Trial reportAfrican health sciences2010
Effectiveness of a community intervention on malaria in rural Tanzania - a randomised controlled trial.
Trial report in African health sciences, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Pooled it
- The impact of community-delivered models of malaria control and elimination: a systematic review.Malaria journal · 2019Pooled it
- Pooled it
- Community health workers and stand-alone or integrated case management of malaria: a systematic literature review.The American journal of tropical medicine and hygiene · 2014Pooled it
- Role and outcomes of community health workers in HIV care in sub-Saharan Africa: a systematic review.Journal of the International AIDS Society · 2013Pooled it
- Home- or community-based programmes for treating malaria.The Cochrane database of systematic reviews · 2013Pooled it
- The effect of community health worker-led education on women's health and treatment-seeking: A cluster randomised trial and nested process evaluation in Gujarat, India.Journal of global health · 2017Trial
- The impact of home-based management of malaria on clinical outcomes in sub-Saharan African populations: a systematic review and meta-analysis.Tropical medicine and health · 2024Article
- Evaluations of training programs to improve human resource capacity for HIV, malaria, and TB control: a systematic scoping review of methods applied and outcomes assessed.Tropical medicine and health · 2017Article
- Direct observation of outpatient management of malaria in a rural Ghanaian district.The Pan African medical journal · 2014Observational
- Impact of community-based interventions for the prevention and control of malaria on intervention coverage and health outcomes for the prevention and control of malaria.Infectious diseases of poverty · 2014Article
- Comparing actual and perceived causes of fever among community members in a low malaria transmission setting in northern Tanzania.Tropical medicine & international health : TM & IH · 2013Article
- Relationship between climate conditions and nosocomial infection rates.African health sciences · 2013Article
- Assessing effectiveness of a community based health insurance in rural Burkina Faso.BMC health services research · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMalaria infections are a major public health problem in Africa and prompt treatment is one way of controlling the disease and saving lives.
methodsThis cluster-randomised controlled community intervention conducted in 2003-2005 aimed at improving early malaria case management in under five children. Health workers were trained to train community-based women groups in recognizing malaria symptoms, providing first-line treatment for uncomplicated malaria and referring severe cases. Evaluation was through a pre- (2004) and a post-intervention survey (2005). Anaemia prevalence was the primary outcome.
results1715 children aged 6-59 months were included in the pre-intervention survey and 2169 in the post-intervention survey. The prevalence of anaemia decreased significantly from 37% [95% CI 34.7-39.3] to 0.5% [95% CI 0.2-0.7] after the intervention (p<0.001); slightly more in the intervention (from 43.9% to 0.8%) than in the control (30.8% to 0.17%) group (p=0.038). Fever and reported fever decreased significantly and the mean body weight of the children increased significantly over the study period in both control and intervention groups.
conclusionThe decrease in anaemia was significantly associated with the intervention, whereas the fever and body weight trends might be explained by other malaria control activities or seasonal/climate effects in the area. The community intervention was shown to be feasible in the study context.
Indexed as
Identifiers
21416034PMC3052812What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.