Local contextual factors of child stunting found via shared values of stakeholder groups: an exploratory case study in Kaffrine, Senegal

Abstract Objective: This work aims to demonstrate an original approach to identify links between locally-situated shared values and contextual factors of stunting. Stunting results from multi-factorial and multi-sectoral determinants, but interventions typically neglect locally-situated lived experiences, which contributes to problematic designs that are not meaningful for those concerned, and/or relatively ineffective. Design: This case study investigates relevant contextual factors in two steps: by first facilitating local stakeholder groups (n=11) to crystallize their shared-values-in-action using a specialised method from sustainability studies (WeValue_InSitu). Secondly, participants (n=44) have focus group discussions about everyday practices around child feeding/food systems, education, and/or family life. Because the first step strongly grounds participants in local shared values, the FGDs can reveal deep links between contextual factors and potential influences on stunting. Setting: Kaffrine, Senegal, an “Action Against Stunting Hub” site. December 2020. Participants: Eleven stakeholder groups of mothers, fathers, grandmothers, pre-school teachers, community health-workers, farmers, market traders, public administrators. Results: Local contextual factors of stunting were identified, including traditional beliefs concerning eating and growing practices; fathers as decision-makers; health worker trust; financial non-autonomy for women; insufficient water for preferred crops; merchants’ non-access to quality produce; religious teachings; and social structures affecting children’s food environment. Conclusions: Local contextual factors were identified. Pre-knowledge of these could significantly improve effectiveness of intervention designs locally, with possible applicability at other sites. The WeValue_InSitu approach proved efficient and useful for making tangible contextual factors and their potential links to stunting, via a lens of local shared values, showing general promise for intervention research

Evolution of the Ace-1 and Gste2 Mutations and Their Potential Impact on the Use of Carbamate and Organophosphates in IRS for Controlling Anopheles gambiae s.l., the Major Malaria Mosquito in Senegal

Widespread of insecticide resistance amongst the species of the Anopheles gambiae complex continues to threaten vector control in Senegal. In this study, we investigated the presence and evolution of the Ace-1 and Gste2 resistance genes in natural populations of Anopheles gambiae s.l., the main malaria vector in Senegal. Using historical samples collected from ten sentinel health districts, this study focused on three different years (2013, 2017, and 2018) marking the periods of shift between the main public health insecticides families (pyrethroids, carbamates, organophosphates) used in IRS to track back the evolutionary history of the resistance mutations on the Ace-1 and Gste2 loci. The results revealed the presence of four members of the Anopheles gambiae complex, with the predominance of An. arabiensis followed by An. gambiae, An. coluzzii, and An. gambiae-coluzzii hybrids. The Ace-1 mutation was only detected in An. gambiae and An. gambiae-coluzzii hybrids at low frequencies varying between 0.006 and 0.02, while the Gste2 mutation was found in all the species with a frequency ranging between 0.02 and 0.25. The Ace-1 and Gste2 genes were highly diversified with twenty-two and thirty-one different haplotypes, respectively. The neutrality tests on each gene indicated a negative Tajima's D, suggesting the abundance of rare alleles. The presence and spread of the Ace-1 and Gste2 resistance mutations represent a serious threat to of the effectiveness and the sustainability of IRS-based interventions using carbamates or organophosphates to manage the widespread pyrethroids resistance in Senegal. These data are of the highest importance to support the NMCP for evidence-based vector control interventions selection and targeting

Exploitation de l’espece Anadara Senilis (Arches) dans le Parc National de la Langue de Barbarie (PNLB), Gandiol (Senegal)

Dans l’espace du Gandiol, les activités économiques traditionnelles étaient la pêche et l’agriculture avec lesquelles la population a une longue tradition. En 2003, les fortes pluies enregistrées dans le Haut bassin du fleuve Sénégal expliquent l’augmentation massive du débit du fleuve consécutivement à l’addition des ondes de crue. Pour empêcher des inondations dans la ville de Saint-Louis, une brèche a été ouverte. Cependant, cette brèche a eu des effets négatifs sur l’agriculture et beaucoup d’espèces de poissons. Elle a, aussi, entrainé des modifications écologiques se manifestant par l’apparition de certaines espèces aquatiques : Anadara Senilis, Carasostrea Gasar. Dès lors, l’étude de l’exploitation de l’espèce Anadara senilis dans le parc national de la langue de Barbarie (commune de Ndiebène Gandiol) fait l’objet de cette contribution. La méthodologie adoptée intègre les enquêtes de terrain sous forme de questionnaires et de guides d’entretien et le traitement des données quantitatives et qualitatives. Les résultats montrent que la collecte des coquillages est progressivement devenue la principale activité des femmes. Cette activité est pratiquée dans un but essentiellement lucratif et a eu des impacts considérables tant au niveau socioéconomique qu’environnemental. C’est pourquoi, l’encadrement des exploitants est souhaitable pour une gestion durable de cette ressource renouvelable. In the Gandiol area, the traditional economic activities were fishing and agriculture, with which the population has a long tradition. In 2003, the heavy rains recorded in the upper Senegal River basin explain the massive increase in the river's flow following the addition of flood waves. To prevent flooding in the city of Saint-Louis, a breach was opened. However, this breach had negative effects on agriculture and many fish species. It has also caused ecological changes manifested by the appearance of certain aquatic species: Anadara Senilis, Carasostrea Gasar. Therefore, the study of the exploitation of the species Anadara senilis in the National Park of the Langue de Barbarie (municipality of Ndiebène Gandiol) is the subject of this contribution. The methodology adopted integrates field surveys in the form of questionnaires and interview guides and the processing of quantitative and qualitative data. The results show that shellfish collection has gradually become the main activity of women. This activity is practiced essentially for profit and has had considerable impacts at both the socio-economic and environmental levels. This is why the supervision of the operators is desirable for a sustainable management of this renewable resource

Evaluation of the residual efficacy of indoor residual spraying with bendiocarb (FICAM WP 80) in six health districts in Senegal

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