ArticleMalaria journal2021
Emerging properties of malaria transmission and persistence in urban Accra, Ghana: evidence from a participatory system approach.
Article in Malaria journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Operationalising Environmental DNA (eDNA) Detection of Major Malaria Vector Species in Ghana.Molecular ecology resources · 2026Article
- Territorial Persistence of ResidualTropical medicine and infectious disease · 2026Article
- Mechanisms of carbamate resistance in the malaria vector:Parasite epidemiology and control · 2026Review
- Larval habitat diversity, physicochemical characteristics and their effect on the larval density of malaria vectors in the city of Accra, Ghana.Malaria journal · 2025Article
- Environmental contaminants drive insecticide resistance in Anopheles mosquitoes in Ghana.Scientific reports · 2025Article
- Determinants of malaria spread among under-five children in Nigeria: results from a 2021 Nigerian malaria indicator cross-sectional survey.BMC pediatrics · 2024Article
- Using network analysis to identify leverage points based on causal loop diagrams leads to false inference.Scientific reports · 2023Article
- An Overview of Malaria Transmission Mechanisms, Control, and Modeling.Medical sciences (Basel, Switzerland) · 2022Review
- Participatory Causal Loop Mapping of the Adoption of Organic Farming in Nigeria.Environmental management · 2022Article
- Impact of Urbanization on Health and Well-Being in Ghana. Status of Research, Intervention Strategies and Future Directions: A Rapid Review.Frontiers in public health · 2022Review
- Oxidative stress and associated clinical manifestations in malaria and sickle cell (HbSS) comorbidity.PloS one · 2022Article
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Authors and funding
4 authors.
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Abstract
backgroundSeveral 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.
methodsIn 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.
results45 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 and malaria-positive cases, other determinants such as drug prescription and the awareness of householders were identified by the network analysis as leverage points and emergent properties of the system of transmission and persistence of malaria.
conclusionBased on the findings, the ongoing efforts to control malaria, such as the use of insecticide-treated bed nets and larvicide applications should continue, and new ones focusing on the public awareness and malaria literacy of city dwellers should be included. The participatory approach strengthened the legitimacy of the recommendations and the co-learning of participants.
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