ArticleGhana medical journal2014
Shifting from presumptive to test-based management of malaria - technical basis and implications for malaria control in Ghana.
Article in Ghana medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 28 citations in OpenAlex.
- Adherence to the test, treat and track malaria policy among selected health facilities in Ghana: the clients' perspective.Malaria journal · 2025Article
- The Problem of Antimalarial-Drug Abuse by the Inhabitants of Ghana.Medicina (Kaunas, Lithuania) · 2023Article
- Malaria treatment health seeking behaviors among international students at the University of Ghana Legon.PloS one · 2023Article
- Article
- Trends in health workers' compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010-2016.Malaria journal · 2020Article
- Article
- Compliance with the WHO strategy of test, treat and track for malaria control at Bosomtwi District in Ghana.Ghana medical journal · 2020Article
- The Accuracy and Perception of Test-Based Management of Malaria at Private Licensed Chemical Shops in the Middle Belt of Ghana.The American journal of tropical medicine and hygiene · 2019Article
- Plasmodium falciparum diagnostic tools in HIV-positive under-5-year-olds in two ART clinics in Ghana: are there missed infections?Malaria journal · 2018Article
- Prevalence of Plasmodium falciparum and non-P. falciparum infections in a highland district in Ghana, and the influence of HIV and sickle cell disease.Malaria journal · 2017Article
- Cost benefit analysis of malaria rapid diagnostic test: the perspective of Nigerian community pharmacists.Malaria journal · 2017Article
- Plasmodium falciparum histidine rich protein-2 diversity and the implications for PfHRP 2: based malaria rapid diagnostic tests in Ghana.Malaria journal · 2016Article
- Characteristics of asymptomatic Plasmodium spp. parasitaemia in Kwahu-Mpraeso, a malaria endemic mountainous district in Ghana, West Africa.Malaria journal · 2016Article
- Comparison of malaria diagnostic methods in four hospitals in the Volta region of Ghana.MalariaWorld journal · 2016Article
- Rural-Urban Differences in Household Treatment-Seeking Behaviour for Suspected Malaria in Children at Bata District, Equatorial Guinea.PloS one · 2015Article
- Use of Antimalarial in the Management of Fever during a Community Survey in the Kintampo Districts of Ghana.PloS one · 2015Article
- Intermittent preventive treatment and malaria rapid diagnostic tests.Ghana medical journal · 2014Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The presumptive approach was the World Health Organisation (WHO) recommended to the management of malaria for many years and this was incorporated into syndromic guidelines such as the Integrated Management of Childhood Illnesses (IMCI). In early 2010 however, WHO issued revised treatment guidelines that call for a shift from the presumptive to the test-based approach. Practically, this implies that in all suspected cases, the diagnosis of uncomplicated malaria should be confirmed using rapid test before treatment is initiated. This revision effectively brings to an end an era of clinical practice that span several years. Its implementation has important implications for the health systems in malaria-endemic countries. On the basis of research in Ghana and other countries, and evidence from program work, the Ghana National Malaria Control Program has issued revised national treatment guidelines that call for implementation of test-based management of malaria in all cases, and across all age groups. This article reviews the evidence and the technical basis for the shift to test-based management and examines the implications for malaria control in Ghana.
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