Impact of national malaria control scale-up programmes in Africa: magnitude and attribution of effects
Abstract Background Since 2005, malaria control scale-up has progressed in many African countries. Controlled studies of insecticide-treated mosquito nets (ITNs), indoor residual spraying (IRS), intermittent preventive treatment during pregnancy (IPTp) and malaria case management suggested that when...
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ftdoajarticles:oai:doaj.org/article:cc446fe4ab254dba9e96bf907ba6537d 2023-05-15T15:15:56+02:00 Impact of national malaria control scale-up programmes in Africa: magnitude and attribution of effects Campbell Carlos C Steketee Richard W 2010-10-01T00:00:00Z https://doi.org/10.1186/1475-2875-9-299 https://doaj.org/article/cc446fe4ab254dba9e96bf907ba6537d EN eng BMC http://www.malariajournal.com/content/9/1/299 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-9-299 1475-2875 https://doaj.org/article/cc446fe4ab254dba9e96bf907ba6537d Malaria Journal, Vol 9, Iss 1, p 299 (2010) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2010 ftdoajarticles https://doi.org/10.1186/1475-2875-9-299 2022-12-30T21:38:04Z Abstract Background Since 2005, malaria control scale-up has progressed in many African countries. Controlled studies of insecticide-treated mosquito nets (ITNs), indoor residual spraying (IRS), intermittent preventive treatment during pregnancy (IPTp) and malaria case management suggested that when incorporated into national programmes a dramatic health impact, likely more than a 20% decrease in all-cause childhood mortality, was possible. To assess the extent to which national malaria programmes are achieving impact the authors reviewed African country programme data available through 2009. Methods National survey data, published literature, and organization or country reports produced during 2000-2009 were reviewed to assess available malaria financing, intervention delivery, household or target population coverage, and reported health benefits including infection, illness, severe anaemia, and death. Results By the end of 2009, reports were available for ITN household ownership (n = 34) and IPTp use (n = 27) in malaria-endemic countries in Africa, with at least two estimates (pre-2005 and post-2005 intervals). Information linking IRS and case management coverage to impact were more limited. There was generally at least a three-fold increase in household ITN ownership across these countries between pre-2005 (median of 2.4% of households with at least one ITN) and post-2005 (median of 32.5% of households with at least one ITN). Ten countries had temporal data to assess programme impact, and all reported progress on at least one impact indicator (typically on mortality); in under-five year mortality rates most observed a decline of more than 20%. The causal relationship between malaria programme scale-up and reduced child illness and mortality rates is supported by biologic plausibility including mortality declines consistent with experience from intervention efficacy trials, consistency of findings across multiple countries and different epidemiologic settings, and temporal congruity where morbidity and ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 9 1 |
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Directory of Open Access Journals: DOAJ Articles |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Campbell Carlos C Steketee Richard W Impact of national malaria control scale-up programmes in Africa: magnitude and attribution of effects |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Since 2005, malaria control scale-up has progressed in many African countries. Controlled studies of insecticide-treated mosquito nets (ITNs), indoor residual spraying (IRS), intermittent preventive treatment during pregnancy (IPTp) and malaria case management suggested that when incorporated into national programmes a dramatic health impact, likely more than a 20% decrease in all-cause childhood mortality, was possible. To assess the extent to which national malaria programmes are achieving impact the authors reviewed African country programme data available through 2009. Methods National survey data, published literature, and organization or country reports produced during 2000-2009 were reviewed to assess available malaria financing, intervention delivery, household or target population coverage, and reported health benefits including infection, illness, severe anaemia, and death. Results By the end of 2009, reports were available for ITN household ownership (n = 34) and IPTp use (n = 27) in malaria-endemic countries in Africa, with at least two estimates (pre-2005 and post-2005 intervals). Information linking IRS and case management coverage to impact were more limited. There was generally at least a three-fold increase in household ITN ownership across these countries between pre-2005 (median of 2.4% of households with at least one ITN) and post-2005 (median of 32.5% of households with at least one ITN). Ten countries had temporal data to assess programme impact, and all reported progress on at least one impact indicator (typically on mortality); in under-five year mortality rates most observed a decline of more than 20%. The causal relationship between malaria programme scale-up and reduced child illness and mortality rates is supported by biologic plausibility including mortality declines consistent with experience from intervention efficacy trials, consistency of findings across multiple countries and different epidemiologic settings, and temporal congruity where morbidity and ... |
format |
Article in Journal/Newspaper |
author |
Campbell Carlos C Steketee Richard W |
author_facet |
Campbell Carlos C Steketee Richard W |
author_sort |
Campbell Carlos C |
title |
Impact of national malaria control scale-up programmes in Africa: magnitude and attribution of effects |
title_short |
Impact of national malaria control scale-up programmes in Africa: magnitude and attribution of effects |
title_full |
Impact of national malaria control scale-up programmes in Africa: magnitude and attribution of effects |
title_fullStr |
Impact of national malaria control scale-up programmes in Africa: magnitude and attribution of effects |
title_full_unstemmed |
Impact of national malaria control scale-up programmes in Africa: magnitude and attribution of effects |
title_sort |
impact of national malaria control scale-up programmes in africa: magnitude and attribution of effects |
publisher |
BMC |
publishDate |
2010 |
url |
https://doi.org/10.1186/1475-2875-9-299 https://doaj.org/article/cc446fe4ab254dba9e96bf907ba6537d |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 9, Iss 1, p 299 (2010) |
op_relation |
http://www.malariajournal.com/content/9/1/299 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-9-299 1475-2875 https://doaj.org/article/cc446fe4ab254dba9e96bf907ba6537d |
op_doi |
https://doi.org/10.1186/1475-2875-9-299 |
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Malaria Journal |
container_volume |
9 |
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1 |
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1766346258915524608 |