ArticleMalaria journal2009
Early results of integrated malaria control and implications for the management of fever in under-five children at a peripheral health facility: a case study of Chongwe rural health centre in Zambia.
Article in Malaria journal, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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24 citing papers in PubMed, 42 citations in OpenAlex.
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- Application of deep learning methods in the classification of normal and pneumonia lung images.Frontiers in medicine · 2026Article
- Under-5 Malaria and Fever Morbidities as Correlates of Anaemia in Niger: A Heteroscedasticity-Consistent Ordered Probit Approach.International journal of environmental research and public health · 2024Article
- Malaria amongst children under five in sub-Saharan Africa: a scoping review of prevalence, risk factors and preventive interventions.European journal of medical research · 2023Article
- Aromatic Surfactant as Aggregating Agent for Aptamer-Gold Nanoparticle-Based Detection of Plasmodium Lactate Dehydrogenase.Molecular biotechnology · 2016Article
- Article
- A retrospective evaluation of the quality of malaria case management at twelve health facilities in four districts in Zambia.Asian Pacific journal of tropical biomedicine · 2014Article
- Hospitalizations and costs incurred at the facility level after scale-up of malaria control: pre-post comparisons from two hospitals in Zambia.The American journal of tropical medicine and hygiene · 2014Article
- The current status of infrastructure for monitoring the efficacy of antimalarial therapeutics in Zambia.MalariaWorld journal · 2014Article
- Potential biomarkers and their applications for rapid and reliable detection of malaria.BioMed research international · 2014Review
- Declining burden of malaria over two decades in a rural community of Muheza district, north-eastern Tanzania.Malaria journal · 2013Article
- Factoring quality laboratory diagnosis into the malaria control agenda for sub-Saharan Africa.The American journal of tropical medicine and hygiene · 2013Article
- An overview of the malaria control programme in zambia.ISRN preventive medicine · 2013Review
- Impact assessment of malaria vector control using routine surveillance data in Zambia: implications for monitoring and evaluation.Malaria journal · 2012Article
- Malaria elimination: surveillance and response.Pathogens and global health · 2012Review
- Using a geographical-information-system-based decision support to enhance malaria vector control in zambia.Journal of tropical medicine · 2012Article
- Malaria control in the African Region: perceptions and viewspoints on proceedings of the Africa Leaders Malaria Alliance (ALMA).BMC proceedings · 2011Article
- Community case management of malaria using ACT and RDT in two districts in Zambia: achieving high adherence to test results using community health workers.Malaria journal · 2011Article
- Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management.Malaria journal · 2011Article
- A research agenda for malaria eradication: drugs.PLoS medicine · 2011Review
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundZambia has taken lead in implementing integrated malaria control so as to attain the National Health Strategic Plan goal of "reducing malaria incidence by 75% and under-five mortality due to malaria by 20% by the year 2010". The strategic interventions include the use of long-lasting insecticide-treated nets and indoor residual spraying, the use of artemisinin-based combination therapies (ACT) for the treatment of uncomplicated malaria, improving diagnostic capacity (both microscopy and rapid diagnostic tests), use of intermittent presumptive treatment for pregnant women, research, monitoring and evaluation, and behaviour change communication. Financial barriers to access have been removed by providing free malaria prevention and treatment services.
methodsData involving all under-five children reporting at the health facility in the first quarter of 2008 was evaluated prospectively. Malaria morbidity, causes of non-malaria fever, prescription patterns treatment patterns and referral cases were evaluated
resultsMalaria infection was found only in 0.7% (10/1378), 1.8% (251378) received anti-malarial treatment, no severe malaria cases and deaths occurred among the under-five children with fever during the three months of the study in the high malaria transmission season. 42.5% (586/1378) of the cases were acute respiratory infections (non-pneumonia), while 5.7% (79/1378) were pneumonia. Amoxicillin was the most prescribed antibiotic followed by septrin.
conclusionMalaria related OPD visits have reduced at Chongwe rural health facility. The reduction in health facility malaria cases has led to an increase in diagnoses of respiratory infections. These findings have implications for the management of non-malaria fevers in children under the age of five years.
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