Proactive home-based malaria management in rural communities of Bassar Health District in northern Togo from 2014 to 2017: PECADOM + , a pilot experiment
Abstract Background Togo's National Malaria Control Programme has initiated an active home-based malaria management model for all age groups in rural areas of Bassar Health District. This report describes the model, reports its main results, and determines the factors associated with positive r...
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ftdoajarticles:oai:doaj.org/article:fe36c24ec0954c53a8203fc5e5985bb0 2024-09-09T19:28:26+00:00 Proactive home-based malaria management in rural communities of Bassar Health District in northern Togo from 2014 to 2017: PECADOM + , a pilot experiment Tchaa A. Bakai Maë Gense Philippe Vanhems Jean Iwaz Anne Thomas Tinah Atcha-Oubou Tchassama Tchadjobo Nicolas Voirin Nagham Khanafer 2024-07-01T00:00:00Z https://doi.org/10.1186/s12936-024-04988-x https://doaj.org/article/fe36c24ec0954c53a8203fc5e5985bb0 EN eng BMC https://doi.org/10.1186/s12936-024-04988-x https://doaj.org/toc/1475-2875 doi:10.1186/s12936-024-04988-x 1475-2875 https://doaj.org/article/fe36c24ec0954c53a8203fc5e5985bb0 Malaria Journal, Vol 23, Iss 1, Pp 1-11 (2024) Proactive screening Community care Home care Malaria Togo Rapid diagnostic test Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2024 ftdoajarticles https://doi.org/10.1186/s12936-024-04988-x 2024-08-05T17:48:55Z Abstract Background Togo's National Malaria Control Programme has initiated an active home-based malaria management model for all age groups in rural areas of Bassar Health District. This report describes the model, reports its main results, and determines the factors associated with positive rapid diagnostic test results. Methods From 2014 to 2017, in three peripheral care units of Bassar Health District (Binaparba, Nangbani, and Baghan), community health workers visited residents' homes weekly to identify patients with malaria symptoms, perform rapid diagnostic tests in symptomatic patients, and give medication to positive cases. Univariate and multivariate logistic regression models were used to determine the factors associated with positive tests. Results The study covered 11,337 people (817 in 2014, 1804 in 2015, 2638 in 2016, and 6078 in 2017). The overall mean age was 18 years (95% CI 5–29; min–max: 0–112 years). The median age was 10 years (SD: 16.9). The proportions of people tested positive were 75.3% in Binaparba, 77.4% in Nangbani, and 56.6% in Baghan. The 5–10 age group was the most affected category (24.2% positive tests). Positive tests were more frequent during the rainy than during the dry season (62 vs. 38%) and the probability of positive test was 1.76 times higher during the rainy than during the dry season (adjusted OR = 1.74; 95% CI 1.60–1.90). A fever (37.5 °C or higher) increased significantly the probability of positive test (adjusted OR = 2.19; 95% CI 1.89–2.54). The risk of positive test was 1.89 times higher in passive than in active malaria detection (adjusted OR = 1.89; 95% CI 1.73–2.0). Conclusions This novel experimental community and home-based malaria management in Togo suggested that active detection of malaria cases is feasible within 24 h, which allows rapid treatments before progression to often-fatal complications. This PECADOM + program will help Togo's National Malaria Control Programme reduce malaria morbidity and mortality in remote and hard-to-reach communities. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 23 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Proactive screening Community care Home care Malaria Togo Rapid diagnostic test Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Proactive screening Community care Home care Malaria Togo Rapid diagnostic test Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Tchaa A. Bakai Maë Gense Philippe Vanhems Jean Iwaz Anne Thomas Tinah Atcha-Oubou Tchassama Tchadjobo Nicolas Voirin Nagham Khanafer Proactive home-based malaria management in rural communities of Bassar Health District in northern Togo from 2014 to 2017: PECADOM + , a pilot experiment |
