Measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in Mali among caregivers of febrile children under 5 years
Abstract Background Nationally-representative household surveys are the standard approach to monitor access to and treatment with artemisinin-based combination therapy (ACT) among children under 5 years (U5), however these indicators are dependent on caregivers’ recall of the treatment received. Met...
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ftdoajarticles:oai:doaj.org/article:fd9f2e8704c74005a3a22ff6c9136c29 2023-05-15T15:16:20+02:00 Measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in Mali among caregivers of febrile children under 5 years Ruth A. Ashton Bakary Doumbia Diadier Diallo Thomas Druetz Lia Florey Cameron Taylor Fred Arnold Jules Mihigo Diakalia Koné Seydou Fomba Erin Eckert Thomas P. Eisele 2019-01-01T00:00:00Z https://doi.org/10.1186/s12936-018-2636-3 https://doaj.org/article/fd9f2e8704c74005a3a22ff6c9136c29 EN eng BMC http://link.springer.com/article/10.1186/s12936-018-2636-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2636-3 1475-2875 https://doaj.org/article/fd9f2e8704c74005a3a22ff6c9136c29 Malaria Journal, Vol 18, Iss 1, Pp 1-16 (2019) Population survey Malaria Artemisinin-based combination therapy Recall validation Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2019 ftdoajarticles https://doi.org/10.1186/s12936-018-2636-3 2022-12-31T00:21:31Z Abstract Background Nationally-representative household surveys are the standard approach to monitor access to and treatment with artemisinin-based combination therapy (ACT) among children under 5 years (U5), however these indicators are dependent on caregivers’ recall of the treatment received. Methods A prospective case–control study was performed in Mali to validate caregivers’ recall of treatment received by U5s when seeking care for fever from rural and urban public health facilities, community health workers and urban private facilities. Clinician-recorded consultation details were the gold standard. Consenting caregivers were followed-up for interview at home within 2 weeks using standard questions from Demographic and Health Surveys and Malaria Indicator Surveys. Results Among 1602 caregivers, sensitivity of recalling that the child received a finger/heel prick was 91.5%, with specificity 85.7%. Caregivers’ recall of a positive malaria test result had sensitivity 96.2% with specificity 59.7%. Irrespective of diagnostic test result, the sensitivity and specificity of caregivers’ recalling a malaria diagnosis made by the health worker were 74.3% and 74.9%, respectively. Caregivers’ recall of ACT being given had sensitivity of 43.2% and specificity 90.2%, while recall that any anti-malarial was given had sensitivity 59.0% and specificity 82.7%. Correcting caregivers’ response of treatment received using a combination of a visual aid with photographs of common drugs for fever, prescription documents and retained packaging changed ACT recall sensitivity and specificity to 91.5% and 71.1%, respectively. Conclusions These findings indicate that caregivers’ responses during household surveys are valid when assessing if a child received a finger/heel prick during a consultation in the previous 2 weeks, and if the malaria test result was positive. Recall of ACT treatment received by U5s was poor when based on interview response only, but was substantially improved when incorporating visual aids, prescriptions and ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 18 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 |
Population survey Malaria Artemisinin-based combination therapy Recall validation Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Population survey Malaria Artemisinin-based combination therapy Recall validation Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Ruth A. Ashton Bakary Doumbia Diadier Diallo Thomas Druetz Lia Florey Cameron Taylor Fred Arnold Jules Mihigo Diakalia Koné Seydou Fomba Erin Eckert Thomas P. Eisele Measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in Mali among caregivers of febrile children under 5 years |
topic_facet |
Population survey Malaria Artemisinin-based combination therapy Recall validation Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Nationally-representative household surveys are the standard approach to monitor access to and treatment with artemisinin-based combination therapy (ACT) among children under 5 years (U5), however these indicators are dependent on caregivers’ recall of the treatment received. Methods A prospective case–control study was performed in Mali to validate caregivers’ recall of treatment received by U5s when seeking care for fever from rural and urban public health facilities, community health workers and urban private facilities. Clinician-recorded consultation details were the gold standard. Consenting caregivers were followed-up for interview at home within 2 weeks using standard questions from Demographic and Health Surveys and Malaria Indicator Surveys. Results Among 1602 caregivers, sensitivity of recalling that the child received a finger/heel prick was 91.5%, with specificity 85.7%. Caregivers’ recall of a positive malaria test result had sensitivity 96.2% with specificity 59.7%. Irrespective of diagnostic test result, the sensitivity and specificity of caregivers’ recalling a malaria diagnosis made by the health worker were 74.3% and 74.9%, respectively. Caregivers’ recall of ACT being given had sensitivity of 43.2% and specificity 90.2%, while recall that any anti-malarial was given had sensitivity 59.0% and specificity 82.7%. Correcting caregivers’ response of treatment received using a combination of a visual aid with photographs of common drugs for fever, prescription documents and retained packaging changed ACT recall sensitivity and specificity to 91.5% and 71.1%, respectively. Conclusions These findings indicate that caregivers’ responses during household surveys are valid when assessing if a child received a finger/heel prick during a consultation in the previous 2 weeks, and if the malaria test result was positive. Recall of ACT treatment received by U5s was poor when based on interview response only, but was substantially improved when incorporating visual aids, prescriptions and ... |
format |
Article in Journal/Newspaper |
author |
Ruth A. Ashton Bakary Doumbia Diadier Diallo Thomas Druetz Lia Florey Cameron Taylor Fred Arnold Jules Mihigo Diakalia Koné Seydou Fomba Erin Eckert Thomas P. Eisele |
author_facet |
Ruth A. Ashton Bakary Doumbia Diadier Diallo Thomas Druetz Lia Florey Cameron Taylor Fred Arnold Jules Mihigo Diakalia Koné Seydou Fomba Erin Eckert Thomas P. Eisele |
author_sort |
Ruth A. Ashton |
title |
Measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in Mali among caregivers of febrile children under 5 years |
title_short |
Measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in Mali among caregivers of febrile children under 5 years |
title_full |
Measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in Mali among caregivers of febrile children under 5 years |
title_fullStr |
Measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in Mali among caregivers of febrile children under 5 years |
title_full_unstemmed |
Measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in Mali among caregivers of febrile children under 5 years |
title_sort |
measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in mali among caregivers of febrile children under 5 years |
publisher |
BMC |
publishDate |
2019 |
url |
https://doi.org/10.1186/s12936-018-2636-3 https://doaj.org/article/fd9f2e8704c74005a3a22ff6c9136c29 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 18, Iss 1, Pp 1-16 (2019) |
op_relation |
http://link.springer.com/article/10.1186/s12936-018-2636-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2636-3 1475-2875 https://doaj.org/article/fd9f2e8704c74005a3a22ff6c9136c29 |
op_doi |
https://doi.org/10.1186/s12936-018-2636-3 |
container_title |
Malaria Journal |
container_volume |
18 |
container_issue |
1 |
_version_ |
1766346628244963328 |