Maukonde atsopano ophera tizilombo omwe amagwira ntchito ziwiri amapereka chiyembekezo cholimbana ndi malungo ku Africa

Mankhwala ophera tizilomboMaukonde ochiritsidwa (ITNs) akhala maziko a ntchito zopewera malungo m'zaka makumi awiri zapitazi, ndipo kugwiritsa ntchito kwawo kwakukulu kwakhala ndi gawo lalikulu popewa matendawa ndikupulumutsa miyoyo. Kuyambira mu 2000, ntchito zowongolera malungo padziko lonse lapansi, kuphatikizapo kudzera mu kampeni za ITN, zaletsa milandu yoposa 2 biliyoni ya malungo ndi imfa pafupifupi 13 miliyoni.
Ngakhale kuti zinthu zapita patsogolo pang'ono, udzudzu wofalitsa malungo m'madera ambiri wakula mphamvu yolimbana ndi mankhwala ophera tizilombo omwe amagwiritsidwa ntchito kwambiri m'maukonde ophera tizilombo, makamaka mankhwala otchedwa pyrethroids, zomwe zachepetsa mphamvu yawo komanso zachepetsa kupita patsogolo kwa njira yopewera malungo. Kuopsa kumeneku kwapangitsa ofufuza kuti afulumizitse kupanga maukonde atsopano omwe amapereka chitetezo chokhalitsa ku malungo.
Mu 2017, WHO inalimbikitsa ukonde woyamba wothira mankhwala ophera tizilombo womwe unapangidwa kuti ukhale wogwira mtima kwambiri polimbana ndi udzudzu wosagwira ntchito ya pyrethroid. Ngakhale kuti iyi inali sitepe yofunika kupita patsogolo, pakufunika luso lina lowonjezera kuti pakhale ukonde wothira mankhwala ophera tizilombo wogwira ntchito ziwiri, kuwunika momwe umagwirira ntchito polimbana ndi udzudzu wosagwira ntchito ya mankhwala ophera tizilombo komanso momwe umakhudzira kufalikira kwa malungo, ndikuwunika momwe umagwiritsira ntchito ndalama.
Chithunzichi, chomwe chinafalitsidwa tsiku la World Malaria lisanafike 2025, chikuwonetsa kafukufuku, chitukuko ndi kukhazikitsidwa kwa maukonde opangidwa ndi tizilombo tosiyanasiyana (DINETs) - zotsatira za mgwirizano wazaka zambiri pakati pa mayiko, madera, opanga, opereka ndalama ndi mabungwe osiyanasiyana padziko lonse lapansi, madera ndi mayiko.
Mu 2018, Unitaid ndi Global Fund adayambitsa pulojekiti ya New Nets, motsogozedwa ndi Coalition for Innovative Vector Control mogwirizana ndi mapulogalamu adziko lonse a malungo ndi anzawo ena, kuphatikiza Purezidenti wa US Malaria Initiative, Bill & Melinda Gates Foundation ndi MedAccess, kuti athandizire kupanga umboni ndi mapulojekiti oyesera kuti afulumizitse kusintha kwa maukonde okhala ndi mankhwala awiri ophera tizilombo ku sub-Saharan Africa kuti athetse kukana kwa pyrethroid.
Ma network amenewa adayikidwa koyamba ku Burkina Faso mu 2019, ndipo m'zaka zotsatira ku Benin, Mozambique, Rwanda ndi United Republic of Tanzania kuti ayesere momwe ma networkwa amagwirira ntchito m'mikhalidwe yosiyanasiyana.
Pofika kumapeto kwa chaka cha 2022, pulojekiti ya New Mosquito Nets, mogwirizana ndi Global Fund ndi US President's Malaria Initiative, idzakhala itakhazikitsa maukonde opitilira 56 miliyoni m'maiko 17 kum'mwera kwa Sahara ku Africa komwe kwadziwika kuti kukana mankhwala ophera tizilombo kwadziwika.
Mayeso azachipatala ndi maphunziro oyeserera awonetsa kuti maukonde okhala ndi mankhwala ophera tizilombo omwe amagwira ntchito ziwiri amathandizira kuchepetsa kuchuluka kwa malungo ndi 20-50% poyerekeza ndi maukonde wamba okhala ndi ma pyrethrins okha. Kuphatikiza apo, mayeso azachipatala ku United Republic of Tanzania ndi Benin awonetsa kuti maukonde okhala ndi ma pyrethrins ndi chlorfenapyr amachepetsa kwambiri kuchuluka kwa matenda a malungo mwa ana azaka zapakati pa miyezi 6 ndi zaka 10.
Kukulitsa ntchito yoika ndi kuyang'anira maukonde a udzudzu a m'badwo wotsatira, katemera ndi ukadaulo wina watsopano kudzafuna kupitiliza kuyika ndalama mu mapulogalamu oletsa ndi kuthetsa malungo, kuphatikizapo kuonetsetsa kuti Global Fund ndi Gavi Vaccine Alliance zikubwezeretsedwanso.
Kuwonjezera pa maukonde atsopano ogona, ofufuza akupanga zida zatsopano zowongolera ma vector, monga mankhwala othamangitsa mlengalenga, nyambo zakupha zapakhomo (machubu a ndodo zotchingira), ndi udzudzu wopangidwa ndi majini.