa district, southern Malawi. Separate focus group discussions (FGDs) conducted with members from general community (n = 3); health animators (HAs) committee (n = 3). In-depth interviews (IDIs) members. Framework analysis was employed determine contributing locally-driven intervention. Nine FGDs 24 IDIs held, involving 87 community. Widespread knowledge malaria problem, its mode transmission, mosquito habitats recorded. High awareness an association between creation transmission reported. Perception tool for high. The use microbial larvicide form perceived both safe effective. However, actual by different interviewee groups varied. Labour-intensiveness time requirements activities, lack financial incentives, concern risks when wading water bodies contributed lower participation. involvement increased local risk varied respondent groups, labour demands reduced Innovative tools that can activities. Further studies required investigate forms modes delivery incentives community-driven interventions.