Observational studyInternational journal of epidemiology2014
Child mortality patterns in rural Tanzania: an observational study on the impact of malaria control interventions.
Observational study in International journal of epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Intermittent preventive antimalarial treatment for children with anaemia.The Cochrane database of systematic reviews · 2015Pooled it
- Assessing the role of interventions and climate on malaria mortality among children under five years of age: insights from two decades of data from the Health Demographic Surveillance System of Nouna, Burkina Faso.Journal of global health · 2026Article
- Key Characteristics of Residual Malaria Transmission in Two Districts in South-Eastern Tanzania-Implications for Improved Control.The Journal of infectious diseases · 2021Review
- Household factors associated with access to insecticide-treated nets and house modification in Bagamoyo and Ulanga districts, Tanzania.Malaria journal · 2020Article
- Preferred resting surfaces of dominant malaria vectors inside different house types in rural south-eastern Tanzania.Malaria journal · 2020Article
- Associations between ideational variables and bed net use in Madagascar, Mali, and Nigeria.BMC public health · 2018Article
- Using Rainfall and Temperature Data in the Evaluation of National Malaria Control Programs in Africa.The American journal of tropical medicine and hygiene · 2017Article
- Effect of anti-malarial interventions on trends of malaria cases, hospital admissions and deaths, 2005-2015, Ghana.Malaria journal · 2017Article
- Individual and contextual factors associated with appropriate healthcare seeking behavior among febrile children in Tanzania.PloS one · 2017Article
- Spatio-temporal analysis of malaria vector density from baseline through intervention in a high transmission setting.Parasites & vectors · 2016Article
- Assessing the effects of mosquito nets on malaria mortality using a space time model: a case study of Rufiji and Ifakara Health and Demographic Surveillance System sites in rural Tanzania.Malaria journal · 2016Article
- Factors associated with the use of mosquito bed nets: results from two cross-sectional household surveys in Zambézia Province, Mozambique.Malaria journal · 2016Article
- The use of mediation analysis to assess the effects of a behaviour change communication strategy on bed net ideation and household universal coverage in Tanzania.Malaria journal · 2015Article
- Impact of Malaria Control on Mortality and Anemia among Tanzanian Children Less than Five Years of Age, 1999-2010.PloS one · 2015Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBetween 1997 and 2009, a number of key malaria control interventions were implemented in the Kilombero and Ulanga Districts in south central Tanzania to increase insecticide-treated nets (ITN) coverage and improve access to effective malaria treatment. In this study we estimated the contribution of these interventions to observed decreases in child mortality.
methodsThe local Health and Demographic Surveillance Site (HDSS) provided monthly estimates of child mortality rates (age 1 to 5 years) expressed as cases per 1000 person-years (c/1000py) between 1997 and 2009. We conducted a time series analysis of child mortality rates and explored the contribution of rainfall and household food security. We used Poisson regression with linear and segmented effects to explore the impact of malaria control interventions on mortality.
resultsChild mortality rates decreased by 42.5% from 14.6 c/1000py in 1997 to 8.4 c/1000py in 2009. Analyses revealed the complexity of child mortality patterns and a strong association with rainfall and food security. All malaria control interventions were associated with decreases in child mortality, accounting for the effect of rainfall and food security.
conclusionsReaching the fourth Millenium Development Goal will require the contribution of many health interventions, as well as more general improvements in socio-environmental and nutritional conditions. Distinguishing between the effects of these multiple factors is difficult and represents a major challenge in assessing the effect of routine interventions. However, this study suggests that credible estimates can be obtained when high-quality data on the most important factors are available over a sufficiently long time period.
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