Description
Context: Highly effective control strategies have been scaled-up in many sub-Saharan countries in Africa during the past decade such as net universal coverage with long lasting insecticide treated nets (LLINs), chemoprevention for pregnant women and children under five years old, cases management with Rapid Diagnostic Test (RDT) and Artemisinin-based combination therapy (ACTs) seasonal chemistry prevention to reduce the burden of malaria. However, Mali remains one the countries where the rate of morbidity and mortality related to malaria remained high according to the World Health organization annual report in 2022. In Mali Malaria is endemic, where about 90% of the population is concentrated. Thus, additional vector control tools are required to optimize malaria control and specifically those targeting malaria vector outdoor since the actual ones are mainly use inside while outdoor transmission has been well-established in these areas Methods: This qualitative research explores and assesses the perceptions and community acceptability on ATSB in Mali. Focus group discussions (12) and in-depth interviews (10) were conducted, and a mapping of distrust was done. Data were analyzed using Sphinx software. Results: The results provided an understanding of the factors influencing the supply and community perceptions of ATSBs. Our data also show that ATSBs are perceived in different ways. On the one hand, they are an alternative to vector control. On the other hand, they are subject to mistrust regarding possible long-term environmental risks. Interpersonal communication with community authorities is a guarantee of the acceptability of ATSBs. Some ideas and strategies have been developed for the introduction of ATSBs on a sub-regional scale. Conclusion: The use of ATSBs offers hope in the fight against malaria in malaria-endemic areas. As with any innovation, its full and complete adoption requires a period of appropriation by the users.
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