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Community-centred eco-bio-social approach to control dengue vectors: an intervention study from Myanmar
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Wai, K. T. (författare)
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Htun, P. T. (författare)
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Oo, T. (författare)
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Myint, H. (författare)
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Lin, Z. (författare)
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Kroeger, A. (författare)
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Sommerfeld, J. (författare)
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- Petzold, Max, 1973 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Akademistatistik,Institute of Medicine,Centre for Applied Biostatistics
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(creator_code:org_t)
- 2013-11-12
- 2012
- Engelska.
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Ingår i: Pathogens and Global Health. - : Informa UK Limited. - 2047-7724 .- 2047-7732. ; 106:8, s. 461-468
- Relaterad länk:
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https://www.tandfonl...
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Objectives: To build up and analyse the feasibility, process, and effectiveness of a partnership-driven ecosystem management intervention in reducing dengue vector breeding and constructing sustainable partnerships among multiple stakeholders. Methods: A community-based intervention study was conducted from May 2009 to January 2010 in Yangon city. Six high-risk and six low-risk clusters were randomized and allocated as intervention and routine service areas, respectively. For each cluster, 100 households were covered. Bi-monthly entomological evaluations (i.e. larval and pupal surveys) and household acceptability surveys at the end of 6-month intervention period were conducted, supplemented by qualitative evaluations. Intervention description: The strategies included eco-friendly multi-stakeholder partner groups (Thingaha) and ward-based volunteers, informed decision-making of householders, followed by integrated vector management approach. Findings: Pupae per person index (PPI) decreased at the last evaluation by 5.7% (0.35-0.33) in high-risk clusters. But in low-risk clusters, PPI remarkably decreased by 63.6% (0.33-0.12). In routine service area, PPI also decreased due to availability of Temephos after Cyclone Nargis. As for total number of pupae in all containers, when compared to evaluation 1, there was a reduction of 18.6% in evaluation 2 and 44.1% in evaluation 3 in intervention area. However, in routine service area, more reduction was observed. All intervention tools were found as acceptable, being feasible to implement by multi-stakeholder partner groups. Conclusions: The efficacy of community-controlled partnership-driven interventions was found to be superior to the vertical approach in terms of sustainability and community empowerment.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Nyckelord
- Partnership-driven ecosystem management intervention
- Dengue vector breeding
- Informed
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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