Feasibility of community-based control of tsetse: A pilot project using Tiny Targets in the Democratic Republic of Congo
Gambiense Human African Trypanosomiasis (g-HAT) is a neglected tropical disease caused by trypanosomes transmitted by tsetse flies. 70% of cases in 2019 (604/863) occurred in the Democratic Republic of Congo (DRC). The national programme for g-HAT elimination in DRC includes a large-scale deployment...
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| creator | Vander Kelen, Catiane Mpanya, Alain Boelaert, Marleen Miaka, Erick Pérez Chacón, Dennis Pulford, Justin Selby, Richard Torr, Steve J |
| description | Gambiense Human African Trypanosomiasis (g-HAT) is a neglected tropical disease caused by trypanosomes transmitted by tsetse flies. 70% of cases in 2019 (604/863) occurred in the Democratic Republic of Congo (DRC). The national programme for g-HAT elimination in DRC includes a large-scale deployment of Tiny Targets which attract and kill tsetse. This intervention is directed by vector-control specialists with small teams, moving in canoes, deploying Tiny Targets along riverbanks where tsetse concentrate. While the targets are deployed in communal areas, and the method is cheap and easy-to-use, local people have little involvement. This study aimed to evaluate if a community-led vector control programme was feasible in the context of DRC's g-HAT elimination programme. In 2017, a community-led intervention was implemented in three villages in the Kwilu province of DRC. This intervention was evaluated through an Action Research with qualitative data collected through 21 focus group discussions and 289 hours of observation. Also the geographical location and quality of each Tiny Targets were collected (total number deployed = 2429). This research revealed that community-based approach largely worked: people were motivated and proactive, showed a good application of the acquired knowledge resulting in an effective deployment of Tiny Targets. In addition, our study provided evidence that acceptability of the targets by the community can improve deployment quality by reducing target loss and damage. The approach was feasible in places where canoe-based teams could not reach. Against these advantages, a community-based approach was time-consuming and had to adapt to the seasonal and daily rhythms of the community. A community-based approach for tsetse control is technically feasible and recommended but limits to the speed and scale of the approach restraints its application as a standalone strategy in a large-scale national programme aiming to eliminate g-HAT in a short timeframe. |
| doi_str_mv | 10.1371/journal.pntd.0008696 |
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The national programme for g-HAT elimination in DRC includes a large-scale deployment of Tiny Targets which attract and kill tsetse. This intervention is directed by vector-control specialists with small teams, moving in canoes, deploying Tiny Targets along riverbanks where tsetse concentrate. While the targets are deployed in communal areas, and the method is cheap and easy-to-use, local people have little involvement. This study aimed to evaluate if a community-led vector control programme was feasible in the context of DRC's g-HAT elimination programme. In 2017, a community-led intervention was implemented in three villages in the Kwilu province of DRC. This intervention was evaluated through an Action Research with qualitative data collected through 21 focus group discussions and 289 hours of observation. Also the geographical location and quality of each Tiny Targets were collected (total number deployed = 2429). This research revealed that community-based approach largely worked: people were motivated and proactive, showed a good application of the acquired knowledge resulting in an effective deployment of Tiny Targets. In addition, our study provided evidence that acceptability of the targets by the community can improve deployment quality by reducing target loss and damage. The approach was feasible in places where canoe-based teams could not reach. Against these advantages, a community-based approach was time-consuming and had to adapt to the seasonal and daily rhythms of the community. A community-based approach for tsetse control is technically feasible and recommended but limits to the speed and scale of the approach restraints its application as a standalone strategy in a large-scale national programme aiming to eliminate g-HAT in a short timeframe.