Browsing by Author "Matindo, Athuman Yusuph"

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    Biolarviciding for malaria vector control: Acceptance and associated factors in southern Tanzania
    (Elsevier, 2021) Matindo, Athuman Yusuph; Kapalata, Secilia Ngʼweshemi; Katalambula, Leonard Kamanga; Meshi, Eugene Benjamin; Munisi, David Zadock
    In the struggle towards malaria elimination, the government of Tanzania scaled up nationwide biolarviciding to supplement existing vector control measures. As with any community-based intervention, success of biolarviciding depends on acceptability to the community. This study sought to ascertain acceptance of biolarviciding among communities in southern Tanzania. A mixed-method study involved administration of questionnaires to 400 community members, with 32 key informant interviews and five in-depth interviews also held in selected councils of southern Tanzania. A multistage sampling method was employed in selecting community members, with purposive sampling used in selecting key informant and in-depth interviewees. The study found high community acceptance (80.3%) despite very low (19.3%) knowledge on biolarviciding. Community perception that biolarvicide is effective in reducing malaria infection was found to be a significant predictor of community acceptance to biolarviciding: those who perceived biolarvicide as effective in reducing malaria were five times more likely to accept biolarviciding compared to those with a negative perception (odds ratio ¼ 4.67, 95% CI: 1.89–11.50, P ¼ 0.001). We conclude that biolarviciding received high acceptance among community members in southern Tanzania and therefore the implementation is likely to get strong support from community members. To enhance and make community acceptance sustainable, heath education to enhance the level of community knowledge on biolarviciding is recommended.
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    Biolarviciding implementation in southern Tanzania: Scalability opportunities and challenges
    (PLOS ONE, 2022) Matindo, Athuman Yusuph; Meshi, Eugene Benjamin; Kapologwe, Ntuli Angyelile; Kengia, James Tumaini; Kajange, Stella; Chaki, Prosper; Munisi, David Zadock
    The resistance to insecticides among malaria vectors poses a global challenge in the efforts towards malaria elimination. This calls for an addition of larval control methods such as biolarviciding. However, the implementation of biolarviciding in Tanzania has been very low. Therefore, this study explored factors affecting the implementation of biolarviciding in the councils of Southern Tanzania. A mixed method descriptive qualitative, cross-sectional study design was used to collect data from 32 community leaders through key informant interviews and 12 Vectors Control Coordinators through in-depth interviews and questionnaire interviews and document review of implementation reports in 12 councils. Data were analysed using ATLAS version 8, where content analysis was performed and SPSS for the quantitative data. The study found low implementation of biolarviciding intervention in 9 out of 12 (75%) surveyed councils. All Vector Control Coordinators reported a shortage of at least one type of resources: funds, trained personnel, transport, supply of biolarvicide, and equipment; low community involvement (50%) and low level of community participation 83.3% (10/12). This study highlights resource inadequacy and low community participation as main barriers to the implementation of biolarviciding. Availing adequate resources and strengthening community participation through involvement in all stages of implementation is crucial for successful and sustainable implementation.
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    Factors affecting the implementation of biolarviciding for malaria vector control in Southern Tanzania.
    (The University of Dodoma, 2020) Matindo, Athuman Yusuph
    The resistance to insecticides among malaria vectors poses a global challenge in the efforts towards malaria elimination. This calls for an addition of larval control methods such as biolarviciding. However, the implementation of biolarviciding in Tanzania has been very low. Therefore, this study explored factors affecting the implementation of biolarviciding in the councils of Southern Tanzania. A mixed-method, cross-sectional design was used to collect quantitative data from 400 community members and 12 Vectors Control Officers using structured-questionnaire and qualitative data through interviews with 37 key informants and document review of implementation reports in 12 councils. Quantitative data were analysed using SPSS, version 22 whereby descriptive and inferential statistics were performed. Qualitative data were analysed using ATLAS.ti version 8 where content analysis was performed. The study found that there is low implementation of biolarviciding in 75.0% of surveyed councils. All Vector Control Officers reported shortage of at least one type of resources, low community involvement (50.0%) and low level of community participation (83.33%). About 84.75% community members reported to have never participated in biolarviciding. Willingness to participate (AOR=2.73, P-value=0.046) and community involvement (AOR=5.49, P-value<0.001) were important predictors of community participation. Community members expressed high acceptance (80.25%) and willingness (77.75%) to participate in biolarviciding activities. Perceiving being at risk for malaria (AOR=2.68, P-value=0.001), malaria as a serious disease (AOR=3.09, P-value=0.001) and biolarviciding as an effective method for malaria reduction (AOR=4.07, P=0.002) were important predictors for community acceptance. Willingness to participate was associated with community acceptance (AOR=3.93, P-value<0.001) and perception that the participation will be valued (AOR=4.31, P<0.001). This study highlights resources inadequacy and low community participation as main barriers to implementation of biolarviciding. Improving commitment to supplying resources and strengthening community participation by involvement in all stages of implementation is crucial for successful and sustainable implementation.