How far is the journey before malaria is knocked out in Zimbabwe: results of the malaria indicator survey 2016

Abstract Background Zimbabwe conducts Malaria Indicator Surveys after 3 years and Demographic and Health Surveys to track the impact of malaria interventions. The last one to be conducted was in 2016 and had set an aim aimed to collect data to track malaria indicators as well as to save as the basel...

Full description

Bibliographic Details
Main Authors: Busisani Dube, Joseph Mberikunashe, Patience Dhliwayo, Andrew Tangwena, Gerald Shambira, Anderson Chimusoro, Munashe Madinga, Brighton Gambinga
Format: Article
Language:English
Published: BMC 2019-05-01
Series:Malaria Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12936-019-2801-3
_version_ 1819016504065130496
author Busisani Dube
Joseph Mberikunashe
Patience Dhliwayo
Andrew Tangwena
Gerald Shambira
Anderson Chimusoro
Munashe Madinga
Brighton Gambinga
author_facet Busisani Dube
Joseph Mberikunashe
Patience Dhliwayo
Andrew Tangwena
Gerald Shambira
Anderson Chimusoro
Munashe Madinga
Brighton Gambinga
author_sort Busisani Dube
collection DOAJ
description Abstract Background Zimbabwe conducts Malaria Indicator Surveys after 3 years and Demographic and Health Surveys to track the impact of malaria interventions. The last one to be conducted was in 2016 and had set an aim aimed to collect data to track malaria indicators as well as to save as the baseline source for the Malaria Strategic Plan (2016–2020). Methods Malaria Indicator Survey-2016 utilized the frame of enumeration areas (EAs) from the Zimbabwe Master Sample (ZMS12) created after the 2012 population census for each of the survey districts. The design for the survey was a representative probability sample to produce estimates at national level for the respective domains, which are the forty-four malaria-endemic districts. Survey teams comprised of Ministry of Health personnel who administered the standard questionnaire (adapted to country setting) to respondents within sampled EAs, performed RDT, anaemia test, prepared microscopic slide and collected DBS and data analysis of collected information was analysed. Microscopic slides examined centrally at the National Institute of Health Research. Results The overall protection coverage by at least one major vector control measure, IRS and/or Nets, was 82.5%. Use of nets among high-risk groups 32.5% For children under five and 24.5% for pregnant women. LLIN utilization quite low taking into consideration the net ownership per household, which was 58% for the general population. Moreover, IPTp coverage has remained almost unchanged since the 2012 MIS, with only a third of pregnant women receiving at least two doses of IPTp. Malaria prevalence appears to be on the decline with 2016 MIS recording 0.2% compared to 0.4% as of 2012 MIS. Plasmodium falciparum remains the predominant parasite species in the country at 98%. Conclusion The results indicated that some progress has been made in malaria control although there is still subsequent low malaria risk perception that comes with the reduced prevalence. It has been shown that there is low use of interventions shown by the low use of LLINs by vulnerable groups like pregnant women and children under five.
first_indexed 2024-12-21T02:48:41Z
format Article
id doaj.art-f1582448d3ce4176afd4cfc2287ecce4
institution Directory Open Access Journal
issn 1475-2875
language English
last_indexed 2024-12-21T02:48:41Z
publishDate 2019-05-01
publisher BMC
record_format Article
series Malaria Journal
spelling doaj.art-f1582448d3ce4176afd4cfc2287ecce42022-12-21T19:18:29ZengBMCMalaria Journal1475-28752019-05-0118111010.1186/s12936-019-2801-3How far is the journey before malaria is knocked out in Zimbabwe: results of the malaria indicator survey 2016Busisani Dube0Joseph Mberikunashe1Patience Dhliwayo2Andrew Tangwena3Gerald Shambira4Anderson Chimusoro5Munashe Madinga6Brighton Gambinga7National Malaria Control ProgrammeNational Malaria Control ProgrammeNational Malaria Control ProgrammeNational Malaria Control ProgrammeUniversity of Zimbabwe, College of Health SciencesWorld Health OrganizationClinton Health Access InitiativeClinton Health Access InitiativeAbstract Background Zimbabwe conducts Malaria Indicator Surveys after 3 