Article
Public, Environmental & Occupational Health
Seth Kwaku Afagbedzi, Yakubu Alhassan, Ernest Kenu, Keziah Malm, Delia Akosua Benewaah Bandoh, Nana Yaw Peprah, Otubea Owusu Ansah, Chris Guure
Summary: This study examined the factors influencing the universal coverage and utilization of Long-Lasting Insecticide Nets (LLINs) in Ghana. The results showed that 88% of households owned at least one LLIN, with a universal coverage of 75.6% and utilization rate of 65.6%. Rural areas had a 44% higher coverage rate compared to urban areas. Receiving LLINs from the Ministry of Health was associated with higher coverage. Households with children under the age of five were more likely to utilize LLINs. Rural residence and household size of more than two also influenced LLIN utilization.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Public, Environmental & Occupational Health
Mary Nyangi, Elizabeth Kigondu, Beatrice Irungu, Margaret Nganga, Anthony Gachanja, Martin Murigi, Ruth Nyangacha, Erastus Muniu, Luna Kamau, Jeremiah Gathirwa
Summary: The majority of the distributed bed nets were still available for use after 18 months, with high utilization rates, but nearly half of them had at least one hole and only a small percentage had been repaired. The median concentration of residual insecticides was moderate, emphasizing the importance of timely monitoring for vector control effectiveness.
Article
Infectious Diseases
Andrew Kwiringira, Carol Nanziri, Edirisa Juniour Nsubuga, Stella Martha Migamba, Vivian Ntono, Immaculate Atuhaire, Sherry Rita Ahirirwe, Alice Asio, Shaban Senyange, Petranilla Nakamya, Veronicah Masanja, Sarah Elayeete, Allan Komakech, Hildah T. Nansikombi, Patience Mwine, Rose Nampeera, Alex Ndyabakira, Paul Okello, Richard Migisha, Lilian Bulage, Benon Kwesiga, Daniel Kadobera, Damian Rutazaana, Julie R. Harris, Alex R. Ario
Summary: Uganda conducted its third mass LLIN distribution campaign, with high ownership but low actual usage. Factors associated with ownership included belief in the protective effect of LLINs, while the use of mosquito repellents was negatively correlated with LLIN ownership. It is suggested that future distribution campaigns should focus on addressing key drivers and barriers to LLIN use, as well as conducting targeted behavior change communication.
Article
Health Care Sciences & Services
Logan Stuck, Frank Chacky, Charles Festo, Angelina Lutambi, Ramadhani Abdul, George Greer, Renata Mandike, Rose Nathan, Ester Elisaria, Joshua Yukich
Summary: This research evaluated the School Net Programme (SNP) in Tanzania and found that the programme successfully maintained population-level ownership, use, and access to long-lasting insecticidal nets (LLIN). SNP reached wealthier households with children enrolled in school, but alternative delivery strategies may be needed to reach households without school-aged children.
HEALTH POLICY AND PLANNING
(2022)
Article
Public, Environmental & Occupational Health
Ellen M. Santos, Tatyana M. Curtis
Summary: The malaria prevention community should focus on designing more durable and sustainable bed nets to reduce harmful environmental impacts. Conversations and innovations among all stakeholders are needed to address the unsustainability of bed nets for malaria prevention.
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
(2021)
Article
Public, Environmental & Occupational Health
Nakei Bubun, Timothy W. Freeman, Moses Laman, Stephan Karl
Summary: Heating LLINs can increase their bioefficacy against mosquitoes, which may have implications for quality assurance procedures used to assess LLINs.
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
(2022)
Article
Multidisciplinary Sciences
Barnabas Tarimo, Monika Winder, Matern S. P. Mtolera, Christopher A. Muhando, Martin Gullstrom
Summary: The study found that fish larvae abundances were highest in mangrove creeks, while nearshore and inshore seagrass meadows showed similar abundance levels. The research suggests that mangroves and seagrass meadows are highly linked shallow-water habitats with high retention of fish larvae contributing to similarity in assemblage compositions across shallow coastal seascapes.
SCIENTIFIC REPORTS
(2022)
Article
Medicine, General & Internal
Jacklin F. Mosha, Manisha A. Kulkarni, Eliud Lukole, Nancy S. Matowo, Catherine Pitt, Louisa A. Messenger, Elizabeth Mallya, Mohamed Jumanne, Tatu Aziz, Robert Kaaya, Boniface A. Shirima, Gladness Isaya, Monica Taljaard, Jacklin Martin, Ramadhan Hashim, Charles Thickstun, Alphaxard Manjurano, Immo Kleinschmidt, Franklin W. Mosha, Mark Rowland, Natacha Protopopoff
Summary: This study evaluated new classes of LLINs with different active ingredients against resistant malaria vectors, showing that chlorfenapyr LLINs provided better protection against malaria in areas with insecticide-resistant mosquitoes and had good cost-effectiveness.
