Table 3

Adjusted incidence rate ratios (IRRs) in 2015–2017 comparing clusters assigned to RACD versus rfMDA

Study armN clustersIncidence (cases per 1000 person-years)Crude IRRP valueAdjusted IRR*P value
All cases
 RACD221.97 (1.57 to 2.47)1 (Ref)0.991 (Ref)0.81
 rfMDA252.11 (1.73 to 2.59)1.01 (0.58 to 1.73)0.93 (0.54 to 1.62)
Local cases only
 RACD220.97 (0.71 to 1.34)1 (Ref)0.851 (Ref)0.61
 rfMDA251.29 (1.00 to 1.67)1.06 (0.57 to 1.98)0.84 (0.42 to 1.66)
  • 95% CIs for incidence were estimated using the Wilson method. IRRs compared cluster-level incidence in the rfMDA arm to the RACD arm using an intention-to-treat approach and negative binomial models.

  • *Models adjusted for the following baseline covariates that were associated with the outcome: incidence of all cases from July 2014 to August 2015 (all cases model), incidence of local cases from July 2014–August 2015 (local cases only model).

  • RACD, reactive case detection; rfMDA, reactive focal mass drug administration