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    Mar 03, 2021
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    Low uptake of preventive interventions among malaria cases in Swaziland: towards malaria elimination

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    Makadzange et al - 2018 - Low ...
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    Authors
    Makadzange, K
    Dlamini, N
    Zulu, Z
    Dlamini, S
    Kunene, S
    Sikhondze, W
    Owiti, P
    Geoffroy, E
    Zachariah, R
    Mengestu, TK
    Issue Date
    2018-04-25
    Submitted date
    2018-05-11
    
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    Journal
    Public Health Action
    Abstract
    Settings: Swaziland is striving to achieve sustainable malaria elimination. Three preventive interventions are vital for reaching this goal: 1) effective household utilisation of long-lasting insecticide nets (LLINs), 2) indoor residual spraying (IRS), and 3) provision of chemoprophylaxis for those travelling to malaria-endemic areas. Objectives: To assess the uptake of preventive intervention among confirmed malaria cases. Design: A longitudinal study using nation-wide programme data from 2010 to 2015. Data on malaria cases from health facilities were sourced from the Malaria Surveillance Database System. Results: Of a total 2568 confirmed malaria cases in Swaziland, 2034 (79%) had complete data on case investigations and were included in the analysis. Of 341 (17%) individuals who owned LLINs, 169 (8%) used them; 338 (17%) had IRS and 314 (15%) slept in sprayed structures. Of 1403 travellers to areas at high malaria risk, 59 (4%) used any form of malaria prevention, including chemoprophylaxis. Conclusion: The uptake of all three key malaria prevention interventions is low, and could threaten the progress made thus far toward malaria elimination. Efforts to improve this situation, including qualitative research to understand the reasons for low uptake, are urgently needed.
    Publisher
    International Union Against Tuberculosis and Lung Disease
    URI
    http://hdl.handle.net/10144/619152
    DOI
    10.5588/pha.17.0016
    PubMed ID
    29713591
    Language
    en
    ISSN
    2220-8372
    ae974a485f413a2113503eed53cd6c53
    10.5588/pha.17.0016
    Scopus Count
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    Operational Research Courses

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