The clinical burden of malaria in Nairobi: a historical review and contemporary audit
Abstract Background Widespread urbanization over the next 20 years has the potential to drastically change the risk of malaria within Africa. The burden of the disease, its management, risk factors and appropriateness of targeted intervention across varied urban environments in Africa remain largely...
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ftdoajarticles:oai:doaj.org/article:9ab79246dd4e4a14a4c9d769c0d48eb7 2023-05-15T15:16:49+02:00 The clinical burden of malaria in Nairobi: a historical review and contemporary audit Zurovac Dejan Noor Abdisalan M Okiro Emelda A Mudhune Sandra A Juma Elizabeth Ochola Sam A Snow Robert W 2011-05-01T00:00:00Z https://doi.org/10.1186/1475-2875-10-138 https://doaj.org/article/9ab79246dd4e4a14a4c9d769c0d48eb7 EN eng BMC http://www.malariajournal.com/content/10/1/138 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-138 1475-2875 https://doaj.org/article/9ab79246dd4e4a14a4c9d769c0d48eb7 Malaria Journal, Vol 10, Iss 1, p 138 (2011) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2011 ftdoajarticles https://doi.org/10.1186/1475-2875-10-138 2022-12-31T02:37:45Z Abstract Background Widespread urbanization over the next 20 years has the potential to drastically change the risk of malaria within Africa. The burden of the disease, its management, risk factors and appropriateness of targeted intervention across varied urban environments in Africa remain largely undefined. This paper presents a combined historical and contemporary review of the clinical burden of malaria within one of Africa's largest urban settlements, Nairobi, Kenya. Methods A review of historical reported malaria case burdens since 1911 within Nairobi was undertaken using archived government and city council reports. Contemporary information on out-patient case burdens due to malaria were assembled from the National Health Management and Information System (HMIS). Finally, an audit of 22 randomly selected health facilities within Nairobi was undertaken covering 12 months 2009-2010. The audit included interviews with health workers, and a checklist of commodities and guidelines necessary to diagnose, treat and record malaria. Results From the 1930's through to the mid-1960's malaria incidence declined coincidental with rapid population growth. During this period malaria notification and prevention were a priority for the city council. From 2001-2008 reporting systems for malaria were inadequate to define the extent or distribution of malaria risk within Nairobi. A more detailed facility review suggests, however that malaria remains a common diagnosis (11% of all paediatric diagnoses made) and where laboratories (n = 15) exist slide positivity rates are on average 15%. Information on the quality of diagnosis, slide reading and whether those reported as positive were imported infections was not established. The facilities and health workers included in this study were not universally prepared to treat malaria according to national guidelines or identify foci of risks due to shortages of national first-line drugs, inadequate record keeping and a view among some health workers (17%) that slide negative ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 10 1 138 |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Zurovac Dejan Noor Abdisalan M Okiro Emelda A Mudhune Sandra A Juma Elizabeth Ochola Sam A Snow Robert W The clinical burden of malaria in Nairobi: a historical review and contemporary audit |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Widespread urbanization over the next 20 years has the potential to drastically change the risk of malaria within Africa. The burden of the disease, its management, risk factors and appropriateness of targeted intervention across varied urban environments in Africa remain largely undefined. This paper presents a combined historical and contemporary review of the clinical burden of malaria within one of Africa's largest urban settlements, Nairobi, Kenya. Methods A review of historical reported malaria case burdens since 1911 within Nairobi was undertaken using archived government and city council reports. Contemporary information on out-patient case burdens due to malaria were assembled from the National Health Management and Information System (HMIS). Finally, an audit of 22 randomly selected health facilities within Nairobi was undertaken covering 12 months 2009-2010. The audit included interviews with health workers, and a checklist of commodities and guidelines necessary to diagnose, treat and record malaria. Results From the 1930's through to the mid-1960's malaria incidence declined coincidental with rapid population growth. During this period malaria notification and prevention were a priority for the city council. From 2001-2008 reporting systems for malaria were inadequate to define the extent or distribution of malaria risk within Nairobi. A more detailed facility review suggests, however that malaria remains a common diagnosis (11% of all paediatric diagnoses made) and where laboratories (n = 15) exist slide positivity rates are on average 15%. Information on the quality of diagnosis, slide reading and whether those reported as positive were imported infections was not established. The facilities and health workers included in this study were not universally prepared to treat malaria according to national guidelines or identify foci of risks due to shortages of national first-line drugs, inadequate record keeping and a view among some health workers (17%) that slide negative ... |
format |
Article in Journal/Newspaper |
author |
Zurovac Dejan Noor Abdisalan M Okiro Emelda A Mudhune Sandra A Juma Elizabeth Ochola Sam A Snow Robert W |
author_facet |
Zurovac Dejan Noor Abdisalan M Okiro Emelda A Mudhune Sandra A Juma Elizabeth Ochola Sam A Snow Robert W |
author_sort |
Zurovac Dejan |
title |
The clinical burden of malaria in Nairobi: a historical review and contemporary audit |
title_short |
The clinical burden of malaria in Nairobi: a historical review and contemporary audit |
title_full |
The clinical burden of malaria in Nairobi: a historical review and contemporary audit |
title_fullStr |
The clinical burden of malaria in Nairobi: a historical review and contemporary audit |
title_full_unstemmed |
The clinical burden of malaria in Nairobi: a historical review and contemporary audit |
title_sort |
clinical burden of malaria in nairobi: a historical review and contemporary audit |
publisher |
BMC |
publishDate |
2011 |
url |
https://doi.org/10.1186/1475-2875-10-138 https://doaj.org/article/9ab79246dd4e4a14a4c9d769c0d48eb7 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 10, Iss 1, p 138 (2011) |
op_relation |
http://www.malariajournal.com/content/10/1/138 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-138 1475-2875 https://doaj.org/article/9ab79246dd4e4a14a4c9d769c0d48eb7 |
op_doi |
https://doi.org/10.1186/1475-2875-10-138 |
container_title |
Malaria Journal |
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10 |
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1 |
container_start_page |
138 |
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