Evidence map›Paper›PMID 23849053›Full record

ArticleMalaria journal2013

Community case management in malaria: review and perspectives after four years of operational experience in Saraya district, south-east Senegal.

Youssoupha Ndiaye, Jean L A Ndiaye, Badara Cisse, Demetri Blanas, Jonas Bassene, Isaac A Manga, Mansour Ndiath, Sylvain L Faye, Mamoudou Bocoum, Mouhamed Ndiaye and 5 more

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 3 countries.

Youssoupha NdiayeMinistry of Health and Social Action, Dakar, Senegal. youlebou@gmail.com.
Jean L A Ndiaye
Badara Cisse
Demetri Blanas
Jonas Bassene
Isaac A Manga
Mansour Ndiath
Sylvain L Faye
Mamoudou Bocoum
Mouhamed Ndiaye
Pape M Thior
Doudou Sene
Paul Milligan
Omar Gaye
David Schellenberg
Cheikh Anta Diop University · SNLondon School of Hygiene & Tropical Medicine · GBIcahn School of Medicine at Mount Sinai · US

Funding

Medical Research Council MR/K012126/1
6 · The paper itself

Abstract

backgroundDespite recent advances in malaria diagnosis and treatment, many isolated communities in rural settings continue to lack access to these life-saving tools. Community-case management of malaria (CCMm), consisting of lay health workers (LHWs) using malaria rapid diagnostic tests (RDTs) and artemisinin-based combination therapy (ACT) in their villages, can address this disparity.

methodsThis study examined routine reporting data from a CCMm programme between 2008 and 2011 in Saraya, a rural district in Senegal, and assessed its impact on timely access to rapid diagnostic tests and ACT.

resultsThere was a seven-fold increase in the number of LHWs providing care and in the number of patients seen. LHW engagement in the CCM programme varied seasonally, 24,3% of all patients prescribed an ACT had a negative RDT or were never administered an RDT, and less than half of patients with absolute indications for referral (severe symptoms, age under two months and pregnancy) were referred. There were few stock-outs. DISCUSSION: This CCMm programme successfully increased the number of patients with access to RDT and ACT, but further investigation is required to identify the cause for over-prescription, and low rates of referrals for patients with absolute indications. In contrast, previous widespread stock-outs in Saraya's CCMm programme have now been resolved.

conclusionThis study demonstrates the potential for CCMm programmes to substantially increase access to life-saving malarial diagnostics and treatment, but also highlights important challenges in ensuring quality.

Indexed as

AdolescentAdultAgedAged, 80 and overAntimalarialsArtemisininsCase ManagementChildChild, PreschoolCommunity Health WorkersDiagnostic Tests, RoutineDrug Therapy, CombinationFemaleHealth Services AccessibilityHealth Services ResearchHumansAntimalarialsartemisinArtemisininsLactones

Identifiers

PMID23849053
PMCPMC3716525
OpenAlexW2102940801

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.