The impact of stopping and starting indoor residual spraying on malaria burden in Uganda

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dc.contributor.authorNamuganga, Jane F.
dc.contributor.authorEpstein, Adrienne
dc.contributor.authorNankabirwa, Joaniter I.
dc.contributor.authorMpimbaza, Arthur
dc.contributor.authorKiggundu, Moses
dc.contributor.authorSserwanga, Asadu
dc.contributor.authorKapisi, James
dc.contributor.authorArinaitwe, Emmanuel
dc.contributor.authorGonahasa, Samuel
dc.contributor.authorOpigo, Jimmy
dc.contributor.authorEbong, Chris
dc.contributor.authorStaedke, Sarah G.
dc.contributor.authorShililu, Josephat
dc.contributor.authorOkia, Michael
dc.contributor.authorRutazaana, Damian
dc.contributor.authorMaiteki-Sebuguzi, Catherine
dc.contributor.authorBelay, Kassahun
dc.contributor.authorKamya, Moses R.
dc.contributor.authorDorsey, Grant
dc.contributor.authorRodriguez-Barraquer, Isabel
dc.date.accessioned2022-12-18T19:08:13Z
dc.date.available2022-12-18T19:08:13Z
dc.date.issued2021
dc.description.abstractThe scale-up of malaria control efforts has led to marked reductions in malaria burden over the past twenty years, but progress has slowed. Implementation of indoor residual spraying (IRS) of insecticide, a proven vector control intervention, has been limited and difficult to sustain partly because questions remain on its added impact over widely accepted interventions such as bed nets. Using data from 14 enhanced surveillance health facilities in Uganda, a country with high bed net coverage yet high malaria burden, we estimate the impact of starting and stopping IRS on changes in malaria incidence. We show that stopping IRS was associated with a 5-fold increase in malaria incidence within 10 months, but reinstating IRS was associated with an over 5-fold decrease within 8 months. In areas where IRS was initiated and sustained, malaria incidence dropped by 85% after year 4. IRS could play a critical role in achieving global malaria targets, particularly in areas where progress has stalled.en_US
dc.identifier.citationNamuganga, J. F., Epstein, A., Nankabirwa, J. I., Mpimbaza, A., Kiggundu, M., Sserwanga, A., ... & Rodriguez-Barraquer, I. (2021). The impact of stopping and starting indoor residual spraying on malaria burden in Uganda. Nature communications, 12(1), 1-9. https://doi.org/10.1038/s41467-021-22896-5en_US
dc.identifier.urihttps://doi.org/10.1038/s41467-021-22896-5
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/6428
dc.language.isoenen_US
dc.publisherNature communicationsen_US
dc.subjectResidual sprayingen_US
dc.subjectMalariaen_US
dc.subjectUgandaen_US
dc.titleThe impact of stopping and starting indoor residual spraying on malaria burden in Ugandaen_US
dc.typeArticleen_US
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