Ko te tāuta kupenga patu pepeke huri noa i ngā tuanui, ngā matapihi me ngā whakatuwheratanga pakitara i roto i ngā whare kāore anō kia whakahoutia he huarahi pea hei whakahaere i te malaria. Ka taea e ia te ārai i ngā waeroa kia uru ki roto i ngā whare, he pānga whakamate, he pānga iti hoki ki ngā kawe malaria, ā, ka taea hoki te whakaiti i te horapa o te malaria. Nō reira, i whakahaerehia e mātou he rangahau mate urutā i roto i ngā whare o Tanzania hei aromatawai i te whai huatanga o te tirotiro patu pepeke o roto (ITS) ki te malaria me ngā kawe.
Kotahi, neke atu rānei ngā whare o tētahi whare, ia whare e whakahaerehia ana e te upoko o te whare, ā, e whakamahi tahi ana ngā mema katoa o te whare i ngā taputapu kīhini. I āhei ngā whānau ki te whakauru ki te rangahau mēnā he tuwhera ngā tuanui, he matapihi kāore he ārai, ā, he pakitara kāore anō kia pakaru. I whakaurua ngā mema katoa o te whare e 6 marama te pakeke, neke atu rānei, ki te rangahau, haunga ngā wāhine hapu e tirotirohia ana i mua i te whānautanga e ai ki ngā aratohu ā-motu.
Mai i Hune ki Hūrae 2021, kia tae atu ki ngā whare katoa o ia kāinga, i haere ngā kaikohi raraunga, me te ārahi a ngā rangatira o te kāinga, ki te uiui i ngā whare he tuwhera ngā tuanui, he matapihi kāore i tiakina, he pakitara tū. I whakaotihia e tētahi mema pakeke o te whare tētahi pātai taketake. I roto i tēnei pātai ngā mōhiohio mō te wāhi me ngā āhuatanga o te whare, tae atu ki te āhua pāpori-taupori o ngā mema o te whare. Hei whakarite i te ōritetanga, i tohaina he tohu motuhake (UID) ki te puka whakaae whai whakaaro (ICF) me te pātai, i tāia, i pania ki te raima, ā, i whakapirihia ki te tatau o mua o ia whare whai wāhi. I whakamahia ngā raraunga taketake hei whakaputa i tētahi rārangi matapōkere, hei ārahi i te tāutanga o te ITS i roto i te rōpū wawaotanga.
I tātarihia ngā raraunga horapa o te malaria mā te whakamahi i te huarahi mō ia kawa, me te kore e whakaurua ki te tātaritanga te hunga i haere mai i ngā wiki e rua kua pahure ake nei, i tango rānei i ngā rongoā ārai malaria i ngā wiki e rua i mua i te rangahau.
Hei whakatau i te pānga o te ITS puta noa i ngā momo whare rerekē, te whakamahinga o te ITS, me ngā rōpū tau, i whakahaerehia e mātou he tātaritanga paparanga. I whakaritea te auau o te mate malaria i waenga i ngā whare me te kore ITS i roto i tētahi paparanga kua tautuhia: ngā pakitara paru, ngā pakitara pereki, ngā tuanui tuku iho, ngā tuanui tine, te hunga e whakamahi ana i te ITS i te rā i mua i te rangahau, te hunga kāore e whakamahi i te ITS i te rā i mua i te rangahau, ngā tamariki nohinohi, ngā tamariki kura, me ngā pakeke. I roto i ia tātaritanga paparanga, i whakaurua te rōpū tau, te ira tangata, me te taurangi paparanga whare e tika ana (momo pakitara, momo tuanui, whakamahinga ITS, rōpū tau rānei) hei pānga pumau. I whakaurua te whare hei pānga matapōkere hei whakaaro mō te whakarōpū. He mea nui, kāore ngā taurangi paparanga i whakaurua hei taurangi takirua i roto i ā rātou ake tātaritanga paparanga.
Mō ngā taupori waeroa o roto, ko ngā tauira whakatauira binomial kino kāore i whakatikatikaina i whakamahia anake ki te maha o ngā waeroa i hopukina i ia rā mō ia mahanga i ia pō nā te mea he iti noa ngā waeroa i hopukina puta noa i te aromatawai.
I tirotirohia ngā whare mō te mate malaria i te wā poto me te wā roa, ā, i whakaatuhia ngā hua o te rangahau i ngā whare i torohia, i whakakahoretia kia torohia, i whakaaetia kia torohia, i ngaro ki te toro atu nā te nekehanga me te haere tawhiti, te whakakahoretanga o te kaiuru kia torohia, te whakamahinga o ngā rongoā ārai malaria, me te hītori haere. I rangahauhia ngā whare mō ngā waeroa o roto mā te whakamahi i ngā mahanga mārama a te CDC, ā, i whakaatuhia ngā hua o te rangahau i ngā whare i torohia, i whakakahoretia kia toro atu, i whakaae kia toro atu, i ngaro ki te toro atu nā te neke, i ngaro rānei mō te wā katoa o te rangahau. I tāutahia te ITS ki ngā whare whakahaere.
I te Rohe o Chalinze, kāore i kitea he rerekētanga nui i roto i ngā reiti pangia o te malaria, i ngā taupori waeroa o roto rānei i waenga i ngā whare he pūnaha tirotiro i rongoatia ki ngā pepeke patupatu (ITS) me ērā kāore i te whai. Tērā pea nā te hoahoa o te rangahau, ngā āhuatanga patu pepeke me ngā āhuatanga toenga o te wawaotanga, me te maha o ngā kaiuru i whakarērea te rangahau. Ahakoa kāore i te nui ngā rerekētanga, i kitea he iti ake ngā taumata o te whakaekenga pirinoa i te taumata whare i te wā ua roa, he mea tino kitea i waenga i ngā tamariki kura. I heke iho hoki ngā taupori waeroa Anopheles o roto, e tohu ana i te hiahia mō ētahi atu rangahau. Nō reira, e taunakihia ana he hoahoa rangahau matapōkere-rōpū me te whai wāhi kaha o te hapori me te toro atu ki te whakarite kia mau tonu ngā kaiuru puta noa i te rangahau.
Wā tuku: 19 o Ākuhata 2025



