training in Insecticide Resistance Management for malaria vector control programs in Africa Andy South southmapr etchteamwordpresscom Talk structure Why focus on Insecticide Resistance Management ID: 928978
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A serious game to aid training in Insecticide Resistance Management for malaria vector control programs in Africa
Andy South@southmapretchteam.wordpress.com
Slide2Talk structureWhy focus on Insecticide Resistance Management ?Why gaming ?Aim of the gameGame overviewGame development
How the game-model worksWhere we are and where we are going
Slide3Mosquito control is central to malaria control2 main interventions save hundreds of thousands of lives bed nets indoor sprayingBoth rely on just 4 classes of insecticide pyrethroids
organochlorine (ddt) organophosphates
carbamatesAll recommended
bednets are treated with
pyrethroidsPublic health consequences of failure of
pyrethroids
would be ‘devastating’
1. Why IRM?
GPIRM, 2012
Slide4Pyrethroid resistance in malaria mosquitoes resistant populationsHemingway et al., 2016.Averting a malaria disaster: will insecticide resistance derail malaria control?
Lancet. 2016 Feb 12. pii: S0140-6736(15)00417-1.
doi: 10.1016/S0140-6736(15)00417-1
Slide5Key Interventions
Indoor insecticide residual spraying (IRS)Insecticide treated bednets
Slide6Determine resistance status CDC method WHO method
Collecting mosquitos
Insectary
Entomological Monitoring
Slide7InteractiveSimulate real world scenariosAble to advance timeUnderstand implicationsIdentify misconceptionsDetermine knowledge gapsIdentify areas where traditional learning failsIt’s fun2. Why Gaming?
Slide8Learning Tool (promote good practice, quality data, data generation, data use, advantage of informed decisions) NOT a Decision Support Tool3. Aim of the game
For vector control staff in Africa in facilitated sessions
Part of a bigger
Insecticide Resistance Management learning and communication strategy
Slide9Learning objectives, 27, an edited selectionPlayer to understand :different areas in a country can have different vector speciesbenefit of using PCR ID over
morphologicalbenefit of monitoring abundance
use of abundance data to time
interventiondifferent
collection methods provide different information
to
avoid
insecticides vectors are
resistant
to
benefit
of rotating
insecticides
available
funding can
limit insecticide choice
Slide104. Game overview
Slide11Slide12Slide13Slide145
. Game development
Slide15Slide16Mosquito populations and resistance should respond in ‘realistic’ ways to support learning objectives. ResistanceSim game modelsimple~ 20 lines of codeq
uickhandful of parameters can be changed to generate scenarios
Slide17No intervention : mosquitoes increase, resistance stays lowMosquito abundanceSusceptibility
6. How the game-model works
Prototype developed in
Slide18Effective intervention : mosquitoes decline, resistance stays lowInterventionsMosquito abundanceSusceptibility
Slide19Resistance increasing, intervention becomes ineffective.InterventionsMosquito abundance
Susceptibility
Slide20Slide21Slide22Configuration files in google docs.Allows us to modify game behaviour without developer input.
Slide23Config files can be accessed independently allowing scenario testing
Slide241. Exploreserious gaming to aid learning3. Expanddevelop
a comprehensive Insecticide Resistance Management game following stakeholder consultation
2. Determine
if
gaming engages staff in vector control
programmes
7
. Where we are and where we are going
4. Test
5. Deliver
6. Track
first locally then with target audience in Africa
to
vector control
programmes & other
stakeholders
and evaluate the value and impact
of the
game
7. Review
a
pply learning in this and other games
Slide25What have been the main challenges ?Keeping it simple PlayabilityConnectednessTime and budget limit testing
Slide26What might we do differently with hindsight ?Modules addressing small groups of learning objectives rather than one big simulationFocus on fewer learning objectives… after testing we’ll know more
Slide27OpportunitiesFeedbackFunding to support
RolloutSupport for playersUpdatesTools for analysis of game play
Repurposing the game platform for other public health challenges
Collaboration
Training / field programsResearchersPolicy makers