AN ASSESSMENT OF MALARIA AWARENESS IN UGANDA THROUGH THE EYES OF MALARIA CONTROL ADMINISTRATORS Público

Abstract

Uganda is one of the malaria-endemic countries. The research done to date calls for more
research and prevention activities to reduce the number of deaths due to malaria. Although much
is known about the morbidity and mortality associated with malaria as a disease in Uganda, few
studies have investigated the awareness of the problem. Teaching about malaria in schools and
encouraging students to participate in community malaria prevention projects may be a key point
of intervention to curb this disease. Covering malaria topics like transmission, treatment, and
prevention may be important to include in school curriculums. Of course many children in the
rural areas do not get to go to school because of poverty. This is where community projects can
be especially valuable.
There are already local programs and many of them partner with international programs to
control malaria in Uganda. Using in-depth one-on-one key informant interviews, a needs
assessment was conducted on current malaria awareness interventions from the perspective of 30
members from 5 local programs which included the Malaria Consortium, Malaria Control
Program, Ugandan Ministry of Health, Ugandan Malaria Surveillance Project (UMSP), and the
Northern Uganda Malaria AIDS and Tuberculosis Program (NUMAT). This study incorporated
both qualitative and quantitative data collection methods. Results of the study will inform of
awareness interventions for students and young people. Findings showed that malaria awareness
had not been vigorously pursued as a tool in fighting malaria in the past. Because funds/
resources were a challenge for local programs, recommendations include partnering with
international programs interested in promoting awareness. The Malaria Foundation International
(MFI) based in the US is one such program because it has projects like SLAM (Student leaders
against malaria). The MFI is an outreach program with global initiatives that have been
implemented in some malaria-endemic countries in Africa and Asia to aid malaria control
through their services.

Table of Contents

TABLE OF CONTENTS

Chapter One: Introduction

.......................................................................................................... 1
Background and Problem ............................................................................................................1
Malaria in Uganda .......................................................................................................................2
Purpose Statement .......................................................................................................................3
Research Questions .....................................................................................................................3
Significance .................................................................................................................................4
Definition of Terms .....................................................................................................................6
Chapter Two: Review of the Literature ......................................................................................8
Introduction .................................................................................................................................8
Malaria Control .........................................................................................................................10
Brief history of malaria control in Uganda.............................................................................10
The Goal of malaria control ..................................................................................................11
Case Management .................................................................................................................12
Prevention of Infection ..........................................................................................................12
Prevention of Disease ............................................................................................................13
Activities for malaria control .................................................................................................13
Partnerships for malaria control ............................................................................................14
Malaria Control Programme ......................................................................................................14
Ministry of Health .....................................................................................................................16
Malaria Consortium ...................................................................................................................17
Uganda Malaria Surveillance Project ........................................................................................18
Northern Uganda Malaria AIDS and Tuberculosis Program ....................................................19
Summary ...................................................................................................................................20
Chapter Three: Methodology .................................................................................................... 21
Introduction ...............................................................................................................................21
Target population and sample ...................................................................................................21
Research Design and Procedures ..............................................................................................23
Instruments ................................................................................................................................23

Data analysis .............................................................................................................................24
Limitations and Delimitations ...................................................................................................25
Summary ...................................................................................................................................26
Chapter Four: Results ................................................................................................................ 28
Introduction ...............................................................................................................................28
Research Questions ...................................................................................................................28
Findings ............................................................................................................................... 29-36
Summary ...................................................................................................................................36
Chapter Five: Discussion ............................................................................................................ 37
Introduction ...............................................................................................................................37
Summary of study .....................................................................................................................37
Conclusion .................................................................................................................................38
Implications ...............................................................................................................................39
Implementation of malaria control ............................................................................................41
Interventions and Recommendations ........................................................................................42
Summary ...................................................................................................................................44
Tables and Figures
Figure 1: Map of Uganda ............................................................................................................5
Table 4.1: Participants by gender ..............................................................................................29
Table 4.2: Magnitude of malaria as a health problem ...............................................................30
Table 4.3: Malaria sufferers with age as a risk factor ...............................................................30
Table 4.4: Malaria sufferers by region ......................................................................................31
Table 4.5: Challenges during implementation of interventions ................................................32
Table 4.6: Least intervention numbers by region ......................................................................33
Table 4.7: Responses to malaria taught in school curriculum ...................................................34
Table 4.8: Key topics to include in school curriculums ............................................................34
Table 4.9: Students involvement in malaria interventions ........................................................35
Table 4.10: Numbers in organizations with international partnerships ....................................36
References .............................................................................................................................. 45-47
Appendices ............................................................................................................................. 48-52
Appendix A: Sample of letter sent to survey participants .........................................................48

Appendix B: Questionnaire ................................................................................................. 49-51
Appendix C: Code book ............................................................................................................52

About this Master's Thesis

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• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Career Masters of Public Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Education, Health Health Sciences, Epidemiology
Palavra-chave	Uganda awareness malaria assessment
Committee Chair / Thesis Advisor	Butler, Susan O, Emory University
Committee Members	Smith, Iris E, Emory University
Partnering Agencies	State or local health department (not in Georgia) State or local governmental agency (not a health department and not in Georgia)

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