Effects and factors associated with indoor residual spraying with Actellic 300 CS on malaria morbidity in Lira District, Northern Uganda

Malaria Journal
Abdulaziz TugumeAdoke Yeka

Abstract

Indoor residual spraying (IRS) with Actellic 300 CS was conducted in Lira District between July and August 2016. No formal assessment has been conducted to estimate the effect of spraying with Actellic 300 CS on malaria morbidity in the Ugandan settings. This study assessed malaria morbidity trends before and after IRS with Actellic 300 CS in Lira District in Northern Uganda. The study employed a mixed methods design. Malaria morbidity records from four health facilities were reviewed, focusing on 6 months before and after the IRS intervention. The outcome of interest was malaria morbidity defined as; proportion of outpatient attendance due to total malaria, proportion of outpatient attendance due to confirmed malaria and proportion of malaria case numbers confirmed by microscopy or rapid diagnostic test. Since malaria morbidity was based on count data, an ordinary Poisson regression model was used to obtain percentage point change (pp) in monthly malaria cases before and after IRS. A household survey was also conducted in 159 households to determine IRS coverage and factors associated with spraying. A modified Poisson regression model was fitted to determine factors associated with household spray status. The proportion of out...Continue Reading

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Citations

Dec 16, 2020·BMC Public Health·Simon P KigoziRachel L Pullan
Mar 7, 2021·International Journal of Environmental Research and Public Health·Srean ChhimBunkea Tol
Jun 15, 2021·International Journal of Health Geographics·Andrea McMahonMichael Charles Wimberly

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Software Mentioned

STATA
INFO
Actellic
EPI

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