Factors associated with vector control for onchocerciasis control in sub-Saharan Africa (2000 – 2023) : a systematic review

dc.contributor.authorNgbede, Daniel
dc.contributor.supervisorKagura, Juliana
dc.contributor.supervisorMall, Sumaya
dc.date.accessioned2024-11-20T09:23:35Z
dc.date.available2024-11-20T09:23:35Z
dc.date.issued2024
dc.descriptionA Research Report Submitted in partial fulfillment of the requirements for the Degree of MSc in Epidemiology, Field of Implementation Sciences to the Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg 2024
dc.description.abstractBackground: Onchocerciasis is a neglected tropical disease and the second most common infectious cause of blindness worldwide, after trachoma. The vector which carries this parasite is a blackfly from the simulium genus, the parasite is transmitted to humans through the bite of an infected black fly during a blood meal. Alternative control strategies such as local vector control have been employed to complement the mass administration of ivermectin. There remains no synthesis of studies that have examined the use of vector control for onchocerciasis in the Sub- Saharan African (SSA) region. Objective: To examine the factors associated with vector control in the fight against onchocerciasis in Sub-Saharan Africa as through synthesis of the literature. Methods: A systematic search was conducted of the Cochrane Library, PubMed, Web of Science, and Scopus databases to identify relevant studies. Studies had to be published in peer-reviewed journals between January 2000 and March 2023. Data were extracted from the studies. Two independent reviewers conducted quality assessments using the Joanna Briggs Institute (JBI) critical appraisal checklist. Results: Our search identified 343 studies of which 19 were included in this review. Several factors were found to influence blackfly vector control programs. Programmatic factors include intervention duration and effectiveness, implementation challenges, resource availability, and larvicide application practices. Vector-related factors include blackfly susceptibility to larvicides, species variation, and genetic mechanisms of resistance. Environmental factors such as rainfall patterns, river size, and the presence of dams affect blackfly breeding sites. Human-related factors encompassed community knowledge and engagement, commitment to sustainability, and human activities that impacted breeding habitats. Overall, the quality of the included studies was found to be high as per the quality appraisal tool. Conclusion: This systematic review emphasizes the importance of considering multiple factors in the design and implementation of effective blackfly vector control programs for onchocerciasis in sub-Saharan Africa. Programmatic challenges, vector biology, environmental factors, and human factors should be considered. Policymakers and public health practitioners should optimize interventions based on these findings
dc.description.submitterMM2024
dc.facultyFaculty of Health Sciences
dc.identifier.citationNgbede, Daniel. (2024). Factors associated with vector control for onchocerciasis control in sub-Saharan Africa (2000 – 2023) : a systematic review [Master’s dissertation, University of the Witwatersrand, Johannesburg]. WireDSpace.
dc.identifier.urihttps://hdl.handle.net/10539/42771
dc.language.isoen
dc.publisherUniversity of the Witwatersrand, Johannesburg
dc.rights© 2024 University of the Witwatersrand, Johannesburg. All rights reserved. The copyright in this work vests in the University of the Witwatersrand, Johannesburg. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of University of the Witwatersrand, Johannesburg.
dc.rights.holderUniversity of the Witwatersrand, Johannesburg
dc.schoolSchool of Public Health
dc.subjectOnchocerciasis
dc.subjectVector control
dc.subjectSub-saharan África
dc.subjectUCTD
dc.subject.otherSDG-3: Good health and well-being
dc.titleFactors associated with vector control for onchocerciasis control in sub-Saharan Africa (2000 – 2023) : a systematic review
dc.typeDissertation
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