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Polisye Kont Moustik: A Culturally Competent Approach to Larval Source Reduction in the Context of Lymphatic Filariasis and Malaria Elimination in Haiti

Community engagement has become an increasingly important focus of global health programs. Arbovirus emergence in the Americas (Zika and chikungunya virues), and global goals for malaria and lymphatic filariasis elimination, mean that community-based mosquito control has taken on a new salience. But...

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Autores principales: Bardosh, Kevin Louis, Jean, Lorence, Beau De Rochars, Valery Madsen, Lemoine, Jean Frantz, Okech, Bernard, Ryan, Sadie Jane, Welburn, Sue, Morris, J. Glenn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082096/
https://www.ncbi.nlm.nih.gov/pubmed/30270896
http://dx.doi.org/10.3390/tropicalmed2030039
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author Bardosh, Kevin Louis
Jean, Lorence
Beau De Rochars, Valery Madsen
Lemoine, Jean Frantz
Okech, Bernard
Ryan, Sadie Jane
Welburn, Sue
Morris, J. Glenn
author_facet Bardosh, Kevin Louis
Jean, Lorence
Beau De Rochars, Valery Madsen
Lemoine, Jean Frantz
Okech, Bernard
Ryan, Sadie Jane
Welburn, Sue
Morris, J. Glenn
author_sort Bardosh, Kevin Louis
collection PubMed
description Community engagement has become an increasingly important focus of global health programs. Arbovirus emergence in the Americas (Zika and chikungunya virues), and global goals for malaria and lymphatic filariasis elimination, mean that community-based mosquito control has taken on a new salience. But how should mosquito control initiatives be designed and implemented in ways that best engage local people? What are the challenges and trade-offs of different strategies, not only for effectiveness but also for scale-up? In this paper, we describe the social and political dynamics of a pilot study in a small town in northern Haiti. With the aim of developing a culturally-competent approach to larval source management (LSM), our pilot project combined larval surveillance with environmental management, social engagement, community education, and larvicide application. Orientated around a network of ‘Mosquito Police’ (Polisye Kont Moustik, in Haitian Creole), our approach integrated elements of formative research, social learning, and community participation. Here, we reflect on the challenges we encountered in the field, from larval mapping, staff management, education and behavior change, engagement with formal and informal leaders, and community-based environmental cleanup. We discuss how these programmatic efforts were influenced and shaped by a complex range of social, cultural, political, and economic realities, and conclude by discussing the implications of our community-based approach for the elimination of lymphatic filariasis and malaria, and other vector-borne diseases, in Haiti.
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spelling pubmed-60820962018-09-24 Polisye Kont Moustik: A Culturally Competent Approach to Larval Source Reduction in the Context of Lymphatic Filariasis and Malaria Elimination in Haiti Bardosh, Kevin Louis Jean, Lorence Beau De Rochars, Valery Madsen Lemoine, Jean Frantz Okech, Bernard Ryan, Sadie Jane Welburn, Sue Morris, J. Glenn Trop Med Infect Dis Article Community engagement has become an increasingly important focus of global health programs. Arbovirus emergence in the Americas (Zika and chikungunya virues), and global goals for malaria and lymphatic filariasis elimination, mean that community-based mosquito control has taken on a new salience. But how should mosquito control initiatives be designed and implemented in ways that best engage local people? What are the challenges and trade-offs of different strategies, not only for effectiveness but also for scale-up? In this paper, we describe the social and political dynamics of a pilot study in a small town in northern Haiti. With the aim of developing a culturally-competent approach to larval source management (LSM), our pilot project combined larval surveillance with environmental management, social engagement, community education, and larvicide application. Orientated around a network of ‘Mosquito Police’ (Polisye Kont Moustik, in Haitian Creole), our approach integrated elements of formative research, social learning, and community participation. Here, we reflect on the challenges we encountered in the field, from larval mapping, staff management, education and behavior change, engagement with formal and informal leaders, and community-based environmental cleanup. We discuss how these programmatic efforts were influenced and shaped by a complex range of social, cultural, political, and economic realities, and conclude by discussing the implications of our community-based approach for the elimination of lymphatic filariasis and malaria, and other vector-borne diseases, in Haiti. MDPI 2017-08-18 /pmc/articles/PMC6082096/ /pubmed/30270896 http://dx.doi.org/10.3390/tropicalmed2030039 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bardosh, Kevin Louis
Jean, Lorence
Beau De Rochars, Valery Madsen
Lemoine, Jean Frantz
Okech, Bernard
Ryan, Sadie Jane
Welburn, Sue
Morris, J. Glenn
Polisye Kont Moustik: A Culturally Competent Approach to Larval Source Reduction in the Context of Lymphatic Filariasis and Malaria Elimination in Haiti
title Polisye Kont Moustik: A Culturally Competent Approach to Larval Source Reduction in the Context of Lymphatic Filariasis and Malaria Elimination in Haiti
title_full Polisye Kont Moustik: A Culturally Competent Approach to Larval Source Reduction in the Context of Lymphatic Filariasis and Malaria Elimination in Haiti
title_fullStr Polisye Kont Moustik: A Culturally Competent Approach to Larval Source Reduction in the Context of Lymphatic Filariasis and Malaria Elimination in Haiti
title_full_unstemmed Polisye Kont Moustik: A Culturally Competent Approach to Larval Source Reduction in the Context of Lymphatic Filariasis and Malaria Elimination in Haiti
title_short Polisye Kont Moustik: A Culturally Competent Approach to Larval Source Reduction in the Context of Lymphatic Filariasis and Malaria Elimination in Haiti
title_sort polisye kont moustik: a culturally competent approach to larval source reduction in the context of lymphatic filariasis and malaria elimination in haiti
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082096/
https://www.ncbi.nlm.nih.gov/pubmed/30270896
http://dx.doi.org/10.3390/tropicalmed2030039
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