topic_facet |
Proactive screening Community care Home care Malaria Togo Rapid diagnostic test Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Togo's National Malaria Control Programme has initiated an active home-based malaria management model for all age groups in rural areas of Bassar Health District. This report describes the model, reports its main results, and determines the factors associated with positive rapid diagnostic test results. Methods From 2014 to 2017, in three peripheral care units of Bassar Health District (Binaparba, Nangbani, and Baghan), community health workers visited residents' homes weekly to identify patients with malaria symptoms, perform rapid diagnostic tests in symptomatic patients, and give medication to positive cases. Univariate and multivariate logistic regression models were used to determine the factors associated with positive tests. Results The study covered 11,337 people (817 in 2014, 1804 in 2015, 2638 in 2016, and 6078 in 2017). The overall mean age was 18 years (95% CI 5–29; min–max: 0–112 years). The median age was 10 years (SD: 16.9). The proportions of people tested positive were 75.3% in Binaparba, 77.4% in Nangbani, and 56.6% in Baghan. The 5–10 age group was the most affected category (24.2% positive tests). Positive tests were more frequent during the rainy than during the dry season (62 vs. 38%) and the probability of positive test was 1.76 times higher during the rainy than during the dry season (adjusted OR = 1.74; 95% CI 1.60–1.90). A fever (37.5 °C or higher) increased significantly the probability of positive test (adjusted OR = 2.19; 95% CI 1.89–2.54). The risk of positive test was 1.89 times higher in passive than in active malaria detection (adjusted OR = 1.89; 95% CI 1.73–2.0). Conclusions This novel experimental community and home-based malaria management in Togo suggested that active detection of malaria cases is feasible within 24 h, which allows rapid treatments before progression to often-fatal complications. This PECADOM + program will help Togo's National Malaria Control Programme reduce malaria morbidity and mortality in remote and hard-to-reach communities. |
format |
Article in Journal/Newspaper |
author |
Tchaa A. Bakai Maë Gense Philippe Vanhems Jean Iwaz Anne Thomas Tinah Atcha-Oubou Tchassama Tchadjobo Nicolas Voirin Nagham Khanafer |
author_facet |
Tchaa A. Bakai Maë Gense Philippe Vanhems Jean Iwaz Anne Thomas Tinah Atcha-Oubou Tchassama Tchadjobo Nicolas Voirin Nagham Khanafer |
author_sort |
Tchaa A. Bakai |
title |
Proactive home-based malaria management in rural communities of Bassar Health District in northern Togo from 2014 to 2017: PECADOM + , a pilot experiment |
title_short |
Proactive home-based malaria management in rural communities of Bassar Health District in northern Togo from 2014 to 2017: PECADOM + , a pilot experiment |
title_full |
Proactive home-based malaria management in rural communities of Bassar Health District in northern Togo from 2014 to 2017: PECADOM + , a pilot experiment |
title_fullStr |
Proactive home-based malaria management in rural communities of Bassar Health District in northern Togo from 2014 to 2017: PECADOM + , a pilot experiment |
title_full_unstemmed |
Proactive home-based malaria management in rural communities of Bassar Health District in northern Togo from 2014 to 2017: PECADOM + , a pilot experiment |
title_sort |
proactive home-based malaria management in rural communities of bassar health district in northern togo from 2014 to 2017: pecadom + , a pilot experiment |
publisher |
BMC |
publishDate |
2024 |
url |
https://doi.org/10.1186/s12936-024-04988-x https://doaj.org/article/fe36c24ec0954c53a8203fc5e5985bb0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 23, Iss 1, Pp 1-11 (2024) |
op_relation |
https://doi.org/10.1186/s12936-024-04988-x https://doaj.org/toc/1475-2875 doi:10.1186/s12936-024-04988-x 1475-2875 https://doaj.org/article/fe36c24ec0954c53a8203fc5e5985bb0 |
op_doi |
https://doi.org/10.1186/s12936-024-04988-x |
container_title |
Malaria Journal |
container_volume |
23 |
container_issue |
1 |
_version_ |
1809897712759341056 |