Malaria in Uganda:
Malaria is highly endemic in Uganda, with approximately 95 percent of the country at risk of the disease. Forty-two percent of children under the age of five tested positive for malaria with microscopic diagnosis in 2009 (Malaria Indicator Survey, 2009). In the most recent national survey in December 2014-January 2015, prevalence in children under 5 was 19 percent.
Plasmodium falciparum accounts for 99 percent of all malaria cases in Uganda (the remainder are mainly P. malariae infections).The main vector species in Uganda are Anopheles gambiae s.s., A. arabiensis and A. funestus s.s. A. funestus s.s. is common in areas with large permanent water bodies, while the other two species breed in small temporary pools. Malaria transmission occurs year-round in Uganda, but peak transmission follows the rainy seasons with a high number of cases during June-August and November-December.
The main malaria control interventions in Uganda involve universal distribution of ITNs, indoor residual spraying (IRS) in selected districts, provision of intermittent preventive treatment in pregnancy (IPTp), improved access to diagnosis and effective treatment through the formal health services as well as integrated community case management (iCCM).
The project was based around two health facilities; Butemba Health Centre III and Aduku Health Centre IV in Kyankwanzi and Apac, respectively.
The Beyond Garki Project in Uganda was implemented in collaboration with the National Malaria Control Program (NMCP), District Health Offices of Apac and Kyankwanzi Districts, the health facilities serving as the project sites (Aduku Health Centre IV, Butemba Health Centre III), and the Medical Research Council/Uganda Virus Research Institute – Uganda Research Unit on AIDS.