From the same journal

From the same journal

Group-based citizenship in the acceptance of indoor residual spraying (IRS) for malaria control in Mozambique

Research output: Contribution to journalArticle

Author(s)

  • Catherine M. Montgomery
  • Khatia Munguambe
  • Robert Pool

Department/unit(s)

Publication details

JournalSocial Science & Medicine
DatePublished - May 2010
Issue number10
Volume70
Number of pages8
Pages (from-to)1648-1655
Original languageEnglish

Abstract

In 2006, the Mozambican Ministry of Health expanded its existing Indoor Residual Spraying (IRS) programme into Manhica District in the south of the country. Widespread household coverage is required to have a significant impact on malaria transmission, making acceptability fundamental to success. Between 2006 and 2008 we conducted anthropological research in order to understand acceptability of IRS in the context of the implementation process, policy debates, local and regional politics and historical processes. In the first phase of this qualitative study, conducted between January and April 2006, 73 interviews and 12 focus groups were conducted with key stakeholders from 14 locales in and around the town of Manhica: householders, community leaders, health care professionals, sprayers, and District officials. Analysis revealed IRS to be broadly acceptable despite very low levels of perceived efficacy and duration of effect. In contrast to previous studies which have linked acceptance to a reduction in mosquitoes, nuisance biting and malaria, we found people's compliance with the programme to be founded on a sense of group-based citizenship. The involvement of local governmental leaders in the intervention appears to have led many to accept spraying as part of their civic duty, as decreed by postwar decentralisation policy in rural areas. We discuss the implications of this 'passive' form of compliance for the acceptability and sustainability of malaria control and other public health programmes. (C) 2010 Elsevier Ltd. All rights reserved.

    Research areas

  • Mozambique, Malaria, Vector control, Acceptability, Socio-political context, Indoor residual spraying (IRS), Citizenship, PLASMODIUM-FALCIPARUM INFECTION, BORNE DISEASE-CONTROL, COMMUNITY PARTICIPATION, AEDES-AEGYPTI, DENGUE CONTROL, VECTOR CONTROL, KNOWLEDGE, SUSTAINABILITY, ACCEPTABILITY, TRANSMISSION

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