Prevention of mosquito nuisance among urban populations in Burkina Faso.

This paper addresses the problems of mosquito control in urban areas of Burkina Faso. The main objectives are to examine relevant socio-cultural aspects in relation to a mosquito control intervention using a biolarvicide with main emphasis on local perceptions of mosquito nuisance and existing practices of mosquito control, including the cost of protective measures at household level. This is the report of an inter-disciplinary research project carried out in the two major towns of Burkina Faso, Bobo-Dioulasso and Ouagadougou, in 1999 and 2000, respectively. Both quantitative and qualitative methods were used in the ethnographic part of the study. Two questionnaire surveys were conducted in both study areas: one prior to the intervention (n=1083) and the other after the intervention of the treatments with bio-larvicide (n=956). In addition, 70 in-depth interviews and 17 focus group discussions (FGDs) were conducted. The findings show that mosquitoes are considered an important problem in the urban areas, both as a nuisance and a health risk and that the local population is very active in applying mosquito control measures at the household level. The intervention project was received positively by the local population with a decline in the perceived level of annoyance. The causal relationship between mosquitoes and malaria is clear, but the explanatory framework of the relationship between mosquitoes and other diseases is still under debate. The most common prevention methods are mosquito coils and aerosol spray, even though bed nets are perceived to be the most efficient and effective method. The investments in coils and aerosol sprays alone would mean an increase of 40% in the national figures for health expenditure at household level.