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Non-adherence to long-lasting insecticide treated bednet use following successful malaria control in Tororo, Uganda

Author

Listed:
  • John Rek
  • Alex Musiime
  • Maato Zedi
  • Geoffrey Otto
  • Patrick Kyagamba
  • Jackson Asiimwe Rwatooro
  • Emmanuel Arinaitwe
  • Joaniter Nankabirwa
  • Sarah G Staedke
  • Chris Drakeley
  • Philip J Rosenthal
  • Moses Kamya
  • Grant Dorsey
  • Paul J Krezanoski

Abstract

Indoor residual spraying (IRS) and long-lasting insecticide-treated bednets (LLINs) are common tools for reducing malaria transmission. We studied a cohort in Uganda with universal access to LLINs after 5 years of sustained IRS to explore LLIN adherence when malaria transmission has been greatly reduced. Eighty households and 526 individuals in Nagongera, Uganda were followed from October 2017 –October 2019. Every two weeks, mosquitoes were collected from sleeping rooms and LLIN adherence the prior night assessed. Episodes of malaria were diagnosed using passive surveillance. Risk factors for LLIN non-adherence were evaluated using multi-level mixed logistic regression. An age-matched case-control design was used to measure the association between LLIN non-adherence and malaria. Across all time periods, and particularly in the last 6 months, non-adherence was higher among both children

Suggested Citation

  • John Rek & Alex Musiime & Maato Zedi & Geoffrey Otto & Patrick Kyagamba & Jackson Asiimwe Rwatooro & Emmanuel Arinaitwe & Joaniter Nankabirwa & Sarah G Staedke & Chris Drakeley & Philip J Rosenthal & , 2020. "Non-adherence to long-lasting insecticide treated bednet use following successful malaria control in Tororo, Uganda," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-14, December.
    • Handle: RePEc:plo:pone00:0243303
    DOI: 10.1371/journal.pone.0243303
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    References listed on IDEAS

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    1. Sierra Clark & Lea Berrang-Ford & Shuaib Lwasa & Didacus Namanya & Sabastian Twesigomwe & IHACC Research Team & Manisha Kulkarni, 2016. "A Longitudinal Analysis of Mosquito Net Ownership and Use in an Indigenous Batwa Population after a Targeted Distribution," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-20, May.
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