期刊
ANTHROPOLOGY & MEDICINE
卷 28, 期 4, 页码 508-525出版社
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/13648470.2021.1884185
关键词
Bednets; compliance; lifeways; exposure; ethnography; assemblage
资金
- Wellcome Trust through the 'Improving the efficacy of malaria prevention in an insecticide-resistant Africa (MIRA)' project [200222/Z/15/Z]
This article explores the concept of compliance with bednet use in an area of high malaria transmission in south-west Burkina Faso through ethnographic fieldwork. It critically examines the micro-environments that influence bednet use and assesses the effectiveness of bednets in the community. The study emphasizes that compliance with bednet use is a complex process influenced by various social and individual factors.
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.
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