{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T20:55:40Z","timestamp":1793307340550,"version":"4.5.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,6,26]],"date-time":"2021-06-26T00:00:00Z","timestamp":1624665600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,26]],"date-time":"2021-06-26T00:00:00Z","timestamp":1624665600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["D43TW007375"],"award-info":[{"award-number":["D43TW007375"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["D43TW010526"],"award-info":[{"award-number":["D43TW010526"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Malar J"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Travel is a well-recognized risk factor for malaria. Within sub-Saharan Africa, travellers from areas of lower to higher transmission intensity are potentially at high risk of malaria. Long-lasting insecticidal nets (LLINs) are the primary tool for prevention of malaria, and their widespread use has contributed to substantial reductions in malaria burden. However, travellers often fail to use LLINs. To further explore the challenges and opportunities of using LLINs, travellers were interviewed in Uganda.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In August and September 2019, 20 participants attending outpatient clinics at Naguru General Hospital in Kampala with a history of travel out of Kampala within the previous 60 days were purposively selected. Data were collected through in-depth interviews and analysed thematically using NVivo 12.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Of the 20 participants, 13 were male. Thirteen of the 20 participants tested positive for malaria by microscopy, and 5 reported using of LLINs during travel. The main reasons for travel were to attend social events (weddings, funerals, overnight prayers) and for work. travellers who attended social events reported using LLINs less commonly than those who travelled for work. Challenges to using LLINs during travel included: (1) limited access to LLINs; (2) challenges in planning ahead of travel; (3) lack of space or ability to hang LLINs while travelling; (4) impression that LLINs in lodging places were unhygienic; (5) cultural beliefs discouraging use of LLINs during social events; (6) participation in overnight ceremonies; and (7) doubts about efficacy of LLINs. Positive factors influencing use of LLINs during travel included knowledge regarding malaria prevention and good affordability and availability of LLINs.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Despite good traveller knowledge regarding malaria control measures, use of LLINs was limited. Use of LLINs in the prevention of malaria among travellers from low to high transmission settings needs to be prioritized. This calls for increased behaviour change oriented communication to improve traveller preparedness and consideration of use of repellents in situations where LLINs may not be feasible. The Uganda Ministry of Health and Malaria Control Division should use educational messages to increase awareness about the risks of getting malaria during overnight travel through the media. Truck drivers should be sensitized through their companies to use the available space at the back of the trucks for hanging nets and consider using pop-up nets.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12936-021-03811-1","type":"journal-article","created":{"date-parts":[[2021,6,26]],"date-time":"2021-06-26T11:02:56Z","timestamp":1624705376000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Challenges and opportunities for use of long-lasting insecticidal nets to prevent malaria during overnight travel in Uganda: a qualitative study"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8113-6185","authenticated-orcid":false,"given":"Deborah","family":"Ekusai-Sebatta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Arinaitwe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Mpimbaza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaniter I.","family":"Nankabirwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Drakeley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip J.","family":"Rosenthal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah