Work Package 10: Stakeholder analysis of acceptability issues

Reach MALAWI IFIKARA HEALTH INSTITUTE Swiss Tropical and Public Health Institute/ Centre Suisse de Recherche Scientifique LSHTMCNRFP Logo

WP10 Group


Work Package Leader: Ireen Namakhoma. REACH Trust



Evaluate the social acceptability of the new tools and interventions developed and/or tested within AvecNet






Stakeholder assessment

The long-term success of any of interventions is dependent on the acceptability of these products by implementers and end users. A large number of stakeholders in Cote d’Ivoire and Tanzania (from community through local government to national level) have been questioned on perceptions of mosquito nuisance (causes and consequences) and roles and responsibilities in vector control. are being compared and contrasted across the various stakeholder groups. 

PhD candidate, Ms Kemi Tesfagzhi, has initiated a broader analysis of stakeholders involved in the process of translating new vector control tools into malaria control policy. Kemi has reviewed the different policy frameworks and conducted a pilot study, involving key informant interviews, to analyse the decision to scale up Larval Source Management in Nigeria. The lessons learnt from this study will be applied to analyse the decisions to use ‘resistance breaking bednets’ for malaria control in Burkina Faso.


Local Stakeholder advisory groups

Local stakeholder advisory groups (LSAGs) are being established in study sites in where alternative interventions are being trialled.These groups include end users from different socio-economic backgrounds. The work in this task has so far focused on the sisal fibres that are being used as a vehicle to deliver spatial IHI has led a study to explore the different items made from sisal fibers that are used in the household, explore participants’ views of these items and investigate ways of innovating them to inform testable formats and prototypes. 

This activity will commence in Burkina Faso in Year 4 of the project.


Acceptability of combination LLINs among communities in the Banfora Region, Burkina Faso (CNRFP, LSHTM)

Understanding local user and community perceptions of the effectiveness of combination LLINs is essential to identifying the acceptability of the nets and their likely uptake and use under routine operational conditions.

In this task we will document local experiences and perceptions of the effectiveness of combination LLINs compared to standard LLINs in the context of a cluster randomized control trial to evaluate their protectiveness. We will use qualitative methods to obtain in-depth understanding of perceptions and experiences using focus group discussions (FGDs) and informal observations among three groups of participants: community members, members of the Demographic Surveillance System (DSS) who are monitoring LLIN use and entomology fieldworkers who are visiting communities and collecting mosquitoes from households.

These three groups of participants have been selected so as to provide a broad understanding of local perceptions of the combination LLINs and their acceptability.



Publications & Outputs  

Christina Makungu, Stephania Stephen, Salome Kumburu, Nicodem J. Govella, Stefan Dongus, Zoe Jane‑Lara Hildon, Gerry F. Killeen and Caroline Jones. Informing new or improved vector control tools for reducing the malaria burden in Tanzania: a qualitative exploration of perceptions of mosquitoes and methods for their control among the residents of Dar es Salaam. Malaria Journal 2017 16:410