years and Demographic and Health Surveys to track the impact of malaria interventions. The last one to be conducted was in 2016 and had set an aim aimed to collect data to track malaria indicators as well as to save as the baseline source for the Malaria Strategic Plan (2016–2020). Methods Malaria Indicator Survey-2016 utilized the frame of enumeration areas (EAs) from the Zimbabwe Master Sample (ZMS12) created after the 2012 population census for each of the survey districts. The design for the survey was a representative probability sample to produce estimates at national level for the respective domains, which are the forty-four malaria-endemic districts. Survey teams comprised of Ministry of Health personnel who administered the standard questionnaire (adapted to country setting) to respondents within sampled EAs, performed RDT, anaemia test, prepared microscopic slide and collected DBS and data analysis of collected information was analysed. Microscopic slides examined centrally at the National Institute of Health Research. Results The overall protection coverage by at least one major vector control measure, IRS and/or Nets, was 82.5%. Use of nets among high-risk groups 32.5% For children under five and 24.5% for pregnant women. LLIN utilization quite low taking into consideration the net ownership per household, which was 58% for the general population. Moreover, IPTp coverage has remained almost unchanged since the 2012 MIS, with only a third of pregnant women receiving at least two doses of IPTp. Malaria prevalence appears to be on the decline with 2016 MIS recording 0.2% compared to 0.4% as of 2012 MIS. Plasmodium falciparum remains the predominant parasite species in the country at 98%. Conclusion The results indicated that some progress has been made in malaria control although there is still subsequent low malaria risk perception that comes with the reduced prevalence. It has been shown that there is low use of interventions shown by the low use of LLINs by vulnerable groups like pregnant women and children under five.http://link.springer.com/article/10.1186/s12936-019-2801-3MalariaZimbabweEliminationVector controlIndicatorSurvey
spellingShingle Busisani Dube
Joseph Mberikunashe
Patience Dhliwayo
Andrew Tangwena
Gerald Shambira
Anderson Chimusoro
Munashe Madinga
Brighton Gambinga
How far is the journey before malaria is knocked out in Zimbabwe: results of the malaria indicator survey 2016
Malaria Journal
Malaria
Zimbabwe
Elimination
Vector control
Indicator
Survey
title How far is the journey before malaria is knocked out in Zimbabwe: results of the malaria indicator survey 2016
title_full How far is the journey before malaria is knocked out in Zimbabwe: results of the malaria indicator survey 2016
title_fullStr How far is the journey before malaria is knocked out in Zimbabwe: results of the malaria indicator survey 2016
title_full_unstemmed How far is the journey before malaria is knocked out in Zimbabwe: results of the malaria indicator survey 2016
title_short How far is the journey before malaria is knocked out in Zimbabwe: results of the malaria indicator survey 2016
title_sort how far is the journey before malaria is knocked out in zimbabwe results of the malaria indicator survey 2016
topic Malaria
Zimbabwe
Elimination
Vector control
Indicator
Survey
url http://link.springer.com/article/10.1186/s12936-019-2801-3
work_keys_str_mv AT busisanidube howfaristhejourneybeforemalariaisknockedoutinzimbabweresultsofthemalariaindicatorsurvey2016
AT josephmberikunashe howfaristhejourneybeforemalariaisknockedoutinzimbabweresultsofthemalariaindicatorsurvey2016
AT patiencedhliwayo howfaristhejourneybeforemalariaisknockedoutinzimbabweresultsofthemalariaindicatorsurvey2016
AT andrewtangwena howfaristhejourneybeforemalariaisknockedoutinzimbabweresultsofthemalariaindicatorsurvey2016
AT geraldshambira howfaristhejourneybeforemalariaisknockedoutinzimbabweresultsofthemalariaindicatorsurvey2016
AT andersonchimusoro howfaristhejourneybeforemalariaisknockedoutinzimbabweresultsofthemalariaindicatorsurvey2016
AT munashemadinga howfaristhejourneybeforemalariaisknockedoutinzimbabweresultsofthemalariaindicatorsurvey2016
AT brightongambinga howfaristhejourneybeforemalariaisknockedoutinzimbabweresultsofthemalariaindicatorsurvey2016