Abstract

The National Programme for the control of human African trypanosomiasis in Democratic Republic of Congo includes a large-scale vector control operation using Tiny Targets. These are small panels of insecticide-impregnated...

Highlights

  • Human African trypanosomiasis (HAT), or sleeping sickness, is a fatal parasitic disease caused by Trypanosoma brucei gambiense or T.b. rhodesiense, both transmitted by tsetse

  • What are the new findings? ► Community acceptability was better when communities were actively involved in the vector control project. ► Research underlined how communication is essential and working within the scope of community social norms and customs are inescapable for community acceptability

  • What do the new findings imply? ► Adequate time and effort must be invested in understanding, listening to and involving the people concerned before and during the implementation of vector control activities

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Summary

Introduction

Human African trypanosomiasis (HAT), or sleeping sickness, is a fatal parasitic disease caused by Trypanosoma brucei gambiense or T.b. rhodesiense, both transmitted by tsetse Key questionsWhat is already know about this subject? ► Community support and acceptability provides greater reassurance of vector control projects effectiveness and long-t­erm success.What are the new findings? ► Community acceptability was better when communities were actively involved in the vector control project. ► Research underlined how communication is essential and working within the scope of community social norms and customs are inescapable for community acceptability.What do the new findings imply? ► Adequate time and effort must be invested in understanding, listening to and involving the people concerned before and during the implementation of vector control activities.flies. Gambiense HAT (g-­ HAT) is an anthroponosis with a relatively slow progression whereas Rhodesiense HAT is an acutely progressing zoonotic disease.[1] g-­HAT accounted for >88% of all cases reported globally in 2019 (863/979) and 70% (604/863) of these occurred in the Democratic Republic of the Congo (DRC).[2] In 2012, WHO presented a plan to eliminate HAT, first by reducing its incidence to very low levels by 2020 (

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