Volume 27, Number 2—February 2021
Dispatch
Combined Epidemiologic and Entomologic Survey to Detect Urban Malaria Transmission, Guinea, 2018
Dean Sayre
, Alioune Camara, Yaya Barry, Touré Babacar Deen, Denka Camara, Mohamed Dioubaté, Ibrahima Camara, Kalil Keita, Nouman Diakité, Youssoufa Lo, Ibrahima Bah, Hadja Fanta Camara, Mohamed Saran Condé, Aissata Fofana, Abdoulaye Sarr, Eugène Lama, Seth Irish, and Mateusz Plucinski
, Alioune Camara, Yaya Barry, Touré Babacar Deen, Denka Camara, Mohamed Dioubaté, Ibrahima Camara, Kalil Keita, Nouman Diakité, Youssoufa Lo, Ibrahima Bah, Hadja Fanta Camara, Mohamed Saran Condé, Aissata Fofana, Abdoulaye Sarr, Eugène Lama, Seth Irish, and Mateusz Plucinski
Table 1
Coverage of malaria prevention interventions in and near Conakry, Guinea, 2018*
| Characteristic | Conakry, no./total no. (%) |
Dubréka | p value‡ | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Kaloum | Dixinn | Matam | Matoto | Ratoma | Total | p value† | |||
| LLIN ownership | |||||||||
| Households receiving LLIN in last campaign | 50/60 (83.3) | 48/60 (80.0) | 54/60 (90.0) | 52/60 (86.7) | 52/60 (86.7) | 256/300 (85.3) | 0.61 | 102/120 (85.0) | 1 |
| Households with >1 LLIN
at time of study |
14/60 (23.3) |
22/60 (36.7) |
38/60 (63.3) |
24/60 (40.0) |
32/60 (53.3) |
130/300 (43.3) |
<0.001 |
107/120 (89.2) |
<0.001 |
| LLIN access | |||||||||
| Sleeping spaces with LLIN available | 20/173 (11.6) | 28/169 (16.6) | 54/248 (21.8) | 26/206 (12.6) | 63/220 (28.6) | 191/1,016 (18.8) | <0.001 | 310/486 (63.8) | <0.001 |
| Population sleeping in space
with LLIN available |
42/366 (11.5) |
66/383 (17.2) |
108/485 (22.3) |
63/445 (14.2) |
158/511 (30.9) |
437/2,190 (20.0) |
<0.001 |
647/966 (67.0) |
<0.001 |
| LLIN use | |||||||||
| Sleeping spaces with LLIN hanging | 13/173 (7.5) | 26/169 (15.4) | 45/248 (18.1) | 26/206 (12.6) | 60/220 (27.2) | 170/1,016 (16.7) | <0.001 | 291/486 (59.9) | <0.001 |
| Population sleeping in spaces with LLIN hanging | 27/366 (7.3) | 62/383 (16.2) | 89/485 (18.4) | 63/445 (14.2) | 146/511 (28.6) | 387/2,190 (17.3) | <0.001 | 617/966 (63.9) | <0.001 |
| Spaces with LLIN hanging among those where available | 13/20 (65.0) | 26/28 (92.9) | 45/54 (83.3) | 26/26 (100.0) | 60/63 (95.2) | 170/191 (89.0) | <0.001 | 291/310 (93.9) | 0.062 |
| Proportion sleeping under LLIN in population with access | 27/42 (64.3) | 62/66 (93.9) | 89/108 (82.4) | 63/63 (100.0) | 146/158 (92.4) | 387/437 (88.6) | <0.001 | 617/647 (95.4) | <0.001 |
| Used LLIN in previous night, <5 y | 5/52 (19.6) | 19/78 (24.4) | 21/99 (21.2) | 9/77 (11.7) | 24/86 (27.9) | 78/392 (19.9) | 0.021 | 137/204 (67.2) | <0.001 |
| Used LLIN in previous night,
>5 y |
14/314 (4.5) |
44/298 (14.8) |
99/381 (26.0) |
40/371 (10.8) |
95/408 (23.3) |
292/1,772 (16.5) |
<0.001 |
442/716 (61.7) |
<0.001 |
| Indoor residual spraying |
4/60 (6.7) |
1/60 (1.7) |
0/60 (0.0) |
1/60 (1.7) |
0/60 (0.0) |
6/300
(2.0) |
0.11 |
1/120 (0.8) |
0.68 |
| Any insecticide use | 6/60 (10.0) | 9/60 (15.0) | 10/60 (16.7) | 16/60 (26.7) | 20/60 (33.3) | 61/300 (20.3) | 0.012 | 54/120 (45.0) | <0.001 |
*Populations determined by summing responses to number of persons sleeping in each space; total denominators do not necessarily match total number of persons reported as living in surveyed households. LLIN, long-lasting insecticidal nets. †Comparison of results for communes within Conakry. ‡Comparison of results for Conakry and Dubréka.
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