Community acceptance of reactive focal mass drug administration and reactive focal vector control using indoor residual spraying, a mixed-methods study in Zambezi region, Namibia

Community acceptance of reactive focal mass drug administration and reactive focal vector control using indoor residual spraying, a mixed-methods study in Zambezi region, Namibia

In Namibia, as in many malaria elimination settings, reactive case detection (RACD), or malaria testing and treatment around index cases, is a standard intervention. Reactive focal mass drug administration (rfMDA), or treatment without testing, and reactive focal vector control (RAVC) in the form of...

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Bibliographic Details
Published in:Malaria journal 2021-03, Vol.20 (1), p.162-162, Article 162
Main Authors: Roberts, Kathryn W, Smith Gueye, Cara, Baltzell, Kimberly, Ntuku, Henry, McCreesh, Patrick, Maglior, Alysse, Whittemore, Brooke, Uusiku, Petrina, Mumbengegwi, Davis, Kleinschmidt, Immo, Gosling, Roly, Hsiang, Michelle S
Format: Article
Language:eng
Subjects:
Acceptability
Clinical trials
Community
Data collection
Drugs
Gender
Health facilities
Health risks
Households
Human diseases
Indoor residual spraying
Insecticides
Intervention
Interviews
Malaria
Malaria elimination
Management
Mass drug administration
Methods
Mixed methods research
Mosquitoes
Namibia
Participation
Pesticides
Plasmodium falciparum
Polls & surveys
Prevention
Spraying
Surveying
Testing
Vector control
Vector-borne diseases
Young adults
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Summary:In Namibia, as in many malaria elimination settings, reactive case detection (RACD), or malaria testing and treatment around index cases, is a standard intervention. Reactive focal mass drug administration (rfMDA), or treatment without testing, and reactive focal vector control (RAVC) in the form of indoor residual spraying, are alternative or adjunctive interventions, but there are limited data regarding their community acceptability. A parent trial aimed to compare the effectiveness of rfMDA versus RACD, RAVC versus no RAVC, and rfMDA + RAVC versus RACD only. To assess acceptability of these interventions, a mixed-methods study was conducted using key informant interviews (KIIs) and focus group discussions (FGDs) in three rounds (pre-trial and in years 1 and 2 of the trial), and an endline survey. In total, 17 KIIs, 49 FGDs were conducted with 449 people over three annual rounds of qualitative data collection. Pre-trial, community members more accurately predicted the level of community acceptability than key stakeholders. Throughout the trial, key participant motivators included: malaria risk perception, access to free community-based healthcare and IRS, and community education by respectful study teams. RACD or rfMDA were offered to 1372 and 8948 individuals in years 1 and 2, respectively, and refusal rates were low (
ISSN:1475-2875
1475-2875