Engaging communities in malaria elimination in the south-west Pacific

Jo-an Atkinson (2011). Engaging communities in malaria elimination in the south-west Pacific PhD Thesis, School of Population Health, The University of Queensland.

       
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Author Jo-an Atkinson
Thesis Title Engaging communities in malaria elimination in the south-west Pacific
School, Centre or Institute School of Population Health
Institution The University of Queensland
Publication date 2011-09
Thesis type PhD Thesis
Supervisor Associate Professor Andrew Vallely
Dr Lisa Fitzgerald
Professor Marcel Tanner
Professor Gail Williams
Total pages 230
Total colour pages 11
Total black and white pages 219
Language eng
Subjects 111715 Pacific Peoples Health
111799 Public Health and Health Services not elsewhere classified
111712 Health Promotion
Abstract/Summary Since March 2008, with significant financial and technical support being made available through The Global Fund to fight AIDS, Tuberculosis and Malaria and the AusAID Pacific Malaria Initiative, the Vanuatu and Solomon Islands national malaria programs have embarked on an ambitious long-term endeavour to eliminate malaria from their island nations. The key components of their malaria elimination strategies are universal coverage and year-round use of long-lasting insecticidal bed nets (LLINs) and early diagnosis and prompt effective treatment of malaria illness. Although malaria technologies have improved, their success is still contingent on their acceptability and compliance at the household and community level. In addition, historic successes highlight the importance of engaging communities in communicable disease control and elimination programs. Hence, investigations into local human behavioural factors that impact the use of preventative interventions as well as barriers and motivators to community engagement and participation will be a vital component of the strategy to eliminate malaria in the south-west (SW) Pacific. This thesis explores community perceptions and practices for malaria prevention in low transmission settings, including the influence of risk perception, key social actors and how malaria is contextualized within broader community health and disease priorities on motivation for participation. In addition, it includes an atypical systematic literature review that synthesises 60 years of research on community participation in infectious disease control and elimination that categorised influences on participation at the individual, household, community levels and more broadly at the government / civil society levels. The outcomes of this research have supported the design of strategies for community engagement and behaviour change communication as well as assisted in understanding the potential impact of human behavioural factors on health system effectiveness in the scale up of interventions for malaria elimination in the SW Pacific. A key recommendation is the consideration of multi-level influences not only during the initial design of community participation strategies but as part of an ongoing ‘qualitative monitoring’ process for health systems effectiveness and responsiveness. The thesis concludes by proposing future research into the broader political and economic influences on participation. This should encompass multi-disciplinary approaches to addressing structural barriers to more sustainable community participation for malaria elimination in the SW Pacific.
Keyword Malaria elimination
community engagement
participation
intervention acceptability
Additional Notes Color pages: 42,43,70,71,73,78,104,131,133,216,217 Landscape pages: 50,51,97,107,213-230

 
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Created: Mon, 19 Mar 2012, 19:19:59 EST by Jo-an Atkinson on behalf of Library - Information Access Service