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Trop. Med. Infect. Dis. 2017, 2(3), 39; https://doi.org/10.3390/tropicalmed2030039

Polisye Kont Moustik: A Culturally Competent Approach to Larval Source Reduction in the Context of Lymphatic Filariasis and Malaria Elimination in Haiti

1
Department of Anthropology, University of Florida, Gainesville, FL 32611, USA
2
Emerging Pathogens Institute, University of Florida, Gainesville, FL 32611, USA
3
Ministry of Public Health and Population, Cap-Haitien, Haiti
4
Department of Health Services Research, Management, and Policy, University of Florida, Gainesville, FL 32611, USA
5
Ministry of Public Health and Population, Port-au-Prince, Haiti
6
Department of Environmental and Global Health, University of Florida, Gainesville, FL 32611, USA
7
Department of Geography, University of Florida, Gainesville, FL 32611, USA
8
School of Biomedical Sciences, Edinburgh Medical School, The University of Edinburgh, Edinburgh EH8 9YL, UK
9
Department of Medicine, University of Florida, Gainesville, FL 32611, USA
*
Author to whom correspondence should be addressed.
Received: 25 July 2017 / Revised: 12 August 2017 / Accepted: 13 August 2017 / Published: 18 August 2017
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Abstract

Community engagement has become an increasingly important focus of global health programs. Arbovirus emergence in the Americas (Zika and chikungunya virues), and global goals for malaria and lymphatic filariasis elimination, mean that community-based mosquito control has taken on a new salience. But how should mosquito control initiatives be designed and implemented in ways that best engage local people? What are the challenges and trade-offs of different strategies, not only for effectiveness but also for scale-up? In this paper, we describe the social and political dynamics of a pilot study in a small town in northern Haiti. With the aim of developing a culturally-competent approach to larval source management (LSM), our pilot project combined larval surveillance with environmental management, social engagement, community education, and larvicide application. Orientated around a network of ‘Mosquito Police’ (Polisye Kont Moustik, in Haitian Creole), our approach integrated elements of formative research, social learning, and community participation. Here, we reflect on the challenges we encountered in the field, from larval mapping, staff management, education and behavior change, engagement with formal and informal leaders, and community-based environmental cleanup. We discuss how these programmatic efforts were influenced and shaped by a complex range of social, cultural, political, and economic realities, and conclude by discussing the implications of our community-based approach for the elimination of lymphatic filariasis and malaria, and other vector-borne diseases, in Haiti. View Full-Text
Keywords: vector control; mosquitoes; community-based; participation; social science; malaria; lymphatic filariasis; Haiti vector control; mosquitoes; community-based; participation; social science; malaria; lymphatic filariasis; Haiti
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MDPI and ACS Style

Bardosh, K.L.; Jean, L.; Beau De Rochars, V.M.; Lemoine, J.F.; Okech, B.; Ryan, S.J.; Welburn, S.; Morris, J.G. Polisye Kont Moustik: A Culturally Competent Approach to Larval Source Reduction in the Context of Lymphatic Filariasis and Malaria Elimination in Haiti. Trop. Med. Infect. Dis. 2017, 2, 39.

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