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Emerging properties of malaria transmission and persistence in urban Accra, Ghana: evidence from a participatory system approach.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101139802 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-2875 (Electronic) Linking ISSN: 14752875 NLM ISO Abbreviation: Malar J Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2002-
    • الموضوع:
      Drug Resistance* ; Health Risk Behaviors* ; Urbanization*; Malaria/*transmission ; Patient Acceptance of Health Care/*statistics & numerical data ; Plasmodium/*drug effects; Cities ; Ghana ; Humans ; Urban Population/statistics & numerical data
    • نبذة مختصرة :
      Background: Several studies that aim to enhance the understanding of malaria transmission and persistence in urban settings failed to address its underlining complexity. This study aims at doing that by applying qualitative and participatory-based system analysis and mapping to elicit the system's emergent properties.
      Methods: In two experts' workshops, the system was sketched and refined. This system was represented through a causal loop diagram, where the identification of leverage points was done using network analysis.
      Results: 45 determinants interplaying through 56 linkages, and three subsystems: urbanization-related transmission, infection-prone behaviour and healthcare efficiency, and Plasmodium resistance were identified. Apart from the number of breeding sites and malaria-positive cases, other determinants such as drug prescription and the awareness of householders were identified by the network analysis as leverage points and emergent properties of the system of transmission and persistence of malaria.
      Conclusion: Based on the findings, the ongoing efforts to control malaria, such as the use of insecticide-treated bed nets and larvicide applications should continue, and new ones focusing on the public awareness and malaria literacy of city dwellers should be included. The participatory approach strengthened the legitimacy of the recommendations and the co-learning of participants.
      (© 2021. The Author(s).)
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    • Contributed Indexing:
      Keywords: Causal loop diagram; Complex system; Emergence; Network analysis; Urban
    • الموضوع:
      Date Created: 20210720 Date Completed: 20211105 Latest Revision: 20211105
    • الموضوع:
      20221213
    • الرقم المعرف:
      PMC8287558
    • الرقم المعرف:
      10.1186/s12936-021-03851-7
    • الرقم المعرف:
      34281554