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Seasonal variation in the perceived risk of malaria: Implications for the promotion of insecticide-impregnated bed nets

Author

Listed:
  • Winch, P. J.
  • Makemba, A. M.
  • Kamazima, S. R.
  • Lwihula, G. K.
  • Lubega, P.
  • Minjas, J. N.
  • Shiff, C. J.

Abstract

Bed nets (mosquito nets), impregnated every 6 months with pyrethroid insecticides, are a simple, low-cost malaria control method well suited to conditions in sub-Saharan Africa. As large seasonal variations in levels of net usage may seriously limit the potential impact of the nets on malaria transmission, a study was conducted on local definitions of seasons, perceptions of seasonal variation in mosquito populations and incidence of febrile illnesses in Bagamoyo District, Tanzania, to aid in the design of a communication strategy for promoting sustained use of the nets. Both the diagnosis and treatment of febrile illnesses are affected by what season people think it is, by what illnesses they think are common in each season, and also by their perceptions of how abundant mosquitoes are. During dry seasons when mosquitoes are scarce and malaria is thought to be unlikely, it will be difficult to attain high rates of net usage. It will be necessary to develop locally-appropriate messages and communication materials that explain how it is possible that malaria can be a threat even when mosquitoes are few. Cultural consensus analysis was found to be a particularly valuable tool for understanding the reasons behind large variations in local perceptions of seasonality.

Suggested Citation

  • Winch, P. J. & Makemba, A. M. & Kamazima, S. R. & Lwihula, G. K. & Lubega, P. & Minjas, J. N. & Shiff, C. J., 1994. "Seasonal variation in the perceived risk of malaria: Implications for the promotion of insecticide-impregnated bed nets," Social Science & Medicine, Elsevier, vol. 39(1), pages 63-75, July.
    • Handle: RePEc:eee:socmed:v:39:y:1994:i:1:p:63-75
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    Cited by:

    1. Panter-Brick, Catherine & Clarke, Sian E. & Lomas, Heather & Pinder, Margaret & Lindsay, Steve W., 2006. "Culturally compelling strategies for behaviour change: A social ecology model and case study in malaria prevention," Social Science & Medicine, Elsevier, vol. 62(11), pages 2810-2825, June.
    2. Cheryl L Russell & Adamu Sallau & Emmanuel Emukah & Patricia M Graves & Gregory S Noland & Jeremiah M Ngondi & Masayo Ozaki & Lawrence Nwankwo & Emmanuel Miri & Deborah A McFarland & Frank O Richards , 2015. "Determinants of Bed Net Use in Southeast Nigeria following Mass Distribution of LLINs: Implications for Social Behavior Change Interventions," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-15, October.
    3. Hannah Koenker & Albert Kilian, 2014. "Recalculating the Net Use Gap: A Multi-Country Comparison of ITN Use versus ITN Access," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-7, May.
    4. Koen Peeters Grietens & Joan Muela Ribera & Veronica Soto & Alex Tenorio & Sarah Hoibak & Angel Rosas Aguirre & Elizabeth Toomer & Hugo Rodriguez & Alejandro Llanos Cuentas & Umberto D'Alessandro & Di, 2013. "Traditional Nets Interfere with the Uptake of Long-Lasting Insecticidal Nets in the Peruvian Amazon: The Relevance of Net Preference for Achieving High Coverage and Use," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-10, January.

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