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0008696</identifier><identifier>PMID: 32970689</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acceptability ; African trypanosomiasis ; Animals ; Biology and Life Sciences ; Canoes ; Citizen participation ; Community ; Control ; Cost reduction ; Democratic Republic of the Congo - epidemiology ; Deployment ; Disease Eradication ; Disease transmission ; Earth Sciences ; Ecology and Environmental Sciences ; Feasibility ; Feasibility Studies ; Female ; Geographical distribution ; Geographical locations ; Humans ; Insect Control - methods ; Insect Vectors - parasitology ; Insect Vectors - physiology ; Knowledge acquisition ; Male ; Medicine ; Medicine and Health Sciences ; Neglected Diseases - parasitology ; Neglected Diseases - prevention & control ; Pilot Projects ; Planning ; Population ; Prevention ; Public health ; Public health administration ; Qualitative analysis ; Quality ; Research and Analysis Methods ; River banks ; Riverbanks ; Supervision ; Tropical climate ; Tropical diseases ; Trypanosoma ; Trypanosomiasis, African - epidemiology ; Trypanosomiasis, African - transmission ; Tsetse Flies - parasitology ; Tsetse Flies - physiology ; Tsetse fly (Glossina palpalis) ; Vector-borne diseases</subject><ispartof>PLoS neglected tropical diseases, 2020-09, Vol.14 (9), p.e0008696-e0008696</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Vander Kelen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Vander Kelen et al 2020 Vander Kelen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c624t-f20bd3e168a969a107646a1e67393b015328c7f1202a176ce793e9246b3abb433</citedby><cites>FETCH-LOGICAL-c624t-f20bd3e168a969a107646a1e67393b015328c7f1202a176ce793e9246b3abb433</cites><orcidid>0000-0001-6862-8986 ; 0000-0003-4756-8480 ; 0000-0003-2993-933X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7537905/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7537905/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32970689$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Gürtler, Ricardo E.</contributor><creatorcontrib>Vander Kelen, Catiane</creatorcontrib><creatorcontrib>Mpanya, Alain</creatorcontrib><creatorcontrib>Boelaert, Marleen</creatorcontrib><creatorcontrib>Miaka, Erick</creatorcontrib><creatorcontrib>Pérez Chacón, Dennis</creatorcontrib><creatorcontrib>Pulford, Justin</creatorcontrib><creatorcontrib>Selby, Richard</creatorcontrib><creatorcontrib>Torr, Steve J</creatorcontrib><title>Feasibility of community-based control of tsetse: A pilot project using Tiny Targets in the Democratic Republic of Congo</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><description>Gambiense Human African Trypanosomiasis (g-HAT) is a neglected tropical disease caused by trypanosomes transmitted by tsetse flies. 70% of cases in 2019 (604/863) occurred in the Democratic Republic of Congo (DRC). The national programme for g-HAT elimination in DRC includes a large-scale deployment of Tiny Targets which attract and kill tsetse. This intervention is directed by vector-control specialists with small teams, moving in canoes, deploying Tiny Targets along riverbanks where tsetse concentrate. While the targets are deployed in communal areas, and the method is cheap and easy-to-use, local people have little involvement. This study aimed to evaluate if a community-led vector control programme was feasible in the context of DRC's g-HAT elimination programme. In 2017, a community-led intervention was implemented in three villages in the Kwilu province of DRC. This intervention was evaluated through an Action Research with qualitative data collected through 21 focus group discussions and 289 hours of observation. Also the geographical location and quality of each Tiny Targets were collected (total number deployed = 2429). This research revealed that community-based approach largely worked: people were motivated and proactive, showed a good application of the acquired knowledge resulting in an effective deployment of Tiny Targets. In addition, our study provided evidence that acceptability of the targets by the community can improve deployment quality by reducing target loss and damage. The approach was feasible in places where canoe-based teams could not reach. Against these advantages, a community-based approach was time-consuming and had to adapt to the seasonal and daily rhythms of the community. A community-based approach for tsetse control is technically feasible and recommended but limits to the speed and scale of the approach restraints its application as a standalone strategy in a large-scale national programme aiming to eliminate g-HAT in a short timeframe.</description><subject>Acceptability</subject><subject>African trypanosomiasis</subject><subject>Animals</subject><subject>Biology and Life Sciences</subject><subject>Canoes</subject><subject>Citizen participation</subject><subject>Community</subject><subject>Control</subject><subject>Cost reduction</subject><subject>Democratic Republic of the Congo - epidemiology</subject><subject>Deployment</subject><subject>Disease Eradication</subject><subject>Disease transmission</subject><subject>Earth Sciences</subject><subject>Ecology and Environmental Sciences</subject><subject>Feasibility</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Geographical distribution</subject><subject>Geographical locations</subject><subject>Humans</subject><subject>Insect Control - methods</subject><subject>Insect Vectors - parasitology</subject><subject>Insect Vectors - physiology</subject><subject>Knowledge acquisition</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Neglected