Exploring activities and behaviours potentially increases school-age children's vulnerability to malaria infections in south-eastern Tanzania.
Exploring activities and behaviours potentially increases school-age children's vulnerability to malaria infections in south-eastern Tanzania.
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DOI：
10.1186/s12936-023-04703-2
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发表时间：
2023-10-03
期刊：
影响因子：
3
通讯作者：
Sunguya, Bruno Fokas
中科院分区：
文献类型：
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作者：
Kihwele, Fadhila;Gavana, Tegemeo;Makungu, Christina;Msuya, Hajirani;Mlacha, Yeromin;Govella, Nicodem James;Chaki, Prosper Pius;Sunguya, Bruno Fokas
关键词：
加强坦桑尼亚的疟疾防治活动，大大减少了人类疟疾感染。然而，学龄儿童的负担在流行病学上发生了越来越大的变化。在这种情况下，造成这种流行病转变的根本原因仍然不明。这项研究探讨了可能增加学龄儿童传播风险的活动和行为，以深入了解现有干预措施的保护差距和补充干预措施的机会。这项跨部门研究在坦桑尼亚东南部的Rufiji、基比蒂和Kilwa三个区进行了24次重点小组讨论。16个家庭指导处与学龄儿童（13至18岁）一起工作，将女孩和男孩分开，8个家庭指导处与父母一起工作，组成男女混合小组。共有205名社区成员参加了整个研究地区的FGD。其中，72名参与者是家长，133名是学龄儿童（65名男孩和68名女孩）。据报告，从傍晚到晚上（18时至23时），学龄儿童在户外的活动包括打水、清洗厨房用具、做饭等日常家务活动以及玩耍、看电视和学习等娱乐活动。同样，社会和文化活动，包括入会仪式和生计活动，也使这一年龄组从深夜到深夜，有时甚至过了午夜。父母从12月到6月迁移到农场，留下学龄儿童无人监督，影响他们的蚊帐使用行为，加上晚上在户外花费更多时间，儿童在经过处理的蚊帐内睡觉时四肢张开的行为被确定为传染性蚊虫叮咬的潜在风险。大多数发生在户外的危险活动、行为和社会事件可能会增加学龄儿童感染疟疾的可能性。这些发现为持续传播的潜在风险因素提供了初步见解。建议进一步研究量化危险行为和活动，以确定其程度和对控制学龄儿童感染的补充控制战略的预期影响。
Strengthening malaria control activities in Tanzania has dramatically declined human malaria infections. However, there is an increasing epidemiological shift in the burden on school-age children. The underlying causes for such an epidemiological shift remain unknown in this context. This study explored activities and behaviours that could increase the vulnerability of school-age children to transmission risk to provide insight into protection gap with existing interventions and opportunities for supplementary interventions. This cross-sectional study conducted twenty-four focus group discussions (FGDs) in three districts of Rufiji, Kibiti and Kilwa in south-eastern Tanzania. Sixteen FGDs worked with school-age children (13 to 18 years) separating girls and boys and eight FGDs with their parents in mixed-gender groups. A total of 205 community members participated in FGDs across the study area. Of them, 72 participants were parents, while 133 were school-age children (65 boys and 68 girls). Routine domestic activities such as fetching water, washing kitchen utensils, cooking, and recreational activities such as playing and watching television and studying were the reported activities that kept school-age children outdoors early evening to night hours (between 18:00 and 23:00). Likewise, the social and cultural events including initiation ceremonies and livelihood activities also kept this age group outdoors from late evening to early night and sometimes past midnight hours. Parents migrating to farms from December to June, leaving behind school-age children unsupervised affecting their net use behaviour plus spending more time outdoors at night, and the behaviour of children sprawling legs and hands while sleeping inside treated bed nets were identified as potential risks to infectious mosquito bites. The risky activities, behaviours, and social events mostly occurring outdoors might increase school-age children’s vulnerability to malaria infections. The findings provide preliminary insight on potential risk factors for persisting transmission. Further studies to quantify the risk behaviour and activities are recommended to establish the magnitude and anticipated impact on supplementary control strategies to control infection in school-age children.
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DOI：
10.1016/s1473-3099(21)00072-4
发表时间：
2021-11
期刊：
The Lancet. Infectious diseases
影响因子：
--
作者：
Andolina C;Rek JC;Briggs J;Okoth J;Musiime A;Ramjith J;Teyssier N;Conrad M;Nankabirwa JI;Lanke K;Rodriguez-Barraquer I;Meerstein-Kessel L;Arinaitwe E;Olwoch P;Rosenthal PJ;Kamya MR;Dorsey G;Greenhouse B;Drakeley C;Staedke SG;Bousema T
通讯作者：
Bousema T
DOI：
10.3390/diseases10040101
发表时间：
2022-11-08
期刊：
Diseases (Basel, Switzerland)
影响因子：
--
作者：
通讯作者：
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影响因子：
3
作者：
Makungu, Christina;Stephen, Stephania;Jones, Caroline
通讯作者：
Jones, Caroline
影响因子：
5.4
作者：
Dunn, Christine E.;Le Mare, Ann;Makungu, Christina
通讯作者：
Makungu, Christina
影响因子：
3.2
作者：
通讯作者：
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