While drugs and insecticides are extremely effective weapons against malaria, their initial promise has been undermined by the development of resistance to drugs and insecticides and concerns about their impacts. Environmental management techniques can help reduce long-term environmental costs and risks. The CDM-led USAID/Environmental Health Project team completed a 2-year study designed to assess strengths and weaknesses of a community-based environmental management program for malaria control, implemented in four study sites in Kampala and Jinja, Uganda. Entomological and clinical surveys determined the level and intensity of malaria transmission and infection.
A key project approach has been the involvement of communities and authorities in decision-making to implement an effective and sustainable intervention strategy against malaria in both cities, while helping to guide malaria control in other African cities. The approach transfers well to other locations and can be expanded to serve larger areas.
CLIENT: USAID Global Health Bureau, USAID/Uganda Mission
LOCATION: Uganda