Understanding the complex heterogeneity of risk factors that can contribute to an increased risk of malaria at the individual and household level will enable more effective use of control measures. The objective of this study was to understand individual and household factors that influence clinical malaria infection among individuals in the highlands of Western Kenya.
The results showed that mosquito age and blood feeding status confers increased tolerance to insecticides as blood feeding may be playing an important role in the toxicity of deltamethrin, allowing mosquitoes to rest on insecticide-treated materials despite treatment.
A sizeable proportion of households is forced to share single long-lasting insecticide treated net (LLIN).
Anopheles gambiae s.l. (Diptera: Culicidae) is responsible for the transmission of the devastating Plasmodium falciparum (Haemosporida: Plasmodiidae) strain of malaria in Africa.
Selection pressures were observed to be different in different regions of Kenya, especially the western region compared to the coastal region.
Kenya has made substantial progress in reducing the prevalence of malaria over the last 26 years.
All the anti-malarial drugs analysed in this study passed the quality control tests.
Malaria remains among the world’s deadliest diseases, and control efforts depend critically on the availability of effective diagnostic tools, particularly for the identification of asymptomatic infections, which play a key role in disease persistence and may account for most instances of transmission but often evade detection by current screening methods.
Most health systems and malaria case-management indicators improved during 2016.
With training, most CHWs performing RDTs maintain diagnostic testing competency over at least 12 months.