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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
agricultural and biological sciences
Malaria in Uganda: Challenges to control on the long road to elimination. I. Epidemiology and current control efforts
Acta Tropica, Volume 121, No. 3, Year 2012
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Description
Malaria remains one of the leading health problems of the developing world, and Uganda bears a particularly large burden from the disease. Our understanding is limited by a lack of reliable data, but it is clear that the prevalence of malaria infection, incidence of disease, and mortality from severe malaria all remain very high. Uganda has made progress in implementing key malaria control measures, in particular distribution of insecticide-impregnated bednets, indoor residual spraying of insecticides, utilization of artemisinin-based combination therapy to treat uncomplicated malaria, and provision of intermittent preventive therapy for pregnant women. However, despite enthusiasm regarding the potential for the elimination of malaria in other areas, there is no convincing evidence that the burden of malaria has decreased in Uganda in recent years. Major challenges to malaria control in Uganda include very high malaria transmission intensity, inadequate health care resources, a weak health system, inadequate understanding of malaria epidemiology and the impact of control interventions, increasing resistance of parasites to drugs and of mosquitoes to insecticides, inappropriate case management, inadequate utilization of drugs to prevent malaria, and inadequate epidemic preparedness and response. Despite these challenges, prospects for the control of malaria have improved, and with attention to underlying challenges, progress toward the control of malaria in Uganda can be expected. © 2011 Elsevier B.V.
Authors & Co-Authors
Yeka, Adoke
Unknown Affiliation
Gasasira, Anne F.
Unknown Affiliation
Mpimbaza, Arthur
Unknown Affiliation
Achan, Jane
Unknown Affiliation
Nankabirwa, Joaniter Immaculate
Unknown Affiliation
Nsobya, Samuel Lubwama
Unknown Affiliation
Staedke, Sarah G.
Unknown Affiliation
Donnelly, Martin J.
Unknown Affiliation
Wabwire-Mangen, Fred
Unknown Affiliation
Talisuna, Ambrose Otau
Unknown Affiliation
Dorsey, Grant M.
Unknown Affiliation
Kamya, Moses Robert K.
Unknown Affiliation
Rosenthal, Philip Jon
Unknown Affiliation
Statistics
Citations: 199
Authors: 13
Affiliations: 7
Identifiers
Doi:
10.1016/j.actatropica.2011.03.004
ISSN:
0001706X
e-ISSN:
18736254
Research Areas
Infectious Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Uganda
Participants Gender
Female