A comprehensive needs assessment to identify priority program targets for mosquito vector control and related diseases in Belmopan, Belize
Publication year: 2017
Theses and dissertations in Inglés presented to the Duke Kunshan and Duke University. Department of Global Health to obtain the academic title of Master. Leader: Amya-Burns. Alba
This was a mixed-methods study aimed to comprehensively assess factors
associated with mosquito control in Belmopan, Belize, in order to better inform
stakeholders on the effectiveness of their efforts. A knowledge, attitudes, and perceptions
(KAP) survey was employed within the four target communities of San Martin, Salvapan,
Maya Mopan, and Las Flores. Additional epidemiological and entomological data was
provided by relevant stakeholders. A total of 228 households were surveyed among the
four target communities. Only 1/3 of respondents were able to demonstrate proficient
knowledge. Knowledge was attained mostly through TV, Ministry of Health, hospital,
and radio sources. Over 90% of respondents believed that mosquitos and the diseases they
carry were a real issue for the community. Respondents living in Salvapan and Las Flores
were more likely to have contracted Dengue Fever, Malaria, Chikungunya, or Zika than
in other areas. Fan usage and regularly cleaning the yard were the two most employed
practices for preventing mosquito bites and breeding. Approximately 85% of those
surveyed viewed insecticide spraying to be effective. This assessment provides valuable
insight into the needs of at- risk communities in regards to vector control. An increased
focus on community outreach, education, and behavioral change can greatly impact the
effectiveness of current vector control efforts. Stakeholders must work together and pool
resources in order to effectively employ control interventions. Continued evaluation and
community involvement is necessary to control mosquitos and prevent disease outbreaks...(AU)