Low uptake of preventive interventions among malaria cases in Swaziland: towards malaria elimination
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.
Document Type: Research Article
Affiliations: 1: World Health Organization Country Office for Swaziland, Mbabane, Swaziland 2: National Malaria Control Programme, Ministry of Health, Mbabane, Swaziland 3: University of Swaziland, Mbabane, Swaziland 4: Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya 5: Global AIDS Interfaith Alliance, San Rafael, California, USA 6: Operations Research Unit, Médecins Sans Frontières, Luxembourg City, Luxembourg
Publication date: April 25, 2018
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