Observational studyInquiry : a journal of medical care organization, provision and financing
Long-Lasting Insecticide-Treated Net Use Gaps and Severity Predictors in a Pre-Elimination Landscape: A Retrospective Observational Study in Mberengwa, Zimbabwe.
Observational study in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Predictive Modelling of Climate-Driven Malaria Transmission for Optimal Control Using a Coupled SEIR-SEI and GIS Framework.Public health challenges · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although significant progress has been made in reducing malaria transmission in Zimbabwe, the path to elimination remains challenging. The disease remains a persistent threat, particularly in resource-constrained areas such as Mberengwa, necessitating an urgent need to understand the demographic, behavioural, socioeconomic, and structural factors influencing long-lasting insecticide-treated net use and case severity. This study investigated these factors using individual malaria case data to inform the development of locally tailored strategies for malaria elimination. Individual malaria case data from 2019 to 2024 were collected from the District Health Information System Tracker-2 database for this study. Data were triangulated with line list and health facility register data to verify records and complete the missing data. The resulting 662 cases were analysed using stratified descriptive analysis, multivariate logistic regression, and Random Forest classification models. There is an overall gradual decline in the annual Test Positivity Rate, despite seasonal peaks. A critical finding was the disparity between long-lasting insecticide-treated net ownership (95%) and use (7.7%), suggesting that ownership does not translate to protective use. In the multivariate logistic regression, none of the tested variables were significant determinants of Long-Lasting Insecticide Net use. However, random forest modelling identified age, time to seek care, religious group, distance to health facilities, and education level as the top 5 influential factors. For malaria case severity, greater distance to a health facility (
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.