ArticleMalaria journal2016
A national health facility survey of malaria infection among febrile patients in Kenya, 2014.
Article in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- The Anopheles coluzzii range extends into Kenya: detection, insecticide resistance profiles and population genetic structure in relation to conspecific populations in West and Central Africa.Malaria journal · 2024Article
- TheResearch square · 2024Article
- Drug resistance profiling of asymptomatic and low-density Plasmodium falciparum malaria infections on Ngodhe island, Kenya, using custom dual-indexing next-generation sequencing.Scientific reports · 2023Article
- Spatio-temporal modelling of routine health facility data for malaria risk micro-stratification in mainland Tanzania.Scientific reports · 2023Article
- Malaria micro-stratification using routine surveillance data in Western Kenya.Malaria journal · 2021Article
- Thrombocytopenia as a Diagnostic Marker for Malaria in Patients with Acute Febrile Illness.Journal of tropical medicine · 2021Article
- Malaria infection, disease and mortality among children and adults on the coast of Kenya.Malaria journal · 2020Article
- Routine data for malaria morbidity estimation in Africa: challenges and prospects.BMC medicine · 2020Article
- Prevalence of pfdhfr and pfdhps mutations in Plasmodium falciparum associated with drug resistance among pregnant women receiving IPTp-SP at Msambweni County Referral Hospital, Kwale County, Kenya.Malaria journal · 2020Article
- Impact of indoor residual spraying with pirimiphos-methyl (Actellic 300CS) on entomological indicators of transmission and malaria case burden in Migori County, western Kenya.Scientific reports · 2020Article
- The relationship between facility-based malaria test positivity rate and community-based parasite prevalence.PloS one · 2020Article
- Malaria Burden through Routine Reporting: Relationship between Incidence and Test Positivity Rates.The American journal of tropical medicine and hygiene · 2019Article
- Quality of Malaria Case Management and Reporting at Public Health Facilities in Six Health Districts in Guinea, 2018.The American journal of tropical medicine and hygiene · 2019Article
- A Cross-Sectional Population Study of Geographic, Age-Specific, and Household Risk Factors for AsymptomaticThe American journal of tropical medicine and hygiene · 2019Article
- Plasmodium falciparum parasites with histidine-rich protein 2 (pfhrp2) and pfhrp3 gene deletions in two endemic regions of Kenya.Scientific reports · 2017Article
- Factors associated with malaria microscopy diagnostic performance following a pilot quality-assurance programme in health facilities in malaria low-transmission areas of Kenya, 2014.Malaria journal · 2017Article
- Composition of Anopheles mosquitoes, their blood-meal hosts, and Plasmodium falciparum infection rates in three islands with disparate bed net coverage in Lake Victoria, Kenya.Malaria journal · 2017Article
- Completeness of malaria indicator data reporting via the District Health Information Software 2 in Kenya, 2011-2015.Malaria journal · 2017Article
- Coverage of routine reporting on malaria parasitological testing in Kenya, 2015-2016.Global health action · 2017Article
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9 authors.
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Abstract
backgroundThe use of malaria infection prevalence among febrile patients at clinics has a potential to be a valuable epidemiological surveillance tool. However, routine data are incomplete and not all fevers are tested. This study was designed to screen all fevers for malaria infection in Kenya to explore the epidemiology of fever test positivity rates.
methodsRandom sampling was used within five malaria epidemiological zones of Kenya (i.e., high lake endemic, moderate coast endemic, highland epidemic, seasonal low transmission and low risk zones). The selected sample was representative of the number of hospitals, health centres and dispensaries within each zone. Fifty patients with fever presenting to each sampled health facility during the short rainy season were screened for malaria infection using a rapid diagnostic test (RDT). Details of age, pregnancy status and basic demographics were recorded for each patient screened.
results10,557 febrile patients presenting to out-patient clinics at 234 health facilities were screened for malaria infection. 1633 (15.5%) of the patients surveyed were RDT positive for malaria at 124 (53.0%) facilities. Infection prevalence among non-pregnant patients varied between malaria risk zones, ranging from 0.6% in the low risk zone to 41.6% in the high lake endemic zone. Test positivity rates (TPR) by age group reflected the differences in the intensity of transmission between epidemiological zones. In the lake endemic zone, 6% of all infections were among children aged less than 1 year, compared to 3% in the coast endemic, 1% in the highland epidemic zone, less than 1% in the seasonal low transmission zone and 0% in the low risk zone. Test positivity rate was 31% among febrile pregnant women in the high lake endemic zone compared to 9% in the coast endemic and highland epidemic zones, 3.2% in the seasonal low transmission zone and zero in the low risk zone.
conclusionMalaria infection rates among febrile patients, with supporting data on age and pregnancy status presenting to clinics in Kenya can provide invaluable epidemiological data on spatial heterogeneity of malaria and serve as replacements to more expensive community-based infection rates to plan and monitor malaria control.
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