Kuisa mambure ekuuraya zvipembenene kumativi epanzeve, mafafitera nemadziro akazaruka mudzimba dzisina kuvandudzwa inzira inogona kudzora marariya. Inogona kudzivirira umhutu kupinda mudzimba, kuva nezvinouraya uye zvinouraya zvinokonzeresa marariya vectors uye zvinogona kuderedza kutapurirana kwemalaria. Naizvozvo, takaita epidemiological ongororo mumhuri dzeTanzania kuti tiongorore kushanda kwemukati mezvipembenene kuongorora (ITS) kurwisa marariya nemavheji.
Imba yaiumbwa neimba imwe kana kuti dzinopfuura, imwe neimwe yaitarisirwa nomukuru wemba, uye mitezo yose yemhuri ichigoverana kicheni yakafanana. Mhuri dzaikodzera kuti dzidzidze kudai dziine nzeve dzakavhurika, mahwindo asina kuvharwa, uye madziro akasimba. Vese vemumba vane mwedzi mitanhatu kana kudarika vakaiswa muchidzidzo ichi, tisingabatanidzi madzimai akazvitakura aigara achivhenekwa panguva yekuzvitakura maererano nemitemo yenyika.
Kubva muna Chikumi kusvika muna Chikunguru 2021, kuti vasvike kudzimba dzose mumusha wega wega, vaunganidzi data, vachitungamirirwa nemadzishe emisha, vaienda paimba neimba vachibvunzurudza dzimba dzakavhurika, mahwindo asina kudzivirirwa, uye madziro akamira. Mumwe wemumba akura akapedza mubvunzo wekutanga. Iyi mibvunzo yaisanganisira ruzivo rwenzvimbo uye maitiro eimba yacho, pamwe chete nemagariro evanhu vemhuri. Kuti ive nechokwadi chekuenderana, fomu remvumo ine ruzivo (ICF) nemibvunzo zvakapihwa yakasarudzika identifier (UID), iyo yakadhindwa, yakashongedzwa, uye yakanamirwa pamusuwo wepamberi weimba yega yega yaive chikamu. Iyo data yekutanga yakashandiswa kugadzira runyoro rwekusarudzika, iyo yakatungamira kuiswa kweITS muboka rekupindira.
Data yehuwandu hwemarariya yakaongororwa pachishandiswa nzira ye-per-protocol, kunze kwekuongorora vanhu vakafamba mumavhiki maviri apfuura kana kutora mishonga yekudzivirira marariya mumavhiki maviri isati yaitwa.
Kuti uone kukanganisa kweITS kumarudzi akasiyana edzimba, kushandiswa kweITS, uye mapoka ezera, takaita ongororo dzakasimba. Chiitiko chemarariya chakaenzaniswa pakati pemhuri dzine uye dzisina ITS mukati megadziriro yakatsanangurwa: madziro evhu, madziro ezvidhina, matenga ekare, matenga emarata, vaya vanoshandisa ITS zuva risati raitwa ongororo, vaya vasingashandisi ITS zuva risati raitwa ongororo, vana vaduku, vana vechikoro, uye vakuru. Mune yega yega stratified analysis, zera rezera, zvepabonde, uye akakodzera eimba stratification inosiyana (rudzi rwemadziro, rudzi rwedenga, kushandiswa kweITS, kana boka rezera) zvakasanganisirwa seyakagadziriswa mhedzisiro. Mhuri yaisanganisirwa seyakangoerekana yaitika yekuzvidavirira pakuunganidza. Zvakakosha, iyo stratification misiyano pachayo haina kuverengerwa se covariates mune yavo stratified ongororo.
Kune vanhu vemukati memosquito, isina kugadziridzwa yakaipa binomial regression modhi yakangoiswa kune huwandu hwemazuva ese hweumhutu hunobatwa pamusungo pahusiku nekuda kwehuwandu hushoma hweumhutu hwakabatwa mukati meongororo.
Mhuri dzakaongororwa zvirwere zvemarariya munguva pfupi uye kwenguva refu, nemigumisiro yakaratidza mhuri dzakashanyirwa, dzairamba kushanyirwa, dzakagamuchirwa kushanyirwa, dzakarasika kushanya nokuda kwokutamiswa uye kufamba nzendo refu, vatori vechikamu kuramba kushanyirwa, kushandiswa kwemishonga inorwisa marariya, uye nhoroondo yokufamba. Mhuri dzakaongororwa nokuda kwoumhutu hwemukati vachishandisa CDC light trap, nemigumisiro inoratidza mhuri dzakashanyirwa, dzakaramba kushanyirwa, dzakabvuma kushanyirwa, dzakarasika kushanya nokuda kwokutama, kana kuti dzakanga dzisipo panguva yose yeongororo. ITS yakaiswa mukutonga dzimba.
Kudunhu reChalinze, hapana musiyano mukuru wakawanikwa pahuwandu hwechirwere chemalaria kana kuti mosquito mudzimba pakati pedzimba dzine mishonga yekuongorora zvipembenene (ITS) nevasina. Izvi zvinogona kunge zvakakonzerwa nekugadzirwa kwechidzidzo, mishonga yezvipembenene uye yakasara yekupindira, uye nhamba yepamusoro yevatori vechikamu vakasiya chidzidzo. Kunyange zvazvo kusiyana kwacho kwakanga kusiri kukuru, utachiona hushoma hwakanga huchiwanikwa mumhuri munguva refu yekunaya kwemvura, iyo yainyanya kuoneka pakati pevana vechikoro. Kuwanda kweumhutu hweIndoor Anopheles kwakadzikirawo, zvichiratidza kudiwa kweimwe ongororo. Naizvozvo, dhizaini yechidzidzo che cluster-randomized yakasanganiswa nekuita basa renharaunda uye kuparidzira inokurudzirwa kuti ive nechokwadi chekuchengetwa kwevatori vechikamu muchidzidzo chose.
Nguva yekutumira: Aug-19-2025