Emerging properties of malaria transmission and persistence in urban Accra, Ghana: evidence from a participatory system approach.

ABSTRACT:

Background

Several studies that aim to enhance the understanding of malaria transmission and persistence in urban settings failed to address its underlining complexity. This study aims at doing that by applying qualitative and participatory-based system analysis and mapping to elicit the system's emergent properties.

Methods

In two experts' workshops, the system was sketched and refined. This system was represented through a causal loop diagram, where the identification of leverage points was done using network analysis.

Results

45 determinants interplaying through 56 linkages, and three subsystems: urbanization-related transmission, infection-prone behaviour and healthcare efficiency, and Plasmodium resistance were identified. Apart from the number of breeding sites

SUBMITTER: Savi MK 

PROVIDER: S-EPMC8287558 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature