ArticleThe American journal of tropical medicine and hygiene2015
The High Burden of Malaria in Primary School Children in Southern Malawi.
Article in The American journal of tropical medicine and hygiene, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02213211 (Impact of a School-based Programme of Malaria Diagnosis and Treatment on School Attendance in Southern Malawi), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Impact of a School-based Programme of Malaria Diagnosis and Treatment on School Attendance in Southern Malawi
Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Prevalence and determinants of asymptomatic malaria infection among schoolchildren in Africa: insights from a systematic review and meta-analysis.BMC infectious diseases · 2026Pooled it
- What are the pathways between poverty and malaria in sub-Saharan Africa? A systematic review of mediation studies.Infectious diseases of poverty · 2023Pooled it
- Improving socioeconomic status may reduce the burden of malaria in sub Saharan Africa: A systematic review and meta-analysis.PloS one · 2019Pooled it
- Overall and Gender-Specific Effects of Intermittent Preventive Treatment of Malaria with Artemisinin-Based Combination Therapies among Schoolchildren in Mali: A Three-Group Open Label Randomized Controlled Trial.The American journal of tropical medicine and hygiene · 2022Trial
- Impact of school-based malaria case management on school attendance, health and education outcomes: a cluster randomised trial in southern Malawi.BMJ global health · 2020Trial
- Article
- Understanding the burden and distribution of health conditions in Zambia's school-aged population: evidence from the school health programme.BMC public health · 2026Article
- Repeated biannual cross-sectional surveys in primary schools set baseline seasonal and spatial surveillance for malaria and schistosomiasis in the Shire Valley Transformation Programme (SVTP), Malawi.Current research in parasitology & vector-borne diseases · 2026Article
- Inequity in the transmission of malaria infection among children and adolescents: a cohort study in rural Guinea.Scientific reports · 2025Article
- Characterization of Malaria Outbreak in Marsabit County, Kenya, March 2024.The American journal of tropical medicine and hygiene · 2025Article
- Trends in malaria prevalence among school-age children in Mainland Tanzania, 2015-2023: A multilevel survey analysis.PLOS global public health · 2025Article
- Socio-demographic factors, housing characteristics, and clinical symptoms associated with falciparum malaria in two rapidly urbanizing areas in the Ashanti region of Ghana.Malaria journal · 2024Article
- Evaluation of Malaria Rapid Diagnostic Test Performance and pfhrp2 Deletion in Tanzania School Surveys, 2017.The American journal of tropical medicine and hygiene · 2024Article
- Late morning biting behaviour of Anopheles funestus is a risk factor for transmission in schools in Siaya, western Kenya.Malaria journal · 2023Article
- Genotyping of Anopheles mosquito blood meals reveals nonrandom human host selection: implications for human-to-mosquito Plasmodium falciparum transmission.Malaria journal · 2023Article
- Dietary diversity in primary schoolchildren of south-central Côte d'Ivoire and risk factors for non-communicable diseases.BMC pediatrics · 2022Article
- Impact of school-based malaria intervention on primary school teachers' time in Malawi: evidence from a time and motion study.Malaria journal · 2022Article
- The Impact of Submicroscopic Parasitemia on Malaria Rapid Diagnosis in Northeastern Tanzania, an Area with Diverse Transmission Patterns.Infectious disease reports · 2022Article
- Malawi ICEMR Malaria Research: Interactions and Results Influencing Health Policies and Practices.The American journal of tropical medicine and hygiene · 2022Article
- Combining school-catchment area models with geostatistical models for analysing school survey data from low-resource settings: Inferential benefits and limitations.Spatial statistics · 2022Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 3 countries.
Funding
Abstract
Malaria among school children has received increased attention recently, yet there remain few detailed data on the health and educational burden of malaria, especially in southern Africa. This paper reports a survey among school children in 50 schools in Zomba District, Malawi. Children were assessed for Plasmodium infection, anemia, and nutritional status and took a battery of age-appropriate tests of attention, literacy, and numeracy. Overall, 60.0% of children were infected with Plasmodium falciparum, 32.4% were anemic and 32.4% reported sleeping under a mosquito net the previous night. Patterns of P. falciparum infection and anemia varied markedly by school. In multivariable analysis, higher odds of P. falciparum infection were associated with younger age and being stunted, whereas lower odds were associated with reported net use, higher parental education, and socioeconomic status. The odds of anemia were significantly associated with P. falciparum infection, with a dose-response relationship between density of infection and odds of anemia. No clear relationship was observed between health status and cognitive and educational outcomes. The high burden of malaria highlights the need to tackle malaria among school children.
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Registered trials
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.