Evidence map›Paper›PMID 37400805›Full record

ArticleMalaria journal2023

Evaluation of community-based vector surveillance system for routine entomological monitoring under low malaria vector densities and high bed net coverage in western Kenya.

Bernard Abong'o, Michelle C Stanton, Martin J Donnelly, Eric Ochomo, Feiko O Ter Kuile, Aaron M Samuels, Simon Kariuki, George Musula, Richard Oxborough, Stephen Munga and 2 more

Abstract read
In one paragraph

Article in Malaria journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Bernard Abong'oCentre for Global Health Research, Kenya Medical Research Institute, PO Box 1578, 40100, Kisumu, Kenya. abongoben@gmail.com.
Michelle C StantonLiverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Martin J DonnellyLiverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Eric OchomoCentre for Global Health Research, Kenya Medical Research Institute, PO Box 1578, 40100, Kisumu, Kenya.
Feiko O Ter KuileLiverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Aaron M SamuelsMalaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Kisumu, Kenya.
Simon KariukiCentre for Global Health Research, Kenya Medical Research Institute, PO Box 1578, 40100, Kisumu, Kenya.
George MusulaCentre for Global Health Research, Kenya Medical Research Institute, PO Box 1578, 40100, Kisumu, Kenya.
Richard OxboroughPMI VectorLink Project, Abt Associates Inc, 6130 Executive Blvd, Rockville, MD, 20852, USA.
Stephen MungaCentre for Global Health Research, Kenya Medical Research Institute, PO Box 1578, 40100, Kisumu, Kenya.
Steve J TorrLiverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
John E GimnigMalaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, 30333, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEntomological surveillance is traditionally conducted by supervised teams of trained technicians. However, it is expensive and limiting in the number of sites visited. Surveillance through community-based collectors (CBC) may be more cost-effective and sustainable for longitudinal entomological monitoring. This study evaluated the efficiency of CBCs in monitoring mosquito densities compared to quality-assured sampling conducted by experienced entomology technicians.

methodsEntomological surveillance employing CBCs was conducted in eighteen clusters of villages in western Kenya using indoor and outdoor CDC light traps and indoor Prokopack aspiration. Sixty houses in each cluster were enrolled and sampled once every month. Collected mosquitoes were initially identified to the genus level by CBCs, preserved in 70% ethanol and transferred to the laboratory every 2 weeks. Parallel, collections by experienced entomology field technicians were conducted monthly by indoor and outdoor CDC light traps and indoor Prokopack aspiration and served as a quality assurance of the CBCs.

resultsPer collection, the CBCs collected 80% fewer Anopheles gambiae sensu lato (s.l.) [RR = 0.2; (95% CI 0.14-0.27)] and Anopheles coustani [RR = 0.2; (95% CI 0.06-0.53)] and 90% fewer Anopheles funestus [RR = 0.1; (95% CI 0.08-0.19)] by CDC light traps compared to the quality assured (QA) entomology teams. Significant positive correlations were however observed between the monthly collections by CBCs and QA teams for both An. gambiae and An. funestus. In paired identifications of pooled mosquitoes, the CBCs identified 4.3 times more Anopheles compared to experienced technicians. The cost per person-night was lower in the community-based sampling at $9.1 compared to $89.3 by QA per collection effort.

conclusionUnsupervised community-based mosquito surveillance collected substantially fewer mosquitoes per trap-night compared to quality-assured collection by experienced field teams, while consistently overestimating the number of Anopheles mosquitoes during identification. However, the numbers collected were significantly correlated between the CBCs and the QA teams suggesting that trends observed by CBCs and QA teams were similar. Further studies are needed to evaluate whether adopting low-cost, devolved supervision with spot checks, coupled with remedial training of the CBCs, can improve community-based collections to be considered a cost-effective alternative to surveillance conducted by experienced entomological technicians.

Indexed as

AnophelesMalariaAnimalsFeeding BehaviorHumansKenyaMosquito ControlMosquito Vectors

Identifiers

PMID37400805
PMCPMC10318638

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.