Baseline malaria prevalence and care-seeking behaviours in rural Madagascar prior to a trial to expand malaria community case management to all ages
Abstract Background Integrated community case management of malaria, pneumonia, and diarrhoea can reduce mortality in children under five years (CU5) in resource-poor countries. There is growing interest in expanding malaria community case management (mCCM) to older individuals, but limited empirica...
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ftdoajarticles:oai:doaj.org/article:d54326814ecb497991cd4951056f5890 2023-05-15T15:17:35+02:00 Baseline malaria prevalence and care-seeking behaviours in rural Madagascar prior to a trial to expand malaria community case management to all ages Dean Sayre Laura C. Steinhardt Judickaelle Irinantenaina Catherine Dentinger Tsinjo Fehizoro Rasoanaivo Laurent Kapesa Jocelyn Razafindrakoto Agathe Legrand Nicole Prada Julie Gutman Lauren Lewis Reziky Tiandraza Mangahasimbola Mauricette Andriamananjara Aimée Vololoniala Ravaoarinosy Nicolas Ralemary Andres Garchitorena Aina Harimanana 2021-10-01T00:00:00Z https://doi.org/10.1186/s12936-021-03956-z https://doaj.org/article/d54326814ecb497991cd4951056f5890 EN eng BMC https://doi.org/10.1186/s12936-021-03956-z https://doaj.org/toc/1475-2875 doi:10.1186/s12936-021-03956-z 1475-2875 https://doaj.org/article/d54326814ecb497991cd4951056f5890 Malaria Journal, Vol 20, Iss 1, Pp 1-13 (2021) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2021 ftdoajarticles https://doi.org/10.1186/s12936-021-03956-z 2022-12-31T10:23:51Z Abstract Background Integrated community case management of malaria, pneumonia, and diarrhoea can reduce mortality in children under five years (CU5) in resource-poor countries. There is growing interest in expanding malaria community case management (mCCM) to older individuals, but limited empirical evidence exists to guide this expansion. As part of a two-year cluster-randomized trial of mCCM expansion to all ages in southeastern Madagascar, a cross-sectional survey was conducted to assess baseline malaria prevalence and healthcare-seeking behaviours. Methods Two enumeration areas (EAs) were randomly chosen from each catchment area of the 30 health facilities (HFs) in Farafangana district designated for the mCCM age expansion trial; 28 households were randomly selected from each EA for the survey. All household members were asked about recent illness and care-seeking, and malaria prevalence was assessed by rapid diagnostic test (RDT) among children < 15 years of age. Weighted population estimates and Rao-Scott chi-squared tests were used to examine illness, care-seeking, malaria case management, and malaria prevalence patterns. Results Illness in the two weeks prior to the survey was reported by 459 (6.7%) of 8050 respondents in 334 of 1458 households surveyed. Most individuals noting illness (375/459; 82.3%) reported fever. Of those reporting fever, 28.7% (112/375) sought care; this did not vary by participant age (p = 0.66). Most participants seeking care for fever visited public HFs (48/112, 46.8%), or community healthcare volunteers (CHVs) (40/112, 31.0%). Of those presenting with fever at HFs or to CHVs, 87.0% and 71.0%, respectively, reported being tested for malaria. RDT positivity among 3,316 tested children < 15 years was 25.4% (CI: 21.5–29.4%) and increased with age: 16.9% in CU5 versus 31.8% in 5–14-year-olds (p < 0.0001). Among RDT-positive individuals, 28.4% of CU5 and 18.5% of 5–14-year-olds reported fever in the two weeks prior to survey (p = 0.044). Conclusions The higher prevalence of ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 20 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