Diseases - parasitology</subject><subject>Neglected Diseases - prevention & control</subject><subject>Pilot Projects</subject><subject>Planning</subject><subject>Population</subject><subject>Prevention</subject><subject>Public health</subject><subject>Public health administration</subject><subject>Qualitative analysis</subject><subject>Quality</subject><subject>Research and Analysis Methods</subject><subject>River banks</subject><subject>Riverbanks</subject><subject>Supervision</subject><subject>Tropical climate</subject><subject>Tropical diseases</subject><subject>Trypanosoma</subject><subject>Trypanosomiasis, African - epidemiology</subject><subject>Trypanosomiasis, African - transmission</subject><subject>Tsetse Flies - 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The national programme for g-HAT elimination in DRC includes a large-scale deployment of Tiny Targets which attract and kill tsetse. This intervention is directed by vector-control specialists with small teams, moving in canoes, deploying Tiny Targets along riverbanks where tsetse concentrate. While the targets are deployed in communal areas, and the method is cheap and easy-to-use, local people have little involvement. This study aimed to evaluate if a community-led vector control programme was feasible in the context of DRC's g-HAT elimination programme. In 2017, a community-led intervention was implemented in three villages in the Kwilu province of DRC. This intervention was evaluated through an Action Research with qualitative data collected through 21 focus group discussions and 289 hours of observation. Also the geographical location and quality of each Tiny Targets were collected (total number deployed = 2429). This research revealed that community-based approach largely worked: people were motivated and proactive, showed a good application of the acquired knowledge resulting in an effective deployment of Tiny Targets. In addition, our study provided evidence that acceptability of the targets by the community can improve deployment quality by reducing target loss and damage. The approach was feasible in places where canoe-based teams could not reach. Against these advantages, a community-based approach was time-consuming and had to adapt to the seasonal and daily rhythms of the community. A community-based approach for tsetse control is technically feasible and recommended but limits to the speed and scale of the approach restraints its application as a standalone strategy in a large-scale national programme aiming to eliminate g-HAT in a short timeframe.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32970689</pmid><doi>10.1371/journal.pntd.0008696</doi><orcidid>https://orcid.org/0000-0001-6862-8986</orcidid><orcidid>https://orcid.org/0000-0003-4756-8480</orcidid><orcidid>https://orcid.org/0000-0003-2993-933X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1935-2735 |
| ispartof | PLoS neglected tropical diseases, 2020-09, Vol.14 (9), p.e0008696-e0008696 |
| issn | 1935-2735 1935-2727 1935-2735 |
| language | eng |
| recordid | cdi_plos_journals_2451546881 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Acceptability African trypanosomiasis Animals Biology and Life Sciences Canoes Citizen participation Community Control Cost reduction Democratic Republic of the Congo - epidemiology Deployment Disease Eradication Disease transmission Earth Sciences Ecology and Environmental Sciences Feasibility Feasibility Studies Female Geographical distribution Geographical locations Humans Insect Control - methods Insect Vectors - parasitology Insect Vectors - physiology Knowledge acquisition Male Medicine Medicine and Health Sciences Neglected Diseases - parasitology Neglected Diseases - prevention & control Pilot Projects Planning Population Prevention Public health Public health administration Qualitative analysis Quality Research and Analysis Methods River banks Riverbanks Supervision Tropical climate Tropical diseases Trypanosoma Trypanosomiasis, African - epidemiology Trypanosomiasis, African - transmission Tsetse Flies - parasitology Tsetse Flies - physiology Tsetse fly (Glossina palpalis) Vector-borne diseases |
| title | Feasibility of community-based control of tsetse: A pilot project using Tiny Targets in the Democratic Republic of Congo |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T20%3A38%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Feasibility%20of%20community-based%20control%20of%20tsetse:%20A%C2%A0pilot%20project%20using%20Tiny%20Targets%20in%20the%20Democratic%20Republic%20of%20Congo&rft.jtitle=PLoS%20neglected%20tropical%20diseases&rft.au=Vander%20Kelen,%20Catiane&rft.date=2020-09-01&rft.volume=14&rft.issue=9&rft.spage=e0008696&rft.epage=e0008696&rft.pages=e0008696-e0008696&rft.issn=1935-2735&rft.eissn=1935-2735&rft_id=info:doi/10.1371/journal.pntd.0008696&rft_dat=%3Cgale_plos_%3EA637976388%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2451546881&rft_id=info:pmid/32970689&rft_galeid=A637976388&rft_doaj_id=oai_doaj_org_article_0f9dc8c44f4c46d2bcaa1057d8fd6da1&rfr_iscdi=true |