Community-based biological control of malaria mosquitoes using Bacillus thuringiensis var. israelensis (Bti) in Rwanda: community awareness, acceptance and participation
The project’s objective is to support the Rwandan government’s ambition to achieve malaria pre-elimination by 2018, by connecting community mobilisation and participation to the national and district malaria control programme and to (inter)national expert knowledge bases, and by supporting the development of area-specific strategies for malaria elimination.
Organizational change management systems will be applied, as well as facilitating techniques proven within the field of organizational change and community building that (1) connect knowledge and ownership in the local community to the national and district malaria control program and that (2) will lead to design of health systems interventions towards malaria elimination. This process of expeditionary action and learning will be implemented with repeated participatory works.
Annual household surveys into malaria, entomology, sociology, economy and indicators of ownership and willingness to invest will be conducted as well as a continuous monitoring of health service coverage and preventive measures. The process of intervention design and the interventions and their impact itself are topics of study for 4 PhD students.
Specific objective: To assess community awareness, acceptance and participation in a study that incorporated the socio-economic and entomological impact of LSM using Bacillus thuringiensis var. israelensis (Bti) in eastern Rwanda, and identified challenges and recommendations for future scale-up.
Malaria in Rwanda is in its pre-elimination phase and there is a wish to move towards elimination. That requires adaptations in health systems and policies but it is not clear how.
Contributions to practice
- CMATs have made a notable contribution to increase community awareness and acceptance on malaria transmission, treatment and prevention
- Implementation of a larval control programme and consequently farmers’ willingness to pay for Bti control of mosquito larvae
- The reduction of presumed malaria/fever cases from 68 per cent in 2013 to 21 per cent in 2014 in the Ruhuha sector
- Health insurance participation increased from 66 per cent in 2013 to 91 per cent in 2014 in the Ruhuha sector