Uganda Housing Modification Study

Once a key pillar of malaria control, housing modification remains underutilized in most malaria endemic areas. In sub-Saharan Africa, where up to 80-100 percent of malaria transmission occurs indoors at night, the home can be a place of high risk. Simple changes to prevent house entry by mosquitos can provide protection from malaria, making housing modification a promising strategy to address the need for long-term, non-chemically driven interventions.

PMI Insights is providing financial support to the London School of Hygiene and Tropical Medicine (LSHTM), in collaboration with USAID/PMI, to explore housing modification as a malaria control intervention and to assess the degree to which it may offer protection in moderate to high malaria endemicity settings in Uganda. The primary objective of the study is to evaluate the effect of housing modifications + PBO LLINs, compared to PBO LLINs alone, on the incidence of clinical malaria in Ugandan children aged < 60 months. The study team is also exploring entomological effectiveness, cost-effectiveness, feasibility, and acceptability of housing modification in Uganda.

Purpose: Can housing modifications (combined with PBO LLINs) reduce the malaria burden in Uganda?

Study team: LSHTM

Timeline: 2021-2024