Article
Infectious Diseases
Maria Eugenia Castellanos, Soledad Rodas, Jose Guillermo Juarez, Juan Carlos Lol, Sayra Chanquin, Zoraida Morales, Lucrecia Vizcaino, Stephen C. Smith, Jodi Vanden Eng, Henok G. Woldu, Audrey Lenhart, Norma Padilla
Summary: The study in Guatemala found that the survivorship, physical integrity, insecticide content, and bio-efficacy of ITNs decreased over time. Efforts to improve the retention, usage, and care of LLINs may enhance their impact in malaria prevention and control. Durability assessments should be considered in future campaigns for ITNs.
Article
Infectious Diseases
Seth Kwaku Afagbedzi, Yakubu Alhassan, Chris Guure
Summary: This study assessed the impact of mass LLIN distribution campaign on malaria morbidity in Ghana. The results showed that the proportion of malaria cases among OPDs in health facilities decreased after the distribution of LLINs, especially in high-density regions. Therefore, it is recommended to conduct biannual mass distribution campaigns in these regions.
Article
Public, Environmental & Occupational Health
Elizabeth J. Anderson, Jenna E. Coalson, Maurice Agawo, Stephen Munga, Mary Hayden, Ellen M. Santos, Ashley C. Little, Noriko Tamari, Kacey Ernst
Summary: This study examined the relationship between travel activity and Plasmodium infection in the western highlands and lowlands of Kenya. The results showed that residents who traveled in the highlands were more likely to have Plasmodium infection, while overnight travelers in the lowlands were less likely to be infected. LLIN use during travel was lower than at home, but it was not associated with Plasmodium infection for travelers.
TRAVEL MEDICINE AND INFECTIOUS DISEASE
(2022)
Article
Infectious Diseases
Jaffer Okiring, Samuel Gonahasa, Martha Nassali, Jane F. Namuganga, Irene Bagala, Catherine Maiteki-Sebuguzi, Jimmy Opigo, Isaiah Nabende, Joanita Nangendo, Jane Kabami, Isaac Ssewanyana, Steven M. Kiwuwa, Joaniter Nankabirwa, Grant Dorsey, Jessica Briggs, Moses R. Kamya, Sarah G. Staedke
Summary: Uganda successfully distributed long-lasting insecticidal nets (LLINs) during the COVID-19 pandemic, but some households still lacked an adequate number of LLINs. Having fewer household residents was the most important factor associated with adequate LLIN coverage, and LLIN use was higher among children and distantly-related residents. Future interventions should focus on ensuring high LLIN coverage, particularly for larger households, and targeting school-aged children and distantly-related residents.
Article
Infectious Diseases
Nakei Bubun, Evodia Anetul, Melanie Koinari, Timothy W. Freeman, Stephan Karl
Summary: This study found that the bioefficacy of long-lasting insecticidal nets delivered to Papua New Guinea significantly decreased between 2013 and 2019. The main reason for this was a change in the coating formulation, which resulted in altered product properties and performance.
Article
Infectious Diseases
Edith P. Madumla, Sarah J. Moore, Jason Moore, Emmanuel Mbuba, Edgar M. Mbeyela, Ummi A. Kibondo, C. Selemani, Mmbaga, Dickson Kobe, Jitihada Baraka, Daniel Msellemu, Johnson K. Swai, Zawadi M. Mboma, Olukayode G. Odufuwa
Summary: The study found that the integrity of LLINs was the main determinant for users to discard or keep the nets. Older age, female gender, and lower household income were more likely to classify a WHO too-torn net as good, whereas younger age, male-headed households, and wealthy households were more likely to discard LLINs.
Article
Infectious Diseases
Amy Wheldrake, Estelle Guillemois, Hamidreza Arouni, Vera Chetty, Stephen J. Russell
Summary: Mechanical damage, particularly snagging, tearing, and abrasion, is the primary cause of the loss of physical integrity in LLINs. New specifications and minimum standards for seam construction are needed to improve the resistance of LLIN products to mechanical damage during normal use.
