Facilitators and barriers to integrated malaria prevention in Wakiso district, Uganda

A photovoice study

Bibliographic Data

ID19592019
AuthorsDavid Musoke (0000-0003-3262-3918, Makerere University, corresponding author), Grace Biyinzika Lubega (0000-0003-0657-7903, Makerere University, corresponding author), Filimin Niyongabo (0000-0002-5630-6936, Makerere University, corresponding author), Suzan Nakalawa (0000-0002-0435-328X, Makerere University, corresponding author), Shannon Mcmorrow (0000-0001-7410-4011, Western Michigan University, corresponding author), Rhoda K Wanyenze (0000-0001-5864-3314, Makerere University, corresponding author), Moses R Kamya (0000-0001-9106-4234, Makerere University, corresponding author)
EditorsKhadime Sylla
Year2024
Volume4
Issue4
Pagese0002469
Publication date2024-04-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0002469
PMID38626091
OpenAlexW4394841295
LanguageEN
Citations received1
References cited45

Malaria continues to cause significant morbidity and mortality globally, particularly in sub-Saharan Africa. Appropriate combinations of non-chemical and chemical methods of malaria vector control in the context of integrated vector management have been recommended by the World Health Organization. The aim of the study was to explore facilitators and barriers to using integrated malaria prevention in Wakiso district, Uganda. This qualitative study employed photovoice among 20 community members in Kasanje Town Council, Wakiso District. The photos taken by participants for 5 months using smartphones were discussed during monthly meetings with the researchers. The discussions were audio-recorded, and resulting data analysed using thematic analysis with the support of NVivo (2020) QSR International. Findings indicated that various conventional and non-conventional measures were being used for preventing malaria such as: insecticide treated nets; clearing overgrown vegetation; draining stagnant water; mosquito coils; smouldering of cow dung; spraying insecticides; plant repellents near houses; eating of prophylactic herbs; as well as closing doors and windows on houses early in the evening. Facilitators supporting the use of several malaria prevention methods holistically included: low cost and accessibility of some methods such as slashing overgrown vegetation; and support provided for certain methods such as receiving free mosquito nets from the government. Barriers to using several malaria prevention methods holistically included: inadequate knowledge of some methods such as housing improvement; allergic reactions to chemical-based methods such as insecticide treated nets; unaffordability of some methods such as insecticide sprays; and inaccessibility of certain methods such as body repellents. These barriers to integrated malaria prevention need to be addressed to achieve greater impact from the combination of methods in endemic communities

Bed nets · Economic growth · Environmental health · Environmental protection · Geography · Malaria · Pathology · Photovoice · Qualitative research · Thematic analysis · Malaria Research and Control · Medicine · Mosquito-borne diseases and control · Zoonotic diseases and public health