Low uptake of preventive interventions among malaria cases in Swaziland: towards malaria elimination
MetadataShow full item record
JournalPublic Health Action
AbstractSettings: 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.
- Role of individual perceptions in the consistent use of malaria preventive measures: mixed methods evidence from rural Rwanda.
- Authors: Asingizwe D, Poortvliet PM, Koenraadt CJM, van Vliet AJH, Ingabire CM, Mutesa L, Leeuwis C
- Issue date: 2019 Aug 8
- Malaria control in Botswana, 2008-2012: the path towards elimination.
- Authors: Simon C, Moakofhi K, Mosweunyane T, Jibril HB, Nkomo B, Motlaleng M, Ntebela DS, Chanda E, Haque U
- Issue date: 2013 Dec 20
- Combining long-lasting insecticidal nets and indoor residual spraying for malaria prevention in Ethiopia: study protocol for a cluster randomized controlled trial.
- Authors: Deressa W, Loha E, Balkew M, Hailu A, Gari T, Kenea O, Overgaard HJ, Gebremichael T, Robberstad B, Lindtjørn B
- Issue date: 2016 Jan 12
- Implications of bio-efficacy and persistence of insecticides when indoor residual spraying and long-lasting insecticide nets are combined for malaria prevention.
- Authors: Okumu FO, Chipwaza B, Madumla EP, Mbeyela E, Lingamba G, Moore J, Ntamatungro AJ, Kavishe DR, Moore SJ
- Issue date: 2012 Nov 19
- An observational analysis of the impact of indoor residual spraying with non-pyrethroid insecticides on the incidence of malaria in Ségou Region, Mali: 2012-2015.
- Authors: Wagman J, Gogue C, Tynuv K, Mihigo J, Bankineza E, Bah M, Diallo D, Saibu A, Richardson JH, Kone D, Fomba S, Bernson J, Steketee R, Slutsker L, Robertson M
- Issue date: 2018 Jan 10