Article
Pediatrics
Charlotte Ward, Kevin Baker, Helen Smith, Alice Maurel, Dawit Getachew, Tedila Habte, Cindy McWhorter, Paul LaBarre, Jonas Karlstrom, Jim Black, Quique Bassat, Agazi Ameha, Abraham Tariku, Max Petzold, Karin Kallander
Article
Public, Environmental & Occupational Health
Daniel Hellden, Kevin Baker, Tedila Habte, Esey Batisso, Nicola Orsini, Karin Kallander, Tobias Alfven
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
(2020)
Article
Pediatrics
Karin Kallander, Charlotte Ward, Helen Smith, Radheshyam Bhattarai, K. C. Ashish, Deepak Timsina, Bikash Lamichhane, Alice Maurel, Parashu Ram Shrestha, Sushil Baral, Cindy McWhorter, Paul LaBarre, Monica Anna de Cola, Kevin Baker
Article
Public, Environmental & Occupational Health
Agnes Nanyonjo, Edmound Kertho, James Tibenderana, Karin Kallander
GLOBAL HEALTH-SCIENCE AND PRACTICE
(2020)
Article
Public, Environmental & Occupational Health
Helen Counihan, Ebenezer Baba, Olusola Oresanya, Olatunde Adesoro, Yahya Hamzat, Sarah Marks, Charlotte Ward, Patrick Gimba, Shamim Ahmad Qazi, Karin Kallander
GLOBAL HEALTH ACTION
(2020)
Article
Medicine, General & Internal
Tjede Funk, Karin Kallander, Ayalkibet Abebe, Tobias Alfven, Helle Molsted Alvesson
Article
Pediatrics
Kevin Baker, Charlotte Ward, Alice Maurel, Monica Anna de Cola, Helen Smith, Dawit Getachew, Tedila Habte, Cindy McWhorter, Paul LaBarre, Jonas Karlstrom, Agazi Ameha, Abraham Tariku, Jim Black, Quique Bassat, Karin Kallander
Summary: The study in Southern Nations, Nationalities, and Peoples' Region of Ethiopia showed that health extension workers achieved an 85.3% adherence rate using Rad-G for sick child consultations. Both health workers and caregivers preferred the Rad-G device, but also highlighted various design issues that need to be addressed.
Article
Public, Environmental & Occupational Health
Catherine Clarence, Tess Shiras, Jack Zhu, Malia K. Boggs, Nefra Faltas, Anna Wadsworth, Sarah Ek Bradley, Salim Sadruddin, Kerri Wazny, Catherine Goodman, Phyllis Awor, Zulfiqar A. Bhutta, Karin Kallander, Davidson H. Hamer
JOURNAL OF GLOBAL HEALTH
(2020)
Article
Environmental Sciences
Juliet Mwanga-Amumpaire, Tobias Alfven, Celestino Obua, Karin Kallander, Richard Migisha, Cecilia Stalsby Lundborg, Grace Ndeezi, Joan Nakayaga Kalyango
Summary: The study in western Uganda found that children with common infections such as pneumonia, malaria, diarrhea, or neonatal infections often received inappropriate care at low-level private health facilities. The inadequate care was attributed to the failure to follow guidelines for assessment, diagnosis, and treatment.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Review
Health Care Sciences & Services
Laura Evans, Jay Evans, Claudia Pagliari, Karin Kallander
Summary: Design approaches in digital health have an impact on health equity, making research and analysis on these approaches crucial.
JMIR RESEARCH PROTOCOLS
(2022)
Article
Public, Environmental & Occupational Health
Juliet Mwanga-Amumpaire, Joan N. Kalyango, Karin Kallander, Radhika Sundararajan, Judith Owokuhaisa, Joseph Rujumba, Celestino Obua, Tobias Alfven, Grace Ndeezi
Summary: Health workers and policy makers in Mbarara District, Uganda, believe that the current support provided to LLPHF for managing childhood illnesses is inadequate. They emphasize the need for technical capacity building, the provision of policies, guidelines, critical supplies, and a more supportive supervisory approach.
GLOBAL HEALTH ACTION
(2021)
Article
Health Care Sciences & Services
Charlotte Ward, Kevin Baker, Sarah Marks, Dawit Getachew, Tedila Habte, Cindy McWhorter, Paul Labarre, Jonathan Howard-Brand, Nathan P. Miller, Hayalnesh Tarekegn, Solomie Jebessa Deribessa, Max Petzold, Karin Kallander
JMIR RESEARCH PROTOCOLS
(2020)
Article
Health Care Sciences & Services
Kevin Baker, Alice Maurel, Charlotte Ward, Dawit Getachew, Tedila Habte, Cindy McWhorter, Paul LaBarre, Jonas Karlstrom, Max Petzold, Karin Kallander
JMIR RESEARCH PROTOCOLS
(2020)
Letter
Medicine, General & Internal
Kevin Baker, Tobias Alfven, Karin Kallander
Article
Medicine, General & Internal
Kevin Baker, Tobias Alfven, Akasiima Mucunguzi, Alexandra Wharton-Smith, Emily Dantzer, Tedila Habte, Lena Matata, Diana Nanyumba, Morris Okwir, Monica Posada, Anteneh Sebsibe, Jill Nicholson, Madeleine Marasciulo, Rasa Izadnegahdar, Max Petzold, Karin Kallander