Malaria Control During Mass Population Movements and Natural Disasters (2003) / Chapter Skim
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8. Community Involvement in Malaria Control and Prevention
8. Community Involvement in Malaria Control and Prevention
Pages 93-102
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From page 93... ...
It is necessary to understand how a community perceives febrile illness, the importance placed on it in people's belief systems regarding illness in general, and what existing behaviors are practiced that can either complement or hinder preventive measures. The use of preventive measures will be affected by two things: how affected communities define their priorities regarding health and illness and the degree to which individuals think they can personally control or prevent illness.
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From page 94... ...
In planning malaria prevention programs, nontraditional segments of the potential population at risk in a complex emergency should also be considered as vulnerable. For example, are there any marginalized subgroups for whom participation in preventive programs (such as an insecticidetreated net reimpregnation program)
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From page 95... ...
in which people live their daily lives affect personal choices and may influence whether a control program is sustainable. For example, access to health care and the ability to buy antimalarial
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From page 96... ...
Ho maya malaria is associated with the use of formal health care services. Illnesses that have symptoms associated with severe malaria are grouped with severe fevers or illnesses associated with sorcery or witchcraft, which are best treated by traditional practitioners.
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From page 97... ...
are often obtained outside formal health care services (Foster, 1995; McCombie, 19961. Although treatment-seeking studies generally discuss delays in seeking treatment in terms of the time lapse between onset of symptoms and a person seeking treatment at a health care facility, selftreatment for malaria occurs frequently and this may be the first type of treatment sought (McCombie, 19961.
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From page 98... ...
Treatment decisions of the host community may also be influenced by case management policies for the displaced population. If members of the host community determine that the displaced community is receiving better care or a more effective drug for malaria, the host community might also try to receive health care services from the humanitarian relief agencies.
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From page 99... ...
Need for Information on the Sociocultural Aspects of Complex Emergencies Historically, those involved with health care issues in complex emergencies have given little attention to the sociocultural dimensions or to the wider global context within which complex emergencies develop. Given the complexities of providing essential health care services to displaced populations, particularly in the beginning stages of an emergency, this is understandable.
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From page 100... ...
· Community leaders, both formal and informal. · Degree of social organization currently existing in the displaced population.
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From page 101... ...
· What is the social market value of insecticide-treated materials or antimalarial drugs? · What behaviors, such as labor migration, increase the risk of acquiring malaria?
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