G.","family":"Staedke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herbert","family":"Muyinda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,6,26]]},"reference":[{"key":"3811_CR1","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1093\/cid\/ciy478","volume":"68","author":"E Arinaitwe","year":"2019","unstructured":"Arinaitwe E, Dorsey G, Nankabirwa JI, Kigozi SP, Katureebe A, Kakande E, et al. Association between recent overnight travel and risk of malaria: a prospective cohort study at 3 sites in Uganda. Clin Infect Dis. 2019;68:313\u201320.","journal-title":"Clin Infect Dis"},{"key":"3811_CR2","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1093\/ije\/6.3.259","volume":"6","author":"RM Prothero","year":"1977","unstructured":"Prothero RM. Disease and mobility: a neglected factor in epidemiology. Int J Epidemiol. 1977;6:259\u201367.","journal-title":"Int J Epidemiol"},{"key":"3811_CR3","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1186\/s12936-020-03216-6","volume":"19","author":"J-AA Tangena","year":"2020","unstructured":"Tangena J-AA, Hendriks CM, Devine M, Tammaro M, Trett AE, Williams I, et al. Indoor residual spraying for malaria control in sub-Saharan Africa 1997 to 2017: an adjusted retrospective analysis. Malar J. 2020;19:150.","journal-title":"Malar J"},{"key":"3811_CR4","doi-asserted-by":"publisher","first-page":"e000723","DOI":"10.1136\/bmjgh-2018-000723","volume":"3","author":"B Greenwood","year":"2018","unstructured":"Greenwood B, Gaye O, Kamya MR, Kibiki G, Mwapasa V, Phiri KS, et al. Supporting capacity for research on malaria in Africa. BMJ Global Health. 2018;3:e000723.","journal-title":"BMJ Global Health"},{"key":"3811_CR5","doi-asserted-by":"publisher","first-page":"169","DOI":"10.4269\/ajtmh.2003.68.169","volume":"68","author":"V Robert","year":"2003","unstructured":"Robert V, Macintyre K, Keating J, Trape J-F, Duchemin J-B, Warren M, et al. Malaria transmission in urban sub-Saharan Africa. Am J Trop Med Hyg. 2003;68:169\u201376.","journal-title":"Am J Trop Med Hyg"},{"key":"3811_CR6","doi-asserted-by":"publisher","first-page":"819563","DOI":"10.1155\/2012\/819563","volume":"2012","author":"PM De Silva","year":"2012","unstructured":"De Silva PM, Marshall JM. Factors contributing to urban malaria transmission in sub-Saharan Africa: a systematic review. J Trop Med. 2012;2012:819563.","journal-title":"J Trop Med"},{"key":"3811_CR7","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/s12936-017-1694-2","volume":"16","author":"CW Kabaria","year":"2017","unstructured":"Kabaria CW, Gilbert M, Noor AM, Snow RW, Linard C. The impact of urbanization and population density on childhood Plasmodium falciparum parasite prevalence rates in Africa. Malar J. 2017;16:49.","journal-title":"Malar J"},{"key":"3811_CR8","doi-asserted-by":"publisher","first-page":"1517","DOI":"10.4269\/ajtmh.20-0189","volume":"103","author":"E Arinaitwe","year":"2020","unstructured":"Arinaitwe E, Mpimbaza A, Nankabirwa JI, Kamya V, Asiimwe A, Kuule JK, et al. Malaria diagnosed in an urban setting strongly associated with recent overnight travel: a case\u2013control study from Kampala, Uganda. Am J Trop Med Hyg. 2020;103:1517\u201324.","journal-title":"Am J Trop Med Hyg"},{"key":"3811_CR9","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1186\/s12936-019-3051-0","volume":"18","author":"CS Ahorlu","year":"2019","unstructured":"Ahorlu CS, Adongo P, Koenker H, Zigirumugabe S, Sika-Bright S, Koka E, et al. Understanding the gap between access and use: a qualitative study on barriers and facilitators to insecticide-treated net use in Ghana. Malar J. 2019;18:417.","journal-title":"Malar J"},{"key":"3811_CR10","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/B978-0-323-54696-6.00014-8","volume-title":"Travel medicine","author":"DG Lalloo","year":"2019","unstructured":"Lalloo DG, Magill AJ. Malaria: epidemiology and risk to the traveler. In: Keystone JS, Kozarsky PE, Connor BA, Nothdurft HD, Mendelson M, Leder K, editors. Travel medicine. 4th ed. Amsterdam: Elsevier; 2019. p. 137\u201344.","edition":"4"},{"key":"3811_CR11","doi-asserted-by":"publisher","first-page":"590","DOI":"10.1186\/s13104-018-3695-9","volume":"11","author":"DC Adam","year":"2018","unstructured":"Adam DC, Bui CM, Heywood AE, Kunasekaran M, Sheikh M, Narasimhan P, et al. Adherence to anti-vectorial prevention measures among travellers with chikungunya and malaria returning to Australia: comparative epidemiology. BMC Res Notes. 