Evidence map›Paper›PMID 28964263›Full record

ArticleParasites & vectors2017

The contribution of malaria control interventions on spatio-temporal changes of parasitaemia risk in Uganda during 2009-2014.

Julius Ssempiira, Betty Nambuusi, John Kissa, Bosco Agaba, Fredrick Makumbi, Simon Kasasa, Penelope Vounatsou

Open access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  7. Impact of Climate Variability and Interventions on Malaria Incidence and Forecasting in Burkina Faso.International journal of environmental research and public health · 2024
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  11. PLOS global public health · 2021
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  17. Blackwater Fever in Ugandan Children With Severe Anemia is Associated With Poor Postdischarge Outcomes: A Prospective Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  18. Article
  19. A Scoping Review of Spatial Analysis Approaches Using Health Survey Data in Sub-Saharan Africa.International journal of environmental research and public health · 2020
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Julius SsempiiraSwiss Tropical and Public Health Institute, Basel, Switzerland.
Betty NambuusiSwiss Tropical and Public Health Institute, Basel, Switzerland.
John KissaMinistry of Health, Kampala, Uganda.
Bosco AgabaMinistry of Health, Kampala, Uganda.
Fredrick MakumbiMakerere University School of Public Health, Kampala, Uganda.
Simon KasasaMakerere University School of Public Health, Kampala, Uganda.
Penelope VounatsouSwiss Tropical and Public Health Institute, Basel, Switzerland. penelope.vounatsou@unibas.ch.
Makerere University · UGMinistry of Health · UGSwiss Tropical and Public Health Institute · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Uganda, malaria vector control interventions and case management with Artemisinin Combination Therapies (ACTs) have been scaled up over the last few years as a result of increased funding. Data on parasitaemia prevalence among children less than 5 years old and coverage of interventions was collected during the first two Malaria Indicator Surveys (MIS) conducted in 2009 and 2014, respectively. In this study, we quantify the effects of control interventions on parasitaemia risk changes between the two MIS in a spatio-temporal analysis.

methodsBayesian geostatistical and temporal models were fitted on the MIS data of 2009 and 2014. The models took into account geographical misalignment in the locations of the two surveys and adjusted for climatic changes and socio-economic differentials. Parasitaemia risk was predicted over a 2 × 2 km

resultsThe coverage of Insecticide Treated Nets (ITNs) and ACTs more than doubled at country and sub-national levels during the period 2009-2014. The coverage of Indoor Residual Spraying (IRS) remained static at all levels. ITNs, IRS, and ACTs were associated with a reduction in parasitaemia odds of 19% (95% BCI: 18-29%), 78% (95% BCI: 67-84%), and 34% (95% BCI: 28-66%), respectively. Intervention effects varied with region. Higher socio-economic status and living in urban areas were associated with parasitaemia odds reduction of 46% (95% BCI: 0.51-0.57) and 57% (95% BCI: 0.40-0.53), respectively. The probability of parasitaemia risk decline in the country was 85% and varied from 70% in the North-East region to 100% in Kampala region. The estimated number of children infected with malaria declined from 2,480,373 in 2009 to 825,636 in 2014.

conclusionsInterventions have had a strong effect on the decline of parasitaemia risk in Uganda during 2009-2014, albeit with varying magnitude in the regions. This success should be sustained by optimizing ITN coverage to achieve universal coverage.

Indexed as

AnimalsArtemisininsChild, PreschoolCulicidaeFemaleHumansInfantInsecticidesInsecticide-Treated BednetsMalariaMaleMosquito ControlParasitemiaSpatio-Temporal AnalysisUgandaartemisininArtemisininsInsecticidesACTsBayesian krigingIRSITNsMalariaMalaria indicator surveyMalaria interventionsParasitaemiaSpatially varyingSpatio-temporal

Identifiers

PMID28964263
PMCPMC5622426
OpenAlexW2756620540

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.