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 Dean Sayre Laura C. Steinhardt Judickaelle Irinantenaina Catherine Dentinger Tsinjo Fehizoro Rasoanaivo Laurent Kapesa Jocelyn Razafindrakoto Agathe Legrand Nicole Prada Julie Gutman Lauren Lewis Reziky Tiandraza Mangahasimbola Mauricette Andriamananjara Aimée Vololoniala Ravaoarinosy Nicolas Ralemary Andres Garchitorena Aina Harimanana Baseline malaria prevalence and care-seeking behaviours in rural Madagascar prior to a trial to expand malaria community case management to all ages |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Integrated community case management of malaria, pneumonia, and diarrhoea can reduce mortality in children under five years (CU5) in resource-poor countries. There is growing interest in expanding malaria community case management (mCCM) to older individuals, but limited empirical evidence exists to guide this expansion. As part of a two-year cluster-randomized trial of mCCM expansion to all ages in southeastern Madagascar, a cross-sectional survey was conducted to assess baseline malaria prevalence and healthcare-seeking behaviours. Methods Two enumeration areas (EAs) were randomly chosen from each catchment area of the 30 health facilities (HFs) in Farafangana district designated for the mCCM age expansion trial; 28 households were randomly selected from each EA for the survey. All household members were asked about recent illness and care-seeking, and malaria prevalence was assessed by rapid diagnostic test (RDT) among children < 15 years of age. Weighted population estimates and Rao-Scott chi-squared tests were used to examine illness, care-seeking, malaria case management, and malaria prevalence patterns. Results Illness in the two weeks prior to the survey was reported by 459 (6.7%) of 8050 respondents in 334 of 1458 households surveyed. Most individuals noting illness (375/459; 82.3%) reported fever. Of those reporting fever, 28.7% (112/375) sought care; this did not vary by participant age (p = 0.66). Most participants seeking care for fever visited public HFs (48/112, 46.8%), or community healthcare volunteers (CHVs) (40/112, 31.0%). Of those presenting with fever at HFs or to CHVs, 87.0% and 71.0%, respectively, reported being tested for malaria. RDT positivity among 3,316 tested children < 15 years was 25.4% (CI: 21.5–29.4%) and increased with age: 16.9% in CU5 versus 31.8% in 5–14-year-olds (p < 0.0001). Among RDT-positive individuals, 28.4% of CU5 and 18.5% of 5–14-year-olds reported fever in the two weeks prior to survey (p = 0.044). Conclusions The higher prevalence of ... |
format |
Article in Journal/Newspaper |
author |
Dean Sayre Laura C. Steinhardt Judickaelle Irinantenaina Catherine Dentinger Tsinjo Fehizoro Rasoanaivo Laurent Kapesa Jocelyn Razafindrakoto Agathe Legrand Nicole Prada Julie Gutman Lauren Lewis Reziky Tiandraza Mangahasimbola Mauricette Andriamananjara Aimée Vololoniala Ravaoarinosy Nicolas Ralemary Andres Garchitorena Aina Harimanana |
author_facet |
Dean Sayre Laura C. Steinhardt Judickaelle Irinantenaina Catherine Dentinger Tsinjo Fehizoro Rasoanaivo Laurent Kapesa Jocelyn Razafindrakoto Agathe Legrand Nicole Prada Julie Gutman Lauren Lewis Reziky Tiandraza Mangahasimbola Mauricette Andriamananjara Aimée Vololoniala Ravaoarinosy Nicolas Ralemary Andres Garchitorena Aina Harimanana |
author_sort |
Dean Sayre |
title |
Baseline malaria prevalence and care-seeking behaviours in rural Madagascar prior to a trial to expand malaria community case management to all ages |
title_short |
Baseline malaria prevalence and care-seeking behaviours in rural Madagascar prior to a trial to expand malaria community case management to all ages |
title_full |
Baseline malaria prevalence and care-seeking behaviours in rural Madagascar prior to a trial to expand malaria community case management to all ages |
title_fullStr |
Baseline malaria prevalence and care-seeking behaviours in rural Madagascar prior to a trial to expand malaria community case management to all ages |
title_full_unstemmed |
Baseline malaria prevalence and care-seeking behaviours in rural Madagascar prior to a trial to expand malaria community case management to all ages |
title_sort |
baseline malaria prevalence and care-seeking behaviours in rural madagascar prior to a trial to expand malaria community case management to all ages |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s12936-021-03956-z https://doaj.org/article/d54326814ecb497991cd4951056f5890 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 20, Iss 1, Pp 1-13 (2021) |
op_relation |
https://doi.org/10.1186/s12936-021-03956-z https://doaj.org/toc/1475-2875 doi:10.1186/s12936-021-03956-z 1475-2875 https://doaj.org/article/d54326814ecb497991cd4951056f5890 |
op_doi |
https://doi.org/10.1186/s12936-021-03956-z |
container_title |
Malaria Journal |
container_volume |
20 |
container_issue |
1 |
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1766347825973559296 |