2018;11:590.","journal-title":"BMC Res Notes"},{"key":"3811_CR12","doi-asserted-by":"publisher","first-page":"29","DOI":"10.5588\/pha.17.0016","volume":"8","author":"K Makadzange","year":"2018","unstructured":"Makadzange K, Dlamini N, Zulu Z, Dlamini S, Kunene S, Sikhondze W, et al. Low uptake of preventive interventions among malaria cases in Swaziland: towards malaria elimination. Public Health Action. 2018;8:29\u201333.","journal-title":"Public Health Action"},{"key":"3811_CR13","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1111\/tmi.12480","volume":"20","author":"CA Lynch","year":"2015","unstructured":"Lynch CA, Bruce J, Bhasin A, Roper C, Cox J, Abeku TA. Association between recent internal travel and malaria in Ugandan highland and highland fringe areas. Trop Med Int Health. 2015;20:773\u201380.","journal-title":"Trop Med Int Health"},{"key":"3811_CR14","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1186\/s13071-017-2393-0","volume":"10","author":"J Ssempiira","year":"2017","unstructured":"Ssempiira J, Nambuusi B, Kissa J, Agaba B, Makumbi F, Kasasa S, et al. The contribution of malaria control interventions on spatio-temporal changes of parasitaemia risk in Uganda during 2009\u20132014. Parasit Vectors. 2017;10:450.","journal-title":"Parasit Vectors"},{"key":"3811_CR15","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1186\/1475-2875-6-39","volume":"6","author":"R Ndyomugyenyi","year":"2007","unstructured":"Ndyomugyenyi R, Magnussen P, Clarke S. Diagnosis and treatment of malaria in peripheral health facilities in Uganda: findings from an area of low transmission in south-western Uganda. Malar J. 2007;6:39.","journal-title":"Malar J"},{"key":"3811_CR16","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/j.trstmh.2004.04.001","volume":"99","author":"G Shanks","year":"2005","unstructured":"Shanks G, Biomndo K, Guyatt H, Snow R. Travel as a risk factor for uncomplicated Plasmodium falciparum malaria in the highlands of western Kenya. Trans R Soc Trop Med Hyg. 2005;99:71\u20134.","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"3811_CR17","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1186\/s12916-020-1512-5","volume":"18","author":"I Sinha","year":"2020","unstructured":"Sinha I, Sayeed AA, Uddin D, Wesolowski A, Zaman SI, Faiz MA, et al. Mapping the travel patterns of people with malaria in Bangladesh. BMC Med. 2020;18:45.","journal-title":"BMC Med"},{"key":"3811_CR18","first-page":"CD011595","volume":"2","author":"MF Maia","year":"2018","unstructured":"Maia MF, Kliner M, Richardson M, Lengeler C, Moore SJ. Mosquito repellents for malaria prevention. Cochrane Database Syst Rev. 2018;2:CD011595.","journal-title":"Cochrane Database Syst Rev"},{"key":"3811_CR19","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1186\/s12889-017-4824-4","volume":"17","author":"IM Taremwa","year":"2017","unstructured":"Taremwa IM, Ashaba S, Adrama HO, Ayebazibwe C, Omoding D, Kemeza I, et al. Knowledge, attitude and behaviour towards the use of insecticide treated mosquito nets among pregnant women and children in rural Southwestern Uganda. BMC Public Health. 2017;17:794.","journal-title":"BMC Public Health"},{"key":"3811_CR20","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1089\/act.2004.10.277","volume":"10","author":"E Yarnell","year":"2004","unstructured":"Yarnell E, Abascal K. Botanical treatment and prevention of malaria: Part 2\u2014selected botanicals. Alternat Complement Ther. 2004;10:277\u201384.","journal-title":"Alternat Complement Ther"},{"key":"3811_CR21","unstructured":"NMCP. Uganda Malaria Indicator Survey. Kampala, 2019."