ArticleMalaria journal2013
Malaria case management in Papua New Guinea following the introduction of a revised treatment protocol.
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 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Residual Malaria Transmission in Select Countries of Asia-Pacific Region: Old Wine in a New Barrel.The Journal of infectious diseases · 2021Pooled it
- Efficacy of artemether-lumefantrine and dihydroartemisinin-piperaquine for the treatment of uncomplicated malaria in Papua New Guinea.Malaria journal · 2018Trial
- Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea.PloS one · 2016Trial
- Climate Change Is Expected to Expand Malaria Transmission Range and Population at Risk in Papua New Guinea.GeoHealth · 2025Article
- Health system effectiveness of symptomatic malaria case management in Papua New Guinea.BMJ global health · 2025Article
- Asia-Pacific International Center of Excellence in Malaria Research: Maximizing Impact on Malaria Control Policy and Public Health in Cambodia and Papua New Guinea.The American journal of tropical medicine and hygiene · 2022Article
- Human Behavior, Livelihood, and Malaria Transmission in Two Sites of Papua New Guinea.The Journal of infectious diseases · 2021Article
- The epidemiology of Plasmodium falciparum and Plasmodium vivax in East Sepik Province, Papua New Guinea, pre- and post-implementation of national malaria control efforts.Malaria journal · 2020Article
- Factors associated with children's health facility visits for primaquine treatment in rural Papua New Guinea.Malaria journal · 2019Article
- Mathematical modelling of the impact of expanding levels of malaria control interventions on Plasmodium vivax.Nature communications · 2018Article
- The impact of the scale-up of malaria rapid diagnostic tests on the routine clinical diagnosis procedures for febrile illness: a series of repeated cross-sectional studies in Papua New Guinea.Malaria journal · 2018Article
- Does test-based prescription of evidence-based treatment for malaria improve treatment seeking and satisfaction? Findings of repeated cross-sectional surveys in Papua New Guinea.BMJ global health · 2018Article
- Cost-effectiveness of artemisinin-naphthoquine versus artemether-lumefantrine for the treatment of uncomplicated malaria in Papua New Guinean children.Malaria journal · 2017Article
- Insecticide-treated nets and malaria prevalence, Papua New Guinea, 2008-2014.Bulletin of the World Health Organization · 2017Article
- Health information system strengthening and malaria elimination in Papua New Guinea.Malaria journal · 2017Article
- The Epidemiology of Malaria in Kutubu, Southern Highlands Province, Papua New Guinea, before and during a Private Sector Initiative for Malaria Control.Tropical medicine and infectious disease · 2017Article
- Health worker adherence to malaria treatment guidelines at outpatient health facilities in southern Malawi following implementation of universal access to diagnostic testing.Malaria journal · 2017Article
- The treatment of non-malarial febrile illness in Papua New Guinea: findings from cross sectional and longitudinal studies of health worker practice.BMC health services research · 2017Article
- Health systems readiness and management of febrile outpatients under low malaria transmission in Vanuatu.Malaria journal · 2015Article
- The exit interview as a proxy measure of malaria case management practice: sensitivity and specificity relative to direct observation.BMC health services research · 2014Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis paper reports on the availability of diagnostic tools and recommended anti-malarials in the 12-month period immediately following the implementation of a new national malaria treatment protocol (NMTP) in Papua New Guinea (PNG). Health worker adherence to the new NMTP is also examined and comparisons made with previously reported pre-implementation findings.
methodsA countrywide cross-sectional survey in randomly selected primary health care facilities (n = 88). Data were collected via passive observation of the clinical case management of fever or suspected malaria patients and via an interviewer administered questionnaire completed with the officer in charge of each participating health care facility.
resultsMalaria rapid diagnostic tests (RDTs) and the new first-line anti-malarial medication, artemether-lumefantrine (AL), were available in 53.4% and 51.1% of surveyed heath facilities, respectively. However, they were more widely available in the larger health centres as compared to the smaller aid-posts (90.2% vs. 21.3% and 87.8% vs. 19.2%, respectively). Overall, 68.3% of observed fever cases (n = 445) were tested for malaria by RDT and 39% prescribed an anti-malarial, inclusive of 98.2% of RDT positive patients and 19.8% of RDT negative cases. The availability and use of malaria RDTs was greater in the current survey as compared to pre-implementation of the new NMTP (8.9% vs. 53.4% & 16.2% vs. 68.3%, respectively) as was the availability of AL (0% vs. 51.1%). The percentage of fever patients prescribed anti-malarials decreased substantially post implementation of the new NMTP (96.4% vs. 39.0%).
conclusionsPNG has achieved high coverage of malaria RDTs and AL at the health centre level, but these resources have yet to reach the majority of aid-posts. Malaria case management practice has substantially changed in the 12-month period immediately following the new NMTP, although full protocol adherence was rarely observed.
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