Evidence map›Paper›PMID 24218409›Full record

ArticleThe American journal of tropical medicine and hygiene2014

Hospitalizations and costs incurred at the facility level after scale-up of malaria control: pre-post comparisons from two hospitals in Zambia.

Alison B Comfort, Janneke H van Dijk, Sungano Mharakurwa, Kathryn Stillman, Rose Gabert, Sonali Korde, Nancy Nachbar, Yann Derriennic, Stephen Musau, Petan Hamazakaza and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
0.3field-weighted citation impact, top 29% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Costs and Cost-Effectiveness of Malaria Control Interventions: A Systematic Literature Review.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2021
    Pooled it
  3. Pooled it
  4. Trial
  5. Economic evaluation of severe malaria in children under 14 years in Zambia.Cost effectiveness and resource allocation : C/E · 2022
    Article
  6. Article
  7. Malaria in Cambodia: A Retrospective Analysis of a Changing Epidemiology 2006-2019.International journal of environmental research and public health · 2021
    Article
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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

14 authors at 7 institutions in 5 countries.

Alison B Comfort
Janneke H van Dijk
Sungano Mharakurwa
Kathryn Stillman
Rose Gabert
Sonali Korde
Nancy Nachbar
Yann Derriennic
Stephen Musau
Petan Hamazakaza
Khozya D Zyambo
Nancy M Zyongwe
Busiku Hamainza
Philip E Thuma
Abt Associates (Nepal) · NPGolden Valley Agricultural Research Trust · ZMJohns Hopkins University · USLivingstone Hospital · ZANational Institute of Malaria Research · INUnited States Agency for International Development · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is little evidence on the impact of malaria control on the health system, particularly at the facility level. Using retrospective, longitudinal facility-level and patient record data from two hospitals in Zambia, we report a pre-post comparison of hospital admissions and outpatient visits for malaria and estimated costs incurred for malaria admissions before and after malaria control scale-up. The results show a substantial reduction in inpatient admissions and outpatient visits for malaria at both hospitals after the scale-up, and malaria cases accounted for a smaller proportion of total hospital visits over time. Hospital spending on malaria admissions also decreased. In one hospital, malaria accounted for 11% of total hospital spending before large-scale malaria control compared with < 1% after malaria control. The findings demonstrate that facility-level resources are freed up as malaria is controlled, potentially making these resources available for other diseases and conditions.

Indexed as

AntimalarialsChild, PreschoolFemaleHospital CostsHospitalizationHumansLongitudinal StudiesMalariaMaleRetrospective StudiesTime FactorsZambiaAntimalarials

Identifiers

PMID24218409
PMCPMC3886421
OpenAlexW2158870008

What OpenQuestion holds

Textmetadata
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.