},{"key":"3811_CR22","first-page":"8","volume":"11","author":"M Mason","year":"2010","unstructured":"Mason M. Sample size and saturation in PhD studies using qualitative interviews. Forum Qualitative Social Res. 2010;11:8.","journal-title":"Forum Qualitative Social Res"},{"key":"3811_CR23","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1016\/j.ctim.2019.05.020","volume":"45","author":"M Krouwel","year":"2019","unstructured":"Krouwel M, Jolly K, Greenfield S. How do people with refractory irritable bowel syndrome perceive hypnotherapy?: qualitative study. Complement Ther Med. 2019;45:65\u201370.","journal-title":"Complement Ther Med"},{"key":"3811_CR24","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1186\/s12936-020-03475-3","volume":"19","author":"E Arinaitwe","year":"2020","unstructured":"Arinaitwe E, Nankabirwa JI, Krezanoski P, Rek J, Kamya V, Epstein A, et al. Association between recent overnight travel and use of long-lasting insecticidal nets in rural Uganda: a prospective cohort study in Tororo. Malar J. 2020;19:405.","journal-title":"Malar J"},{"key":"3811_CR25","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1186\/s12936-019-2855-2","volume":"18","author":"A Monroe","year":"2019","unstructured":"Monroe A, Mihayo K, Okumu F, Finda M, Moore S, Koenker H, et al. Human behaviour and residual malaria transmission in Zanzibar: findings from in-depth interviews and direct observation of community events. Malar J. 2019;18:220.","journal-title":"Malar J"},{"key":"3811_CR26","doi-asserted-by":"publisher","first-page":"590","DOI":"10.1186\/s12936-016-1623-9","volume":"15","author":"DP Mathanga","year":"2016","unstructured":"Mathanga DP, Tembo AK, Mzilahowa T, Bauleni A, Mtimaukenena K, Taylor TE, et al. Patterns and determinants of malaria risk in urban and peri-urban areas of Blantyre, Malawi. Malar J. 2016;15:590.","journal-title":"Malar J"},{"key":"3811_CR27","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1186\/1475-2875-13-82","volume":"13","author":"A Monroe","year":"2014","unstructured":"Monroe A, Harvey SA, Lam Y, Muhangi D, Loll D, Kabali AT, et al. \u201cPeople will say that I am proud\u201d: a qualitative study of barriers to bed net use away from home in four Ugandan districts. Malar J. 2014;13:82.","journal-title":"Malar J"},{"issue":"Suppl 4","key":"3811_CR28","doi-asserted-by":"publisher","first-page":"137","DOI":"10.4269\/ajtmh.2003.68.137","volume":"68","author":"JA Alaii","year":"2003","unstructured":"Alaii JA, Hawley WA, Kolczak MS, ter Kuile FO, Gimnig JE, Vulule JM, et al. Factors affecting use of permethrin-treated bed nets during a randomized controlled trial in Western Kenya. Am J Trop Med Hyg. 2003;68(Suppl 4):137\u201341.","journal-title":"Am J Trop Med Hyg"},{"key":"3811_CR29","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1186\/s40249-017-0344-9","volume":"6","author":"K Kassegne","year":"2017","unstructured":"Kassegne K, Zhang T, Chen S-B, Xu B, Dang Z-S, Deng W-P, et al. Study roadmap for high-throughput development of easy to use and affordable biomarkers as diagnostics for tropical diseases: a focus on malaria and schistosomiasis. Infect Dis Poverty. 2017;6:130.","journal-title":"Infect Dis Poverty"},{"key":"3811_CR30","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1186\/s12936-016-1419-y","volume":"15","author":"NH Ntonifor","year":"2016","unstructured":"Ntonifor NH, Veyufambom S. Assessing the effective use of mosquito nets in the prevention of malaria in some parts of Mezam division, Northwest Region Cameroon. Malar J. 2016;15:390.","journal-title":"Malar J"},{"key":"3811_CR31","doi-asserted-by":"publisher","first-page":"e000610","DOI":"10.1136\/bmjgh-2017-000610","volume":"3","author":"CJ Chaccour","year":"2018","unstructured":"Chaccour CJ, Alonso S, Zulliger R, Wagman J, Saifodine A, Candrinho B, et al. Combination of indoor residual spraying with long-lasting insecticide-treated nets for malaria control in Zambezia, Mozambique: a cluster randomised trial and cost-effectiveness study protocol. BMJ Glob Health. 2018;3:e000610.","journal-title":"BMJ Glob Health"},{"key":"3811_CR32","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1186\/1475-2875-9-250","volume":"9","author":"S Githinji","year":"2010","unstructured":"Githinji S, Herbst S, Kistemann T, Noor AM. Mosquito nets in a rural area of Western Kenya: ownership, use and quality. Malar J. 2010;9:250.","journal-title":"Malar J"},{"key":"3811_CR33","doi-asserted-by":"publisher","first-page":"261","DOI":"10.18865\/ed.29.2.261","volume":"29","author":"CA Ibe","year":"2019","unstructured":"Ibe CA, Bowie J, Carson KA, Bone L, Monroe D, Roter D, et al. Patient-level predictors of extent of exposure to a community health worker intervention in a randomized controlled trial. Ethn Dis. 2019;29:261\u20136.","journal-title":"Ethn Dis"},{"key":"3811_CR34","doi-asserted-by":"crossref","first-page":"14","DOI":"10.4102\/safp.v60i6.4934","volume":"60","author":"RL Van Zyl","year":"2018","unstructured":"Van Zyl RL. Prophylaxis - A key component in malaria control. S Afr Fam Pract. 