Table 3.
Plasmodium falciparum |
Plasmodium vivax |
||||||
---|---|---|---|---|---|---|---|
IRR | 95%CI | p value | IRR | 95%CI | p value | ||
Type of village | |||||||
No MDA (non-hotspot or unknown) | 1 | Ref | 1 | Ref | |||
Hotspot before MDA* | 2·69 | 1·80–4·04 | <0·0001 | 1·87 | 1·32–2·67 | <0·0001 | |
Hotspot after MDA* | 0·50 | 0·31–0·80 | <0·0001 | 0·48 | 0·32–0·73 | <0·0001 | |
Duration of malaria post activity in the village, by type of village (linear approximation, per quarter increment) | |||||||
No MDA (non-hotspot or unknown) | 0·75 | 0·73–0·78 | <0·0001 | 0·93 | 0·91–0·94 | <0·0001 | |
Hotspot before MDA | 0·82 | 0·76–0·88 | <0·0001 | 0·93 | 0·87–0·98 | <0·0001 | |
Hotspot after MDA | 0·99 | 0·92–1·06 | <0·0001 | 1·05 | 1·00–1·11 | <0·0001 | |
Number of MDA done within the village tract excluding the village (per village increment) | 0·96 | 0·92–1·00 | 0·0471 | 0·98 | 0·95–1·01 | 0·2538 | |
Coverage of villages within the village tract (+10%) | 0·90 | 0·87–0·93 | <0·0001 | 0·92 | 0·90–0·95 | <0·0001 | |
Malaria post embedded in a community clinic | 1·75 | 1·15–2·66 | 0·0087 | 1·44 | 1·04–2·00 | 0·0293 |
Data presented by the regional elimination programme. Incidence rate ratios (IRR) show the relative contribution of mass drug administration (MDA), community-based malaria posts, and coverage to the decrease in village-level and incidence after adjustment for seasonality, geographical location, and other interventions in a multivariable analysis. p values correspond to the inclusion of the three-category variable.
Using the category hotspot before MDA as the reference, this translates to IRR 0·19 (0·13–0·26) for the hotspot after MDA.