Publications by authors named "Fadhila Kihwele"

Background: Reactive case detection (RACD) for malaria control has been found effective in low transmission settings, but its impact and cost-effectiveness in moderate-to-high transmission settings are unknown. We conducted an economic evaluation alongside an empirical trial of a modified RACD strategy (1,7-mRCTR) in three moderate-to-high malaria transmission districts in Tanzania.

Methods: The costs and cost savings associated with the intervention relative to passive case detection alone were estimated in the study sites of Kilwa, Kibiti, and Rufiji districts in Tanzania from 2019-2021.

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Article Synopsis
  • Progress in malaria control has stalled, prompting the need for innovative surveillance and response strategies in Africa, specifically through the 1,7-malaria Reactive Community-Based Testing and Response (1,7-mRCTR) approach tested in Tanzania.
  • The study showed that 244,771 community-based malaria rapid tests were conducted over two years, resulting in a significant decline in malaria prevalence from 27.4% to 11.7% in intervention areas, with a notable 4.5% decrease attributed to the 1,7-mRCTR strategy.
  • Despite challenges such as interruptions from the COVID-19 pandemic, the findings suggest that the 1,7-mRCTR approach is effective in reducing malaria incidence, particularly
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Background: Strengthening malaria control activities in Tanzania has dramatically declined human malaria infections. However, there is an increasing epidemiological shift in the burden on school-age children. The underlying causes for such an epidemiological shift remain unknown in this context.

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Industrial mining projects can play an important role in global sustainable development if associated health risks are minimised and opportunities maximised. While a broad body of evidence from quantitative studies exists that establishes the interlinkages between mining operations and effects on public health, little research has been conducted investigating health impacts from the perspective of affected communities. This is particularly true in sub-Saharan Africa, where about a third of the remaining global mineral resources are endowed and health-related indicators for sustainable development are lagging behind.

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Industrial mining transforms local landscapes, including important health determinants like clean water and sanitation. In this paper, we combined macro-level quantitative and micro-level qualitative data to show how mining projects affect water infrastructures and ultimately the health of affected communities. Although we observed a positive trend of water infrastructure in mining settings, surrounding communities are also characterized by water scarcity and degradation of water quality.

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