2018;60:14\u20136.","journal-title":"S Afr Fam Pract"},{"key":"3811_CR35","doi-asserted-by":"publisher","first-page":"e0232909","DOI":"10.1371\/journal.pone.0232909","volume":"15","author":"M Ipa","year":"2020","unstructured":"Ipa M, Widawati M, Laksono AD, Kusrini I, Dhewantara PW. Variation of preventive practices and its association with malaria infection in eastern Indonesia: findings from community-based survey. PLoS One. 2020;15:e0232909.","journal-title":"PLoS One"},{"key":"3811_CR36","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1016\/j.tmaid.2017.05.008","volume":"17","author":"A Novitt-Moreno","year":"2017","unstructured":"Novitt-Moreno A, Ransom J, Dow G, Smith B, Read LT, Toovey S. Tafenoquine for malaria prophylaxis in adults: an integrated safety analysis. Travel Med Infect Dis. 2017;17:19\u201327.","journal-title":"Travel Med Infect Dis"},{"key":"3811_CR37","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1186\/s12936-017-1740-0","volume":"16","author":"MP Milali","year":"2017","unstructured":"Milali MP, Sikulu-Lord MT, Govella NJ. Bites before and after bedtime can carry a high risk of human malaria infection. Malar J. 2017;16:91.","journal-title":"Malar J"},{"key":"3811_CR38","doi-asserted-by":"publisher","first-page":"105837","DOI":"10.1016\/j.actatropica.2021.105837","volume":"216","author":"T Degefa","year":"2021","unstructured":"Degefa T, Githeko AK, Lee M-C, Yan G, Yewhalaw D. Patterns of human exposure to early evening and outdoor biting mosquitoes and residual malaria transmission in Ethiopia. Acta Trop. 2021;216:105837.","journal-title":"Acta Trop"},{"key":"3811_CR39","unstructured":"Luckert M, Rozo P, Londono B. Human antibody response against Anopheles gambiae salivary proteins. In: 2nd Entomology Undergraduate Research Poster Symposium Manhattan, KS: Kansas State University, Department of Entomology, 2017."}],"container-title":["Malaria Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12936-021-03811-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12936-021-03811-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12936-021-03811-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,26]],"date-time":"2021-06-26T11:04:04Z","timestamp":1624705444000},"score":1,"resource":{"primary":{"URL":"https:\/\/malariajournal.biomedcentral.com\/articles\/10.1186\/s12936-021-03811-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,26]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["3811"],"URL":"https:\/\/doi.org\/10.1186\/s12936-021-03811-1","relation":{},"ISSN":["1475-2875"],"issn-type":[{"value":"1475-2875","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,26]]},"assertion":[{"value":"15 March 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 June 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 June 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study required written informed consent from participants and they were informed that participation was voluntary. There was minimal risk to participant lives as a result of the study except for loss of time. The interviewer may have asked some sensitive questions about reason for travel and non use of LLINs that made them uneasy. The principle investigator was readily available to respond to all patient concerns. Ethics approval was obtained from Mulago Hospital Research and Ethics Committee (MHREC# 1592), the London School of Hygiene and Tropical Medicine Ethics Committee (LSHTM Ref: 16625), and the Uganda National Council of Science and Technology (UNCST Ref: SS 5012).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"There are no individual respondent data in this manuscript. All authors held final responsibility for the decision to submit and consented to this publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"All authors do not report any competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"283"}}