Nhanganyaya:Mushonga wezvipembeneneMambure ekudzivirira umhutu akarapwa (ITNs) anowanzo shandiswa sechidziviriro chemuviri kudzivirira kutapukirwa nemarariya. Imwe yenzira dzakakosha dzekuderedza mutoro wemarariya muSub-Saharan Africa ndeyekushandisa maITNs. Zvisinei, hapana ruzivo rwakakwana nezvekushandiswa kweITNs nezvimwe zvinhu zvine chekuita nayo muEthiopia.
Mambure emubhedha akarapwa nemishonga inouraya zvipembenene inzira yekudzivirira malaria nenzira isingadhuri uye inofanira kurapwa nemishonga inouraya zvipembenene uye kugara ichichengetwa. Izvi zvinoreva kuti kushandiswa kwemambure emubhedha akarapwa mishonga inouraya zvipembenene munzvimbo dzine huwandu hwakawanda hwemarariya inzira inoshanda zvikuru yekudzivirira kutapurirana kwemarariya1. Sekureva kweWorld Health Organisation muna 2020, inenge hafu yevanhu vepasi rose vari panjodzi yekubatwa nemarariya, uye huwandu hwakawanda hwezvirwere nerufu zvichiitika muSouth-Saharan Africa, kusanganisira Ethiopia. Zvisinei, huwandu hwakawanda hwezvirwere nerufu hwakataurwawo muWHO South-East Asia, Eastern Mediterranean, Western Pacific neAmericas regions1,2.
Zvishandiso: Data rakaunganidzwa pachishandiswa mibvunzo inobvunzwa nemubvunzurudzo pamwe neongororo yekutarisa, iyo yakagadzirwa zvichibva pazvidzidzo zvakaburitswa zvine zvimwe zvakagadziridzwa31. Mibvunzo yekudzidza iyi yaive nezvikamu zvishanu: hunhu hwevanhu, mashandisirwo neruzivo rweITN, chimiro chemhuri nehukuru hwemhuri, uye zvinhu zvemunhu/maitiro, zvakagadzirirwa kuunganidza ruzivo rwakakosha nezvevatori vechikamu. Rondedzero iyi yaive nekugona kutenderedza zvakacherechedzwa zvakaitwa. Yakasungirirwa padivi pemibvunzo yega yega yemhuri kuitira kuti vashandi vemumunda vagone kutarisa zvavakaona pasina kukanganisa kubvunzurudza. Sekutaura kwetsika, vatori vechikamu muchidzidzo chedu vaisanganisira zvidzidzo zvevanhu uye zvidzidzo zvine chekuita nevanhu zvinofanirwa kunge zvichienderana neChiziviso cheHelsinki. Nokudaro, komiti yesangano reFaculty of Medicine and Health Sciences, Bahir Dar University yakabvumidza maitiro ese kusanganisira chero ruzivo rwakakosha, rwakaitwa zvichienderana nemirairo nemitemo yakakodzera, uye mvumo yakaziviswa yakawanikwa kubva kune vese vatori vechikamu.
Mune dzimwe nzvimbo, panogona kunge paine kusanzwisisana kana kuramba kushandiswa kwemambure akacherwa mishonga yezvipembenene, zvichikonzera kusatorwa kwemvura yakawanda. Dzimwe nzvimbo dzinogona kusangana nematambudziko akasiyana akadai sekusawirirana, kutama kwevanhu, kana urombo hwakanyanya izvo zvinogona kudzikamisa zvakanyanya kugoverwa nekushandiswa kwemambure akacherwa mishonga yezvipembenene, senge dunhu reBenishangul Gumuz Metekel.
Musiyano uyu ungangove wakakonzerwa nezvinhu zvakawanda, zvinosanganisira nguva iri pakati pezvidzidzo (avhareji yemakore matanhatu), mutsauko mukuziva nekudzidzisa nezvekudzivirira malaria, uye mutsauko wematunhu mumabasa ekusimudzira. Kushandiswa kwemambure anorapwa zvipembenene kunowanzo kuve kwakanyanya munzvimbo dzine nzira dzekudzidzisa dzinoshanda uye zvivakwa zvehutano zviri nani. Pamusoro pezvo, tsika netsika dzemunharaunda zvinogonawo kukanganisa kugamuchirwa kwevanhu kwekushandiswa kwemambure. Sezvo chidzidzo ichi chakaitwa munzvimbo dzine malaria ine zvivakwa zvehutano zviri nani uye kugoverwa kwemambure anorapwa zvipembenene, kuwanikwa kwemambure kunogona kunge kwakanyanya munzvimbo iyi zvichienzaniswa nenzvimbo dzisina kushandiswa kwakawanda.
Kubatana kuripo pakati pezera nekushandiswa kweITN kunogona kunge kuri nekuda kwezvinhu zvakati wandei: vechidiki vanowanzo shandisa maITN kakawanda nekuti vanonzwa vaine mutoro wehutano hwevana vavo. Pamusoro pezvo, zvirongwa zvekusimudzira hutano munguva pfupi yapfuura zvakanangana nevechidiki uye zvakawedzera ruzivo rwavo nezvekudzivirira malaria. Kupesvedzera kwevanhu munharaunda, kusanganisira tsika dzevezera ravo nedzenharaunda, zvinogonawo kuita basa iri, sezvo vechidiki vanowanzo gamuchira mazano matsva ehutano.
Pamusoro pezvo, vanowanzova neruzivo rwakakwana rwezviwanikwa uye vanowanzoda kushandisa nzira itsva netekinoroji, zvichiita kuti vagamuchire kushandiswa kwemambure anorapwa zvipembenene.
Nguva yekutumira: Chikumi-09-2025