Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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An Evaluation of Active Case Detection in Malaria Control Program in Kiyuni Parish of Kyankwanzi District, Uganda

  • Bahk, Young Yil (Department of Biotechnology, College of Biomedical and Health Science, Konkuk University) ;
  • Cho, Pyo Yun (Protist Resources Research Division, Nakdonggang National Institute of Biological Resources Sciences) ;
  • Ahn, Seong Kyu (Department of Parasitology and Tropical Medicine, School of Medicine, Inha University) ;
  • Lee, Woo-Joo (Department of Statistics, College of Natural Sciences, Inha University) ;
  • Kim, Tong-Soo (Department of Parasitology and Tropical Medicine, School of Medicine, Inha University) ;
  • Working Groups in ChildFund Korea (ChildFund Korea) ;
  • Uganda, Uganda (ChildFund Uganda)
  • Received : 2018.09.14
  • Accepted : 2018.11.02
  • Published : 2018.12.31
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Abstract

Malaria remains one of the leading health burdens in the developing world, especially in several sub-Saharan Africa countries; and Uganda has some of the highest recorded measures of malaria transmission intensity in the world. It is evident that the prevalence of malaria infection, the incidence of disease, and mortality from severe malaria remain very high in Uganda. Although the recent stable political and economic situation in the last few decades in Uganda supported for a fairly good appreciation of malaria control, the declines in infection, morbidity, and mortality are not sufficient to interrupt transmission and this country is among the top 4 countries with cases of malaria, especially among children under 5 years of age. In fact, Uganda, which is endemic in over 95% of the country, is a representative of challenges facing malaria control in Africa. In this study, we evaluated an active case detection program in 6 randomly selected villages, Uganda. This program covered a potential target population of 5,017 individuals. Our team screened 12,257 samples of malaria by active case detection, every 4 months, from February 2015 to January 2017 in the 6 villages (a total of 6 times). This study assessed the perceptions and practices on malaria control in Kiyuni Parish of Kyankwanzi district, Uganda. Our study presents that the incidence of malaria is sustained high despite efforts to scale-up and improve the use of LLINs and access to ACDs, based on the average incidence confirmed by RDTs.

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