Evidence map›Paper›PMID 28722627›Full record

Trial reportThe American journal of tropical medicine and hygiene2017

Evaluation of Malaria Screening during Pregnancy with Rapid Diagnostic Tests Performed by Community Health Workers in Burkina Faso.

Esmée Ruizendaal, Henk D F H Schallig, Susana Scott, Maminata Traore-Coulibaly, John Bradley, Palpouguini Lompo, Hamtandi M Natama, Ousmane Traore, Innocent Valea, Susan Dierickx and 5 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of tropical medicine and hygiene, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 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

15 authors at 6 institutions in 5 countries.

Esmée RuizendaalDepartment of Medical Microbiology, Academic Medical Centre, Amsterdam, The Netherlands.
Henk D F H SchalligDepartment of Medical Microbiology, Academic Medical Centre, Amsterdam, The Netherlands.
Susana ScottDisease Control and Elimination, Medical Research Council Unit, Fajara, The Gambia.
Maminata Traore-CoulibalyInstitut de Recherche en Sciences de la Santé-Unité de Recherche Clinique de Nanoro, (IRSS-URCN), Nanoro, Burkina Faso.
John BradleyMedical Research Council (MRC) Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, United Kingdom.
Palpouguini LompoInstitut de Recherche en Sciences de la Santé-Unité de Recherche Clinique de Nanoro, (IRSS-URCN), Nanoro, Burkina Faso.
Hamtandi M NatamaInstitut de Recherche en Sciences de la Santé-Unité de Recherche Clinique de Nanoro, (IRSS-URCN), Nanoro, Burkina Faso.
Ousmane TraoreInstitut de Recherche en Sciences de la Santé-Unité de Recherche Clinique de Nanoro, (IRSS-URCN), Nanoro, Burkina Faso.
Innocent ValeaInstitut de Recherche en Sciences de la Santé-Unité de Recherche Clinique de Nanoro, (IRSS-URCN), Nanoro, Burkina Faso.
Susan DierickxAmsterdam Institute of Social Science Research, Amsterdam, The Netherlands.
Koiné M DraboInstitut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso.
Franco PagnoniChemin Petite Boissière 44, Geneva, Switzerland.
Umberto d' AlessandroDepartment of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Halidou TintoInstitut de Recherche en Sciences de la Santé-Unité de Recherche Clinique de Nanoro, (IRSS-URCN), Nanoro, Burkina Faso.
Petra F MensDepartment of Medical Microbiology, Academic Medical Centre, Amsterdam, The Netherlands.
Institut de Recherche en Sciences de la Santé · BFAcademic Medical Center · NLLondon School of Hygiene & Tropical Medicine · GBInstituut voor Tropische Geneeskunde · BEMedical Research Council · GBMRC Unit the Gambia · GM

Funding

Medical Research Council MR/K012126/1
6 · The paper itself

Abstract

One of the current strategies to prevent malaria in pregnancy is intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp-SP). However, in order for pregnant women to receive an adequate number of SP doses, they should attend a health facility on a regular basis. In addition, SP resistance may decrease IPTp-SP efficacy. New or additional interventions for preventing malaria during pregnancy are therefore warranted. Because it is known that community health workers (CHWs) can diagnose and treat malaria in children, in this study screening and treatment of malaria in pregnancy by CHWs was evaluated as an addition to the regular IPTp-SP program. CHWs used rapid diagnostic tests (RDTs) for screening and artemether-lumefantrine was given in case of a positive RDT. Overall, CHWs were able to conduct RDTs with a sensitivity of 81.5% (95% confidence interval [CI] 67.9-90.2) and high specificity of 92.1% (95% CI 89.9-93.9) compared with microscopy. After a positive RDT, 79.1% of women received artemether-lumefantrine. When treatment was not given, this was largely due to the woman being already under treatment. Almost all treated women finished the full course of artemether-lumefantrine (96.4%). In conclusion, CHWs are capable of performing RDTs with high specificity and acceptable sensitivity, the latter being dependent on the limit of detection of RDTs. Furthermore, CHWs showed excellent adherence to test results and treatment guidelines, suggesting they can be deployed for screen and treat approaches of malaria in pregnancy.

Indexed as

AdultBurkina FasoCommunity Health WorkersDiagnostic Tests, RoutineFemaleHumansMalariaPregnancyPregnancy Complications, ParasiticReal-Time Polymerase Chain ReactionSensitivity and SpecificityYoung Adult

Identifiers

PMID28722627
PMCPMC5637604
OpenAlexW2736175106

What OpenQuestion holds

Textmetadata
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.