Uganda Public Health Fellowship Program’s Contributions to Malaria Control Programs 2015–2022: Strategies, Implementation Challenges, and Opportunities

Alex R. Ario; Andrew Kwiringira; Richard Migisha; Benon Kwesiga; Lilian Bulage; Daniel Kadobera; Esther Kisaakye; Alice Asio; Maria’ G. Zalwango; Jane F. Zalwango; Damian Rutazaana; Jimmy Opigo; Julie R. Harris; Kyree Rollins; Mame Niang; Amy L. Boore; Lisa J. Nelson; Kassahun Belay

doi:10.9745/GHSP-D-23-00257

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Distribution of Malaria Outbreaks Investigated by Uganda Public Health Fellowship Program Fellows, Uganda, 2015–2022

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TABLE 1.

Contributions of the Malaria Fellows of the Uganda Public Health Fellowship Program to Malaria Control in Uganda, 2015–2022

Activities	N
Malaria Control and Prevention Projects
Evaluation of surveillance systems	13
Outbreak investigations	11
Quality improvement projects	7
Epidemiological studies	6
Case studies	6
Policy briefs	3
Training and mentorship	4
Malaria-Related Scientific Publications
Peer-reviewed, published, or accepted	7
Published in UNIPH quarterly bulletin	20
Malaria Weekly Bulletin	Published since 2015
Malaria Quarterly Bulletin	Published since 2015

Abbreviation: UNIPH, Uganda National Institute of Public Health.

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TABLE 2.

Malaria Projects Implemented by the Uganda Public Health Fellowship Program, 2015–2022

