House modifications as a malaria control tool: how does local context shape participants’ experience and interpretation in Uganda?

Malaria Journal

Research

Agaba Katureebe¹  Miriam Kayendeke¹  Susan Nayiga¹  Samuel Gonahasa¹  Moses R. Kamya²  Christine Nabirye³  Eleanor Hutchinson⁴  Sarah G. Staedke⁴  Nelli Westercamp⁵ 

[1] Infectious Diseases Research Collaboration, Kampala, Uganda;Infectious Diseases Research Collaboration, Kampala, Uganda;Department of Medicine, Makerere University, Kampala, Uganda;Infectious Diseases Research Collaboration, Kampala, Uganda;London School of Hygiene and Tropical Medicine, London, UK;London School of Hygiene and Tropical Medicine, London, UK;Malaria Branch, Centers for Disease Control and Prevention, Atlanta, USA;

关键词: Malaria;    House modification;    Full screening;    Partial screening;    Eave tubes;    Eave ribbons;    Local context;   

DOI  :  10.1186/s12936-023-04669-1

 received in 2023-01-27, accepted in 2023-08-07,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundEvidence that house design can provide protection from malaria is growing. Housing modifications such as screening windows, doors, and ceilings, and attaching insecticide-impregnated materials to the eaves (the gap between the top of the wall and bottom of the roof), can protect against malaria. To be effective at scale, however, these modifications must be adopted by household residents. There is evidence that housing modifications can be acceptable, but in-depth knowledge on the experiences and interpretation of modifications is lacking. This qualitative study was carried out to provide a holistic account of the relationship between experiences and interpretations of four types of piloted housing modifications and the local context in Jinja, Uganda.MethodsQualitative research was conducted between January to June 2021, before and during the installation of four types of housing modifications. The methods included nine weeks of participant observations in two study villages, nine focus group discussions with primary caregivers and heads of households (11–12 participants each), and nine key informant interviews with stakeholders and study team members.ResultsMost residents supported the modifications. Experiences and interpretation of the housing modifications were shaped by the different types of housing in the area and the processes through which residents finished their houses, local forms of land and property ownership, and cultural and spiritual beliefs about houses.ConclusionsTo maximize the uptake and benefit of housing modifications against malaria, programme development needs to take local context into account. Forms of local land and house ownership, preferences, the social significance of housing types, and religious and spiritual ideas shape the responses to housing modifications in Jinja. These factors may be important in other setting.Trial registration Trial registration number is NCT04622241. The first draft was posted on November 9th 2020.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

42490_2023_74_Article_IEq25.gif