Soyekwo Divas, Opiyo Elizabeth A, Austin Reiginald, Ochaya Stephen
Department of Biology, Faculty of Science, Gulu University 166, Gulu, Uganda.
Department of Microbiology and Immunology, Faculty of Medicine, Gulu University 166, Gulu, Uganda.
J Parasitol Res. 2024 Oct 28;2024:8009447. doi: 10.1155/2024/8009447. eCollection 2024.
Malaria remains the leading cause of hospitalization and death in the healthcare system. This study explored the malaria burden and community response to government malaria control programs in Omoro district. This retrospective study involved 576 patient results from purposely selected health facilities data from health center III (HCIII) of Odek, Bobi, and Lapainat and health center IV (HCIV) of Lalogi. And prospective random section study involved 288 participants from Lutori and Lagude cells and Atyang A and Lagwaya villages who consented to answer the pretested questionnaire. The prevalence of malaria in Omoro district in 2018 and 2019 was 81.6% and 97.2% for hospital record positivity and community surveys, respectively. The participants had 100% knowledge of malaria signs, symptoms, and cause. The average number of malaria attacks an individual received in the district from the health facility and community data was three. Nonadherence to government control programs was associated with an increased incidence of malaria infections. From questionnaire, the proportion of people that used local herbal remedies for treatment and prevention of malaria were 21.2% of the sampled 288 participants. The high rate of malaria attacks indicates that the area has a high prevalence of malaria-carrying mosquitoes. The increase in the proportion of malaria attacks in 2019 suggests that the burden of malaria increased compared with that in the previous year, with approximately 21% of local herbal remedies for malaria treatment and management. The findings of this study suggest that malaria attacks are associated with household size, age, sex, occupation, and the household head. Participants who did not respond positively to government programs experienced more malaria attacks. These findings can be used to develop interventions to reduce the incidence of malaria in this population.
疟疾仍然是医疗系统中住院和死亡的主要原因。本研究探讨了奥莫罗区的疟疾负担以及社区对政府疟疾控制项目的反应。这项回顾性研究涉及从奥德克、博比和拉帕伊纳特的第三健康中心（HCIII）以及拉洛吉的第四健康中心（HCIV）特意选取的卫生设施数据中的576例患者结果。前瞻性随机抽样研究涉及来自卢托里和拉古德社区以及阿蒂扬A村和拉格瓦亚村的288名参与者，他们同意回答预先测试的问卷。2018年和2019年奥莫罗区医院记录阳性率和社区调查中疟疾的患病率分别为81.6%和97.2%。参与者对疟疾的症状、体征和病因的知晓率为100%。根据卫生设施和社区数据，该地区个人平均疟疾发作次数为三次。不遵守政府控制项目与疟疾感染发病率增加有关。从问卷来看，在抽样的288名参与者中，使用当地草药治疗和预防疟疾的人数比例为21.2%。疟疾发作率高表明该地区携带疟疾的蚊子患病率高。2019年疟疾发作比例的增加表明，与上一年相比，疟疾负担有所增加，约21%的人使用当地草药治疗和管理疟疾。本研究结果表明，疟疾发作与家庭规模、年龄、性别、职业以及户主有关。对政府项目反应不积极的参与者经历了更多的疟疾发作。这些发现可用于制定干预措施，以降低该人群中疟疾的发病率。
