Unravelling the impact of insecticide-treated bed nets on childhood malaria in Malawi
文献类型:期刊论文
作者 | Tangena, Julie-Anne A.2; Mategula, Donnie2,6; Sedda, Luigi5; Atkinson, Peter M.1,3,4 |
刊名 | MALARIA JOURNAL |
出版日期 | 2023-01-13 |
卷号 | 22期号:1页码:12 |
关键词 | Malaria indicator survey Malawi Insecticide-treated bed net Bed net use |
DOI | 10.1186/s12936-023-04448-y |
通讯作者 | Tangena, Julie-Anne A.(Julie-anne.tangena@lstmed.ac.uk) |
英文摘要 | Background To achieve malaria elimination it is essential to understand the impact of insecticide-treated net (ITNs) programmes. Here, the impact of ITN access and use on malaria prevalence in children in Malawi was investigated using Malaria Indicator Survey (MIS) data. Methods MIS data from 2012, 2014 and 2017 were used to investigate the relationship between malaria prevalence in children (6-59 months) and ITN use. Generalized linear modelling (GLM), geostatistical mixed regression modelling and non-stationary GLM were undertaken to evaluate trends, spatial patterns and local dynamics, respectively. Results Malaria prevalence in Malawi was 27.1% (95% CI 23.1-31.2%) in 2012 and similar in both 2014 (32.1%, 95% CI 25.5-38.7) and 2017 (23.9%, 95% CI 20.3-27.4%). ITN coverage and use increased during the same time period, with household ITN access growing from 19.0% (95% CI 15.6-22.3%) of households with at least 1 ITN for every 2 people sleeping in the house the night before to 41.7% (95% CI 39.1-44.4%) and ITN use from 41.1% (95% CI 37.3-44.9%) of the population sleeping under an ITN the previous night to 57.4% (95% CI 55.0-59.9%). Both the geostatistical and non-stationary GLM regression models showed child malaria prevalence had a negative association with ITN population access and a positive association with ITN use although affected by large uncertainties. The non-stationary GLM highlighted the spatital heterogeneity in the relationship between childhood malaria and ITN dynamics across the country. Conclusion Malaria prevalence in children under five had a negative association with ITN population access and a positive association with ITN use, with spatial heterogeneity in these relationships across Malawi. This study presents an important modelling approach that allows malaria control programmes to spatially disentangle the impact of interventions on malaria cases. |
WOS关键词 | GEOGRAPHICALLY WEIGHTED REGRESSION ; THAN 5 YEARS ; URBAN MALARIA ; RISK-FACTORS ; TRANSMISSION ; EPIDEMIOLOGY ; PARASITEMIA ; RESISTANCE ; MOSQUITOS ; BLANTYRE |
资助项目 | MRC Skills Development Fellowship ; Wellcome Trust Seed Award[212501/Z/18/Z] ; Wellcome Trust NIHR-Wellcome Partnership for Global Health Research Collaborative Award ; Academy of Medical Sciences GCRF Networking Grant Scheme[GCRFNGR7/1329] ; CEASE[220870/Z/20/Z] |
WOS研究方向 | Infectious Diseases ; Parasitology ; Tropical Medicine |
语种 | 英语 |
出版者 | BMC |
WOS记录号 | WOS:000913539800002 |
资助机构 | MRC Skills Development Fellowship ; Wellcome Trust Seed Award ; Wellcome Trust NIHR-Wellcome Partnership for Global Health Research Collaborative Award ; Academy of Medical Sciences GCRF Networking Grant Scheme ; CEASE |
源URL | [http://ir.igsnrr.ac.cn/handle/311030/189736] |
专题 | 中国科学院地理科学与资源研究所 |
通讯作者 | Tangena, Julie-Anne A. |
作者单位 | 1.Univ Lancaster, Lancaster Environm Ctr, Lancaster LA1 4YR, England 2.Univ Liverpool Liverpool Sch Trop Med, Vector Biol Dept, Liverpool, Merseyside, England 3.Univ Southampton, Geog & Environm Sci, Southampton SO17 1BJ, Hants, England 4.Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, 11A Datun Rd, Beijing 100101, Peoples R China 5.Univ Lancaster, Lancaster Ecol & Epidemiol Grp, Lancaster, England 6.Malawi Liverpool Wellcome Trust, Clin Res Programme, Blantyre, Malawi |
推荐引用方式 GB/T 7714 | Tangena, Julie-Anne A.,Mategula, Donnie,Sedda, Luigi,et al. Unravelling the impact of insecticide-treated bed nets on childhood malaria in Malawi[J]. MALARIA JOURNAL,2023,22(1):12. |
APA | Tangena, Julie-Anne A.,Mategula, Donnie,Sedda, Luigi,&Atkinson, Peter M..(2023).Unravelling the impact of insecticide-treated bed nets on childhood malaria in Malawi.MALARIA JOURNAL,22(1),12. |
MLA | Tangena, Julie-Anne A.,et al."Unravelling the impact of insecticide-treated bed nets on childhood malaria in Malawi".MALARIA JOURNAL 22.1(2023):12. |
入库方式: OAI收割
来源:地理科学与资源研究所
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