Low uptake of preventive interventions among malaria cases in Swaziland: towards malaria elimination

A longitudinal study using nation-wide programme data from 2010 to 2015

Abstract

Settings

Swaziland is striving to achieve sustainable malaria elimination. 3 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.

Conclusion

The uptake of all 3 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.

This research was supported by the UK Department for International Development’s Operational Research Capacity Building Programme led by the International Union Against TB and Lung Disease (The Union)

Citation

Makadzange K, Dlamini N, Zulu Z, Dlamini S, Kunene S, Sikhondze W, Owiti P, Geoffroy E, Zachariah R, Mengestu TK. Low uptake of preventive interventions among malaria cases in Swaziland: towards malaria elimination. Public Health Action [Internet]. 2018 Apr 25 [cited 2018 Jun 25];8(1):29–33. Available from: http://www.ingentaconnect.com/content/10.5588/pha.17.0016

Low uptake of preventive interventions among malaria cases in Swaziland: towards malaria elimination

Published 25 April 2018