Ukufaka iminatha yokubulala izitshabalalisi kwindawo ejikelezileyo, iifestile kunye nemingxuma kwizindlu ezingekalungiswa linyathelo lokulawula isifo seengcongconi. Inokuthintela iingcongconi ekungeneni ezindlini, ibe neziphumo ezibulalayo nezibulalayo kwiintsholongwane zemalariya kwaye inokunciphisa usulelo lwemalariya. Ke ngoko, senze uphando lwe-epidemiological kwimizi yaseTanzania ukuvavanya ukusebenza kwe-insecticide screening (ITS) ngokuchasene nemalariya kunye ne-vectors.
Indlu yayibunjwa yindlu enye okanye ezingaphezulu, nganye ilawulwa yintloko-ntsapho, apho onke amalungu ekhaya asebenzisa ikhitshi elifanayo. Amakhaya ayefanelekela ukufundiswa ukuba ayevuleke imisonto, iifestile ezingavalwanga neendonga. Onke amalungu asekhaya aneenyanga ezi-6 nangaphezulu aye abandakanywa kuphononongo, ngaphandle kwabasetyhini abakhulelweyo ababephantsi kovavanyo lwesiqhelo ngexesha lokhathalelo lwaphambi kokubeleka ngokwemigaqo yesizwe.
Ukususela ngoJuni ukuya kutsho kuJulayi 2021, ukuze kufikelelwe kuzo zonke izindlu kwilali nganye, abaqokeleli zinkcukacha, bekhokelwa ziinkosi zelali, bangena kwindlu ngendlu bedlan’ indlebe nemizi evulelekileyo, iifestile ezingakhuselekanga neendonga ezimileyo. Elinye ilungu lasekhaya elidala ligcwalise uluhlu lwemibuzo olusisiseko. Le khweshine ibandakanya ulwazi malunga nendawo kunye neempawu zendlu, kunye nemeko yentlalo yoluntu yamalungu osapho. Ukuqinisekisa ukuhambelana, ifom yemvume enolwazi (ICF) kunye nekhweshine yabelwa isazisi esisodwa (i-UID), esaprintwa, senziwe ngelamyini, saza sancanyathiselwa kumnyango wangaphambili wendlu nganye ethatha inxaxheba. Idatha yesiseko yayisetyenziselwa ukuvelisa uluhlu lwe-randomization, olukhokela ukufakwa kwe-ITS kwiqela lokungenelela.
Idatha yokuxhaphaka kweMalariya yahlalutywa kusetyenziswa indlela yeprotocol, ngaphandle kohlalutyo lwabantu abahamba kwiiveki ezimbini ezidlulileyo okanye bathathe amayeza e-antimalarial kwiiveki ezimbini ngaphambi kophando.
Ukumisela impembelelo ye-ITS kuzo zonke iintlobo zezindlu ezahlukeneyo, ukusetyenziswa kwe-ITS, kunye namaqela obudala, senze uhlalutyo olucwangcisiweyo. Imeko yesifo seengcongconi yathelekiswa phakathi kwamakhaya ane-ITS nangenayo ngaphakathi kolwahlulo oluchaziweyo: iindonga zodaka, iindonga zezitena, uphahla lwesithethe, uphahla lwezinki, abo basebenzisa i-ITS kusuku olungaphambi kohlolisiso, abo bangayisebenzisiyo i-ITS kusuku olungaphambi kohlolisiso, abantwana abancinane, abantwana abakubudala bokuhamba isikolo nabantu abadala. Kuhlalutyo ngalunye lwe-stratified, iqela leminyaka yobudala, isondo, kunye ne-variable stratification variable (uhlobo lwendonga, uhlobo lwephahla, ukusetyenziswa kwe-ITS, okanye iqela leminyaka ubudala) zifakwe njengeziphumo ezisisigxina. Usapho lubandakanyiwe njengesiphumo esingacwangciswanga sokuphendula ngokudibanisa. Okubalulekileyo, ukuguquguquka kwe-stratification ngokwabo akuzange kufakwe njenge-covariates kuhlalutyo lwabo olucwangcisiweyo.
Kubemi beengcongconi zangaphakathi, iimodeli ezingalungiswanga ezingalunganga ze-binomial regression zisetyenziswe kuphela kwinani lemihla ngemihla leengcongconi ezithinjiweyo ngomgibe ngobusuku ngenxa yenani elincinci leengcongconi ezithinjiweyo kulo lonke uvavanyo.
Amakhaya axilongelwe usulelo lwemalariya kwixesha elifutshane nangexesha elide, iziphumo zibonisa amakhaya atyelelweyo, ala ukutyelelwa, awamkelwa ukuba atyelelwe, aphulukene notyelelo ngenxa yokufuduswa nokuhamba imigama emide, ukwala kwabathathi-nxaxheba ukutyelelwa, ukusetyenziswa kweziyobisi ezilwa nesifo seengcongconi, kunye nembali yokuhamba. Amakhaya avavanyelwa iingcongconi ezingaphakathi kusetyenziswa i-CDC light trap, kunye neziphumo ezibonisa amakhaya athe atyelelwa, ala ukutyelelwa, avuma ukutyelelwa, awazange atyelelwe ngenxa yokufuduka, okanye abengekho ngalo lonke ixesha lovavanyo. ITS yafakwa kwimizi yolawulo.
KwiSithili saseChalinze, akukho mahluko ubalulekileyo ufunyenweyo kumazinga osulelo lwemalariya okanye inani lengcongconi ngaphakathi endlini phakathi kwamakhaya anenkqubo yokuhlola efakwe isibulali-zinambuzane (ITS) kunye nalawo angenayo. Oku kunokuba ngenxa yoyilo lophononongo, i-insecticidal kunye neepropathi ezishiyekileyo zongenelelo, kunye nenani eliphezulu labathathi-nxaxheba abaye baphuma kuphononongo. Nangona umahluko wawungabalulekanga, amanqanaba asezantsi ohlaselo lwezifunxi-gazi afunyenwe kwinqanaba lasekhaya ngexesha leemvula ezinde, nto leyo eyayibonakala ngakumbi kubantwana abasahamba isikolo. Inani leengcongconi ezingaphakathi endlini ye-Anopheles nalo lehla, nto leyo ebonisa imfuneko yophando olungakumbi. Ke ngoko, uyilo lophononongo oludityanisiweyo oludityaniswe nokubandakanyeka koluntu olusebenzayo kunye nokufikelela eluntwini kuyacetyiswa ukuqinisekisa ukugcinwa kwabathathi-nxaxheba kulo lonke uphononongo.
Ixesha lokuposa: Aug-19-2025