Back to Search Start Over

LLIN evaluation in Uganda project (LLINEUP2): association between housing construction and malaria burden in 32 districts.

Authors :
Gonahasa, Samuel
Nassali, Martha
Maiteki‑Sebuguzi, Catherine
Namuganga, Jane F.
Opigo, Jimmy
Nabende, Isaiah
Okiring, Jaffer
Epstein, Adrienne
Snyman, Katherine
Nankabirwa, Joaniter I.
Kamya, Moses R.
Dorsey, Grant
Staedke, Sarah G.
Source :
Malaria Journal. 6/17/2024, Vol. 23 Issue 1, p1-11. 11p.
Publication Year :
2024

Abstract

Background: Well-built housing limits mosquito entry and can reduce malaria transmission. The association between community-level housing and malaria burden in Uganda was assessed using data from randomly selected households near 64 health facilities in 32 districts. Methods: Houses were classified as 'improved' (synthetic walls and roofs, eaves closed or absent) or 'less-improved' (all other construction). Associations between housing and parasitaemia were made using mixed effects logistic regression (individual-level) and multivariable fractional response logistic regression (community-level), and between housing and malaria incidence using multivariable Poisson regression. Results: Between November 2021 and March 2022, 4.893 children aged 2–10 years were enrolled from 3.518 houses; of these, 1.389 (39.5%) were classified as improved. Children living in improved houses had 58% lower odds (adjusted odds ratio = 0.42, 95% CI 0.33–0.53, p < 0.0001) of parasitaemia than children living in less-improved houses. Communities with > 67% of houses improved had a 63% lower parasite prevalence (adjusted prevalence ratio 0.37, 95% CI 0.19–0.70, p < 0.0021) and 60% lower malaria incidence (adjusted incidence rate ratio 0.40, 95% CI 0.36–0.44, p < 0.0001) compared to communities with < 39% of houses improved. Conclusions: Improved housing was strongly associated with lower malaria burden across a range of settings in Uganda and should be utilized for malaria control. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14752875
Volume :
23
Issue :
1
Database :
Academic Search Index
Journal :
Malaria Journal
Publication Type :
Academic Journal
Accession number :
177949667
Full Text :
https://doi.org/10.1186/s12936-024-05012-y