Evidence map›Paper›PMID 25896068›Full record

ArticleMalaria journal2015

A qualitative study of perceptions of a mass test and treat campaign in Southern Zambia and potential barriers to effectiveness.

Kafula Silumbe, Elizabeth Chiyende, Timothy P Finn, Michelle Desmond, Chilunga Puta, Busiku Hamainza, Mulakwa Kamuliwo, David A Larsen, Thomas P Eisele, John Miller and 1 more

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 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

11 authors at 5 institutions in 2 countries.

Kafula SilumbePATH Malaria Control and Evaluation Partnership in Africa (MACEPA), Lusaka, Zambia. ksilumbe@path.org.
Elizabeth ChiyendePATH Malaria Control and Evaluation Partnership in Africa (MACEPA), Lusaka, Zambia. echiyende@path.org.
Timothy P FinnCenter for Applied Malaria Research and Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA. tfinn2@tulane.edu.
Michelle DesmondPATH Malaria Control and Evaluation Partnership in Africa (MACEPA), Lusaka, Zambia. mdesmond@path.org.
Chilunga PutaPATH Malaria Control and Evaluation Partnership in Africa (MACEPA), Lusaka, Zambia. cputa@path.org.
Busiku HamainzaNational Malaria Control Centre, Ministry of Health, Lusaka, Zambia. bossbusk@gmail.com.
Mulakwa KamuliwoNational Malaria Control Centre, Ministry of Health, Lusaka, Zambia. mkamuliwo@yahoo.co.uk.
David A LarsenDepartment of Public Health, Food Studies and Nutrition, Syracuse University David B Falk College of Sport and Human Dynamics, Syracuse, NY, USA. dalarsen@syr.edu.
Thomas P EiseleCenter for Applied Malaria Research and Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA. teisele@tulane.edu.
John MillerPATH Malaria Control and Evaluation Partnership in Africa (MACEPA), Lusaka, Zambia. jmiller@path.org.
Adam BennettCenter for Applied Malaria Research and Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA. bennetta@globalhealth.ucsf.edu.
National HIV/AIDS/STI/TB Council · ZMMinistry of Health · ZMTulane University · USSyracuse University · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA mass test and treat campaign (MTAT) using rapid diagnostic tests (RDTs) and artemether-lumefantrine (AL) was conducted in Southern Zambia in 2012 and 2013 to reduce the parasite reservoir and progress towards malaria elimination. Through this intervention, community health workers (CHWs) tested all household members with rapid diagnostic tests (RDTs) and provided treatment to those that tested positive.

methodsA qualitative study was undertaken to understand CHW and community perceptions regarding the MTAT campaign. A total of eight focus groups and 33 in-depth and key informant interviews were conducted with CHWs, community members and health centre staff that participated in the MTAT.

resultsInterviews and focus groups with CHWs and community members revealed that increased knowledge of malaria prevention, the ability to reach people who live far from health centres, and the ability of the MTAT campaign to reduce the malaria burden were the greatest perceived benefits of the campaign. Conversely, the primary potential barriers to effectiveness included refusals to be tested, limited adherence to drug regimens, and inadequate commodity supply. Study respondents generally agreed that MTAT services were scalable outside of the study area but would require greater involvement from district and provincial medical staff.

conclusionsThese findings highlight the importance of increased community sensitization as part of mass treatment campaigns for improving campaign coverage and acceptance. Further, they suggest that communication channels between the Ministry of Health, National Malaria Control Centre and Medical Stores Limited may need to be improved so as to ensure there is consistent supply and management of commodities. Continued capacity building of CHWs and health facility supervisors is critical for a more effective programme and sustained progress towards malaria elimination.

Indexed as

Attitude of Health PersonnelPerceptionCommunity Health WorkersDiagnostic Tests, RoutineFocus GroupsHealth PersonnelMalariaSurveys and QuestionnairesZambia

Identifiers

PMID25896068
PMCPMC4426174
OpenAlexW2015416475

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.