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National malaria vector control policy: an analysis of the decision to scale-up larviciding in Nigeria
Background: New vector control tools are needed to combat insecticide resistance and reduce malaria transmission. The World Health Organization (WHO) endorses larviciding as a supplementary vector control intervention using larvicides recommended by the WHO Pesticides Evaluation Scheme (WHOPES). The...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724167/ https://www.ncbi.nlm.nih.gov/pubmed/26082391 http://dx.doi.org/10.1093/heapol/czv055 |
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author | Tesfazghi, Kemi Hill, Jenny Jones, Caroline Ranson, Hilary Worrall, Eve |
author_facet | Tesfazghi, Kemi Hill, Jenny Jones, Caroline Ranson, Hilary Worrall, Eve |
author_sort | Tesfazghi, Kemi |
collection | PubMed |
description | Background: New vector control tools are needed to combat insecticide resistance and reduce malaria transmission. The World Health Organization (WHO) endorses larviciding as a supplementary vector control intervention using larvicides recommended by the WHO Pesticides Evaluation Scheme (WHOPES). The decision to scale-up larviciding in Nigeria provided an opportunity to investigate the factors influencing policy adoption and assess the role that actors and evidence play in the policymaking process, in order to draw lessons that help accelerate the uptake of new methods for vector control. Methods: A retrospective policy analysis was carried out using in-depth interviews with national level policy stakeholders to establish normative national vector control policy or strategy decision-making processes and compare these with the process that led to the decision to scale-up larviciding. The interviews were transcribed, then coded and analyzed using NVivo10. Data were coded according to pre-defined themes from an analytical policy framework developed a priori. Results: Stakeholders reported that the larviciding decision-making process deviated from the normative vector control decision-making process. National malaria policy is normally strongly influenced by WHO recommendations, but the potential of larviciding to contribute to national economic development objectives through larvicide production in Nigeria was cited as a key factor shaping the decision. The larviciding decision involved a restricted range of policy actors, and notably excluded actors that usually play advisory, consultative and evidence generation roles. Powerful actors limited the access of some actors to the policy processes and content. This may have limited the influence of scientific evidence in this policy decision. Conclusions: This study demonstrates that national vector control policy change can be facilitated by linking malaria control objectives to wider socioeconomic considerations and through engaging powerful policy champions to drive policy change and thereby accelerate access to new vector control tools. |
format | Online Article Text |
id | pubmed-4724167 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-47241672016-01-25 National malaria vector control policy: an analysis of the decision to scale-up larviciding in Nigeria Tesfazghi, Kemi Hill, Jenny Jones, Caroline Ranson, Hilary Worrall, Eve Health Policy Plan Original Articles Background: New vector control tools are needed to combat insecticide resistance and reduce malaria transmission. The World Health Organization (WHO) endorses larviciding as a supplementary vector control intervention using larvicides recommended by the WHO Pesticides Evaluation Scheme (WHOPES). The decision to scale-up larviciding in Nigeria provided an opportunity to investigate the factors influencing policy adoption and assess the role that actors and evidence play in the policymaking process, in order to draw lessons that help accelerate the uptake of new methods for vector control. Methods: A retrospective policy analysis was carried out using in-depth interviews with national level policy stakeholders to establish normative national vector control policy or strategy decision-making processes and compare these with the process that led to the decision to scale-up larviciding. The interviews were transcribed, then coded and analyzed using NVivo10. Data were coded according to pre-defined themes from an analytical policy framework developed a priori. Results: Stakeholders reported that the larviciding decision-making process deviated from the normative vector control decision-making process. National malaria policy is normally strongly influenced by WHO recommendations, but the potential of larviciding to contribute to national economic development objectives through larvicide production in Nigeria was cited as a key factor shaping the decision. The larviciding decision involved a restricted range of policy actors, and notably excluded actors that usually play advisory, consultative and evidence generation roles. Powerful actors limited the access of some actors to the policy processes and content. This may have limited the influence of scientific evidence in this policy decision. Conclusions: This study demonstrates that national vector control policy change can be facilitated by linking malaria control objectives to wider socioeconomic considerations and through engaging powerful policy champions to drive policy change and thereby accelerate access to new vector control tools. Oxford University Press 2016-02 2015-06-15 /pmc/articles/PMC4724167/ /pubmed/26082391 http://dx.doi.org/10.1093/heapol/czv055 Text en © The Author 2015. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Tesfazghi, Kemi Hill, Jenny Jones, Caroline Ranson, Hilary Worrall, Eve National malaria vector control policy: an analysis of the decision to scale-up larviciding in Nigeria |
title | National malaria vector control policy: an analysis of the decision to scale-up larviciding in Nigeria |
title_full | National malaria vector control policy: an analysis of the decision to scale-up larviciding in Nigeria |
title_fullStr | National malaria vector control policy: an analysis of the decision to scale-up larviciding in Nigeria |
title_full_unstemmed | National malaria vector control policy: an analysis of the decision to scale-up larviciding in Nigeria |
title_short | National malaria vector control policy: an analysis of the decision to scale-up larviciding in Nigeria |
title_sort | national malaria vector control policy: an analysis of the decision to scale-up larviciding in nigeria |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724167/ https://www.ncbi.nlm.nih.gov/pubmed/26082391 http://dx.doi.org/10.1093/heapol/czv055 |
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