Promising Perceptions, Divergent Practices and Barriers to Integrated Malaria Prevention in Wakiso District, Uganda: A Mixed Methods Study

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dc.contributor.authorMusoke, David
dc.contributor.authorMiiro, George
dc.contributor.authorKarani, George
dc.contributor.authorMorris, Keith
dc.contributor.authorKasasa, Simon
dc.contributor.authorNdejjo, Rawlance
dc.contributor.authorNakiyingi-Miiro, Jessica
dc.contributor.authorGuwatudde, David
dc.contributor.authorMusoke, Miph Boses
dc.date.accessioned2022-04-29T21:33:20Z
dc.date.available2022-04-29T21:33:20Z
dc.date.issued2015
dc.description.abstractThe World Health Organization recommends use of multiple approaches to control malaria. The integrated approach to malaria prevention advocates the use of several malaria prevention methods in a holistic manner. This study assessed perceptions and practices on integrated malaria prevention in Wakiso district, Uganda. Methods A clustered cross-sectional survey was conducted among 727 households from 29 villages using both quantitative and qualitative methods. Assessment was done on awareness of various malaria prevention methods, potential for use of the methods in a holistic manner, and reasons for dislike of certain methods. Households were classified as using integrated malaria prevention if they used at least two methods. Logistic regression was used to test for factors associated with the use of integrated malaria prevention while adjusting for clustering within villages. Results Participants knew of the various malaria prevention methods in the integrated approach including use of insecticide treated nets (97.5%), removing mosquito breeding sites (89.1%), clearing overgrown vegetation near houses (97.9%), and closing windows and doors early in the evenings (96.4%). If trained, most participants (68.6%) would use all the suggested malaria prevention methods of the integrated approach. Among those who would not use all methods, the main reasons given were there being too many (70.2%) and cost (32.0%). Only 33.0%households were using the integrated approach to prevent malaria. Use of integrated malaria prevention by households was associated with reading newspapers (AOR 0.34; 95% CI 0.22 –0.53) and ownership of a motorcycle/car (AOR 1.75; 95%CI 1.03 – 2.98). Conclusion Although knowledge of malaria prevention methods was high and perceptions on the integrated approach promising, practices on integrated malaria prevention was relatively low. The use of the integrated approach can be improved by promoting use of multiple malaria prevention methods through various communication channels such as mass media.en_US
dc.identifier.citationMusoke D, Miiro G, Karani G, Morris K, Kasasa S, Ndejjo R, et al. (2015) Promising Perceptions, Divergent Practices and Barriers to Integrated Malaria Prevention in Wakiso District, Uganda: A Mixed Methods Study. PLoS ONE 10(4): e0122699. doi:10.1371/journal.pone.0122699en_US
dc.identifier.other10.1371/journal.pone.0122699
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3022
dc.language.isoenen_US
dc.publisherPLoS ONEen_US
dc.subjectPromising Perceptionsen_US
dc.subjectDivergent Practicesen_US
dc.subjectMalaria Preventionen_US
dc.subjectWakiso Districten_US
dc.subjectUgandaen_US
dc.titlePromising Perceptions, Divergent Practices and Barriers to Integrated Malaria Prevention in Wakiso District, Uganda: A Mixed Methods Studyen_US
dc.typeArticleen_US
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