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The issue is not 'compliance': exploring exposure to malaria vector bites through social dynamics in Burkina Faso

Guglielmo, Federica, Ranson, Hilary ORCID: https://orcid.org/0000-0003-2332-8247, Sagnon, N'falé and Jones, Caroline (2021) 'The issue is not 'compliance': exploring exposure to malaria vector bites through social dynamics in Burkina Faso'. Anthropology & medicine, pp. 1-18. (In Press)

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Abstract

Credited with averting almost 68% of new cases between 2000 and 2015, insecticide-treated bednets (ITNs) are one of the most efficacious malaria-prevention tools. Their effectiveness, however, depends on if and how they are used, making 'compliance' (and the social factors affecting it) a key area of interest for research on malaria transmission. This article situates the notion of compliance with 'bednet use' within everyday practices in an area of south-west Burkina Faso with high malaria transmission. By drawing on ethnographic fieldwork conducted between 2017 and 2018, it critically describes the precarious micro-environments that foreground bednet use-from gender and age to the means of (re)production of social and labour conditions-and assesses the bednets' effectiveness and community uptake. Bednet use stems from concrete, ordinary dynamics that interweave only apparently at the margins of the time individuals most need to be protected by a net. This work conceptualises 'compliance' beyond binary indicators of intervention uptake and locates 'use' as the result of contingent assemblages.

Item Type: Article
Subjects: WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 755 Epidemiology
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 765 Prevention and control
Faculty: Department: Biological Sciences > Vector Biology Department
Digital Object Identifer (DOI): https://doi.org/10.1080/13648470.2021.1884185
Depositing User: Stacy Murtagh
Date Deposited: 12 May 2021 13:35
Last Modified: 04 Jun 2021 10:30
URI: https://archive.lstmed.ac.uk/id/eprint/17829

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