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báo cáo sinh học:" Community-owned resource persons for malaria vector control: enabling factors and challenges in an operational programme in Dar es Salaam, United Republic of Tanzania"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Community-owned resource persons for malaria vector control: enabling factors and challenges in an operational programme in Dar es Salaam, United Republic of Tanzania | Chaki et al. Human Resources for Health 2011 9 21 http www.human-resources-health.eom content 9 1 21 HUMAN RESOURCES ulli FOR HEALTH RESEARCH Open Access Community-owned resource persons for malaria vector control enabling factors and challenges in an operational programme in Dar es Salaam United Republic of Tanzania 1.2 1.2 3 3 1.2 Prosper P Chaki 1 Stefan Dongus 1 Ulrike Fillinger Ann Kelly and Gerry F Killeen 1 Abstract Background Community participation in vector control and health services in general is of great interest to public health practitioners in developing countries but remains complex and poorly understood. The Urban Malaria Control Program UMCP in Dar es Salaam United Republic of Tanzania implements larval control of malaria vector mosquitoes. The UMCP delegates responsibility for routine mosquito control and surveillance to community-owned resource persons CORPs recruited from within local communities via the elected local government. Methods A mixed method cross-sectional survey assessed the ability of CORPs to detect mosquito breeding sites and larvae and investigated demographic characteristics of the CORPs their reasons for participating in the UMCP and their work performance. Detection coverage was estimated as the proportion of wet habitats found by the investigator which had been reported by CORP. Detection sensitivity was estimated as the proportion of wet habitats found by the CORPS which the investigator found to contain Anopheles larvae that were also reported to be occupied by the CORP. Results The CORPs themselves perceived their role as professional rather than voluntary with participation being a de facto form of employment. Habitat detection coverage was lower among CORPs that were recruited through the program administrative staff compared to CORPs recruited by local government officials or health committees Odds Ratio 0.660 95 confidence interval 0.438 0.995 P 0.047 . Staff living within their areas of responsibility had 70 higher