ArticleMalaria journal2015
Prompt access to effective malaria treatment among children under five in sub-Saharan Africa: a multi-country analysis of national household survey data.
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 32 papers.
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Who cites it
32 citing papers in PubMed.
- Determinants of late malaria treatment among under-five children in West Africa.BMC pediatrics · 2026Article
- The 24, 2 hours initiative: a game changer in malaria mortality reduction.Malaria journal · 2025Review
- Estimating rates of treatment delay for malaria fevers among children in Sub-Saharan Africa 2006-2022.Nature communications · 2025Article
- Determinants of timely malaria treatment among under-five children attending public health facilities in Kisumu East sub-county, Kenya: a health facility-based cross-sectional study.Malaria journal · 2025Article
- Article
- Timeliness of malaria treatment in children under five years in Uganda: an analysis of 2016 demographic health survey data.BMC pediatrics · 2025Article
- The role of breastfeeding, antibiotics and antimalarial medicinal exposure in paediatric depression amongst children aged under 5: a population-based study.BMC pediatrics · 2025Article
- Article
- Factors influencing fever care-seeking for children under five years of age in The Gambia: a secondary analysis of 2019-20 DHS data.Malaria journal · 2024Article
- Malaria profile and socioeconomic predictors among under-five children: an analysis of 11 sub-Saharan African countries.Malaria journal · 2023Article
- Impact of the COVID-19 Pandemic on Malaria Control in Africa: A Preliminary Analysis.Tropical medicine and infectious disease · 2023Article
- A malaria knowledge, attitudes and practice survey in a rural community in Guinea.Malaria journal · 2022Article
- Article
- Associations between women's empowerment, care seeking, and quality of malaria care for children: A cross-sectional analysis of demographic and health surveys in 16 sub-Saharan African countries.Journal of global health · 2022Article
- Profiling malaria infection among under-five children in the Democratic Republic of Congo.PloS one · 2021Article
- Quality of clinical management of children diagnosed with malaria: A cross-sectional assessment in 9 sub-Saharan African countries between 2007-2018.PLoS medicine · 2020Article
- Length of maternal schooling and children's risk of malaria infection: evidence from a natural experiment in Uganda.BMJ global health · 2020Article
- Determinants of malaria treatment delay in northwestern zone of Tigray region, Northern Ethiopia, 2018.Malaria journal · 2019Article
- Prevalence and Associated Factors of Malaria among Febrile Children in Afar Region, Ethiopia: A Health Facility Based Study.Ethiopian journal of health sciences · 2019Article
- Household characteristics as predictors of access to paediatric malaria treatment in Homa-Bay County, Kenya.BMC research notes · 2019Article
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4 authors.
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Abstract
backgroundScaling up diagnostic testing and treatment is a key strategy to reduce the burden of malaria. Delays in accessing treatment can have fatal consequences; however, few studies have systematically assessed these delays among children under five years of age in malaria-endemic countries of sub-Saharan Africa. This study identifies predictors of prompt treatment with first-line artemisinin combination therapy (ACT) and describes profiles of children who received this recommended treatment.
methodsThis study uses data from the most recent Demographic and Health Survey, Malaria Indicator Survey, or Anaemia and Parasite Prevalence Survey conducted in 13 countries. A Chi square automatic interaction detector (CHAID) model was used to identify factors associated with prompt and effective treatment among children under five years of age.
resultsThe percentage of children with fever who received any anti-malarial treatment varies from 3.6 % (95 % CI 2.8-4.4 %) in Ethiopia to 64.5 % (95 % CI 62.7-66.2 %) in Uganda. Among those who received prompt treatment with any anti-malarial medicine, the percentage who received ACT ranged from 32.2 % (95 % CI 26.1-38.4 %) in Zambia to nearly 100 % in Tanzania mainland and Zanzibar. The CHAID analysis revealed that country of residence is the best predictor of prompt and effective treatment (p < 0.001). Depending on the country, the second best predictor was maternal education (p = 0.004), place of residence (p = 0.008), or household wealth index (p < 0.001).
conclusionsThis study reveals that country of residence, maternal education, place of residence, and socio-economic status are key predictors of prompt access to malaria treatment. Achieving universal coverage and the elimination agenda will require effective monitoring to detect disparities early and sustained investments in routine data collection and policy formulation.
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