Year	Project Titles
Outbreak Investigations
2018	Malaria Outbreak Investigation in Kisoro District, January 2018
2018	Malaria Outbreak Investigation in Nwoya District, April 2018
2018	Suspected Black Water Fever among Children in Manafwa District, Eastern Uganda, 2018
2019	Malaria Outbreak Facilitated by Increased Mosquito Breeding Sites near Homes and Cessation of Indoor Residual Spraying, Kole District, January–June 2019
2019	Malaria Outbreak Facilitated by Roadside Pools in Zombo District, Uganda, January–June 2019
2019	Malaria Outbreak Facilitated by Increased Vector-breeding Sites Sustained by Intermittent Rainfall: Mbale District, Uganda
2019	Malaria Outbreak Propagated by Rain Water Harvesting and Increased Vector Bleeding Sites, Butambala District, Uganda, August 2018–February 2019
2020	Malaria Outbreak Facilitated by Appearance of Vector-Breeding Sites after Heavy Rainfall and Inadequate Preventive Measures: Nwoya District, Northern Uganda, February–May 2018
2021	Malaria Outbreak Facilitated by Agricultural Activities, Residing near Water-logged Areas and Participating in Late Night Campaign Activities: Nabitende Subcounty, Iganga District, December 2021–February 2021
2021	Suspected Black Water Fever among Children in Districts of Bugisu, Bukedi, and Busoga Region, Eastern Uganda, January 2019–July 2021
2015	Decline in Malaria Incidence in Tororo District, Uganda Following Implementation of Vector Control Interventions, 2013–2015
Analysis of Surveillance Data
2015	Malaria Morbidity among Children under 5year in Epidemic Districts of Northern Uganda for the Period July 2012 to June 2015
2022	Investigation of Malaria Upsurge in Indoor Residual Spraying (IRS) Districts in Eastern Uganda
2016	Factors Associated with Uptake of Optimal Doses of Intermittent Preventive Therapy for Malaria among Pregnant Women in Uganda: Analysis of Data from the Uganda Demographic and Health Survey, 2016
2016	Effect of Active Testing and Treatment on Community Malaria Parasite Prevalence in High Transmission Villages in Tororo District
2016	Establishing Entomological Surveillance in Uganda
2016	Rapid Reduction of Malaria Following Introduction of Vector Control Interventions in Tororo District, Uganda: A Descriptive Study
2017	Malaria Incidence among Children less than 5 years During and after Cessation of Indoor Residual Spraying in Northern Uganda
2017	Malaria Morbidity Following Indoor Residual Spraying in Eastern and Northern Uganda: A Comparative Analysis of IRS and non-IRS districts 2013–2016
2017	Spatial Analysis of Insecticide Resistance among Malaria Vectors in Uganda
2018	Assessing Morbidity and Mortality Patterns of Malaria in Pregnancy using the Health Management Information System (HMIS) in Uganda, July 2014 to June 2017
2019	Evaluation of Community-level Malaria Reporting by Village Health Teams, Uganda, 2018-2019
2021	Effect of Seasonal Malaria Chemoprevention on Incidence of Uncomplicated Malaria among Under 5 Children in Kotido and Moroto Districts Uganda 2021
2021	Evaluation of Indoor Residual Spraying (IRS) in IRS districts, Uganda, 2021
2021	Malaria Outbreak Facilitated by Engagement in Activities near Swamps Following Increased Rainfall and Limited Preventive Measures: Oyam District, Uganda
Epidemiological Studies
2018	Investigation of Increased Deaths due to Severe Malaria in Hoima and Kabarole Districts, 2017–2018
2019	Assessment of Health Workers Adherence to the Malaria Test Treat and Track Policy in Uganda, 2019-2020
2020	Integrated Community Case Management (ICCM) and Antenatal Care-Baseline Survey, 2020
2021	Ownership and Use of Long-lasting Insecticidal Nets and Factors Associated, Immediately after a Mass Distribution Campaign in Uganda: A Cross-sectional Survey of Fourteen districts
2021	Investigation of Risk Factors Associated with Malaria Deaths in Agago District in Uganda in the Period January 2020 to date, May 2021
2021	Investigation of Risk Factors for Death among Children with Severe Malaria in Namutumba District, Eastern Uganda, Sept 2021–Feb 2022
2022	You Can’t Find What You Are Not Looking For: Undetected Malaria Outbreaks Detected through Analysis of Surveillance Data
Case Studies
2022	Malaria Outbreak in Mbale: It’s the Pits!
2022	Delayed Malaria Outbreak Detection: A Wake-Up Call to Evaluate the Malaria Surveillance System
2022	Preparing for the Worst: Opportunities to Prevent Trans-boundary Disease Transmission in Uganda
2022	Investigating a Malaria Outbreak: Case Study
2022	An Outbreak of Malaria Caused by Engagement in Commercial Activities in Swamps
Policy Briefs
2018	Combating Resistance to Insecticides: Alternative Approaches in Sustaining the Relevance of Vector Control Strategies
2020	The Magic Bullet: Using Interpersonal Communication to Increase Consistent Bed Net Use in Uganda
2018	Improving Malaria Reporting by Village Health Teams under Integrated Community Case Management
Quality Improvement
2018	Improving Adherence to Malaria Test and Treat Policy in Iganga Hospital
2021	Improving Malaria Mortality Audits in Hoima Regional Referral Hospital, January–July 2022
2021	Quality Improvement on Early Identification and Management of Malaria Cases to Reduce on Deaths in Bugono Health Center IV, Iganga District
2021	Improving Access to Integrated Community Case Management (ICCM) Services for Malaria in the Community
2022	Mentor Mothers can Improve Malaria in Pregnancy Outcomes
2022	Improvement of Reporting Malaria Death Data via the District Health Information Software 2 in Selected Districts in Uganda
Training and Mentorship
2021	Training on Normal Malaria Channels in Multiple Districts
2020	Training District Health Teams (DHTs) on Developing and Interpreting Malaria Normal Channels to Detect Malaria Outbreaks in Uganda
2021	Continuous Training of District Health Teams through the Frontline Field Epidemiology Training Program on Disease Surveillance and Outbreak Investigation
2022	Mentorship of Health Workers on Managing Malaria in Pregnancy