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Peer reviewedOpen accessMalariaCholeraCOVID-19

Climate blind spots in malaria control: frontline perspectives on climate adaptation and malaria control in Zambia

Frontiers in Tropical Diseases·

Nyuma Mbewe, Therese Sherma Nzayisenga, Kelvin Mwangilwa, Jonathan Mwanza, Stephen Bwalya, Ignatius Banda, Cheepa Habeenzeu, Paul Msanzya Zulu, Loveness Nikisi, Peter Jay Chipimo, Freddie Masaninga, Nathan Kapata, Allan Mayaba Mwiinde

DOI
10.3389/fitd.2026.1842769
PMID
PMCID
OpenAlex
W7203648228
Study type
Cross-sectional study
Publisher
Frontiers Media SA
Article type
journal-article
Integrity
current

Why this research matters now

Integrating environmental monitoring into routine disease management protocols could enhance operational resilience during overlapping health emergencies. Developing targeted training modules on ecological risk assessment may improve how local teams adjust interventions to shifting conditions.

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Structured evidence summary

Research question

The investigation examines how local health providers perceive environmental changes and evaluate current malaria intervention strategies within Zambia.

Study design

Researchers employed a cross-sectional qualitative methodology, conducting semi-structured interviews and group discussions that underwent thematic coding.

Population and setting

The sample comprised sixty-four individuals, including medical staff and community outreach workers, recruited from twenty administrative zones with differing disease burdens.

Main findings

Environmental alterations and severe weather events were described as catalysts for expanded mosquito habitats and modified disease patterns. Logistical constraints, damaged transportation networks, and concurrent health emergencies were noted to disrupt standard preventive and therapeutic activities. Although participants acknowledged ecological threats, their suggested solutions predominantly emphasized traditional vector control methods instead of comprehensive environmental adaptation plans.

Public-health relevance

Integrating environmental monitoring into routine disease management protocols could enhance operational resilience during overlapping health emergencies. Developing targeted training modules on ecological risk assessment may improve how local teams adjust interventions to shifting conditions.

Important limitations

The qualitative approach relying on participant recollections inherently limits statistical generalization and objective measurement of environmental impacts.

GIDS interpretation

This article offers a localized perspective on how ecological factors intersect with health system operations, providing contextual framing for regional disease management discussions. It highlights stakeholder awareness gaps that inform future educational and policy development initiatives.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 10 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseaddresses topicaddresses topicaddresses topicaddresses topicevaluates interventioninforms policy domainstudied instudied population settinguses study design