Background and Objective:
Malaria continues to cause significant morbidity and mortality particularly in Sub-Saharan Africa. Appropriate combinations of non-chemical and chemical methods of malaria vector control in the context of integrated vector management have been recommended by the World Health Organization. Integrated malaria prevention, which promotes the use of several malaria prevention methods holistically, is being explored. The aim of the study was to explore facilitators and barriers to using integrated malaria prevention in Wakiso district, Uganda

Methods:
The qualitative study employed photovoice among 20 community members in Kasanje Town Council, Wakiso District. The photos taken by participants for a period of 5 months using smartphones were discussed monthly with the researchers. The discussions were audio-recorded, and resulting data analysed using thematic analysis with the support of NVivo (2020).

Results:
Various conventional and non-conventional measures were being used for preventing malaria such as: insecticide treated nets; clearing overgrown vegetation and draining stagnant water near houses; mosquito coils; smoldering of cow dung; spraying insecticides; plant repellents near houses; as well as closing doors and windows on houses early in the evening. Facilitators to using several malaria prevention methods holistically included: low cost and convenience of some methods such as slashing overgrown vegetation; and support provided for certain methods such as receiving free mosquito nets from the government. Barriers to using several malaria prevention methods holistically included: inadequate knowledge of some methods such as housing improvement; allergic reactions to chemical-based methods such as insecticide treated nets; unaffordability of some methods such as insecticide sprays; and inaccessibility of certain methods such as body repellents.

Conclusion:
Several barriers to using integrated malaria prevention were identified. These barriers need to be addressed so as to contribute to malaria prevention efforts in endemic communities.