Assessing malaria risk at night-time venues in a low-transmission setting: a time-location sampling study in Zambezi, Namibia

Autor: Jerry O. Jacobson, Jennifer L. Smith, Carmen Cueto, Mukosha Chisenga, Kathryn Roberts, Michelle Hsiang, Roly Gosling, Davis Mumbengegwi, Adam Bennett
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Malaria Journal, Vol 18, Iss 1, Pp 1-11 (2019)
Druh dokumentu: article
ISSN: 1475-2875
DOI: 10.1186/s12936-019-2807-x
Popis: Abstract Background Identifying efficient and effective strategies to reach and monitor populations at greatest risk of malaria in low-transmission settings is a key challenge for malaria elimination. In Namibia’s Zambezi Region, transmission is ongoing yet its drivers remain poorly understood. A growing literature suggests that night-time social activities may lead to malaria exposure that is beyond the reach of conventional preventive interventions, such as insecticide treated bed nets and indoor residual spraying. Methods Formative research was conducted with community members in March, 2015 in the catchment areas of six randomly selected health facilities in the western Zambezi Region to identify night-time locations where large numbers of individuals regularly congregate. Using time-location sampling, a survey was conducted between March and May, 2015 at community-identified venues (bars and evening church services) to develop representative estimates of the prevalence of parasite infection and risk factors among venue-goers. Results When compared to a contemporaneous household survey of the general population aged 15 and older (N = 1160), venue-goers (N = 480) were more likely to have spent the night away from their home recently (17.3% vs. 8.9%, P = 0.008), report recent fever (65.2% vs. 36.9%, P
Databáze: Directory of Open Access Journals
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