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TitleDevelopment of a community-based environmental management program for malaria control in Kampala and Jinja, Uganda : first year summary report
Publication TypeMiscellaneous
Year of Publication2003
AuthorsLindsay, S, Egwang, T, Kebba, A, Oyena, D, Matwale, G
Secondary TitleActivity report / EHP
Volumeno. 122
Paginationx, 50 p. : 10 fig., 1 map, photogr., 12 tab.
Date Published2003-11-01
PublisherEnvironmental Health Project (EHP)
Place PublishedArlington, VA, USA
Keywordscommunity participation, disease control, environmental management, malaria, public health, sdihyg, uganda jinja-njeru, uganda kampala, vector control, vector-borne diseases
Abstract

Nowadays, malaria control in Africa focuses almost entirely on the use of anti-malarials and insecticide-treated bed nets, not on biophysical environmental modifications or on strengthened social systems to perform effective environmental manipulation. While drugs and insecticides are extremely effective weapons, their initial promise has been undermined by the development of resistance and growing concerns about the long-term costs and environmental impact of some of them.

This reports describes the impact of environmental management on the level of transmission and infection experienced on the study sites. It presents the activities and findings for the first year of a two-year study designed to assess the strengths and weaknesses of a community-based environmental management program for malaria control in two Ugandan cities: Kampala and Jinja. Routine entomological and clinical surveys were carried out in order to determine the source of vectors and the level of malaria transmission experienced on each study site. Both sites in Kampala are small valleys with extensive areas of flooded brick pits. In Jinja, they are estates close to farmland or swamps, the hills are less pronounced and the valleys broader, collecting water that drains into Lake Victoria. Both cities are essentially rural outside the main commercial centers. A key element of the approach has been to actively involve the communities and municipal authorities in the decision-making processes. Meetings were organized to develop an action plan for the implementation of the intervention strategies. These mosquito control action plans are specific to the ecology and social make-up on each site.

Notes7 ref.
Custom 1245.3, 824

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