ArticleThe American journal of tropical medicine and hygiene2017
Malaria Control Interventions Contributed to Declines in Malaria Parasitemia, Severe Anemia, and All-Cause Mortality in Children Less Than 5 Years of Age in Malawi, 2000-2010.
Article 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 23 papers.
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23 citing papers in PubMed, 42 citations in OpenAlex.
- Introducing post-discharge malaria chemoprevention (PMC) for management of severe anemia in Malawian children: a qualitative study of community health workers' perceptions and motivation.BMC health services research · 2018Trial
- Global health data precarity: Safeguarding the Demographic and Health Survey program as a global public good.Scientific data · 2025Article
- Conceptualizing the implementation of post-discharge malaria chemoprevention in Malawi using a co-design approach.Malaria journal · 2025Article
- Under-5 Malaria and Fever Morbidities as Correlates of Anaemia in Niger: A Heteroscedasticity-Consistent Ordered Probit Approach.International journal of environmental research and public health · 2024Article
- Determining the risk factors of malaria and anemia in children between 6 and 59 months using the joint generalized linear mixed model on the 2021 Nigeria Malaria Indicator Survey dataset.Frontiers in public health · 2024Article
- Approaches to Address the Anemia Challenge.The Journal of nutrition · 2023Article
- A novel duplex qualitative real-time PCR assay for the detection and differentiation of Plasmodium ovale curtisi and Plasmodium ovale wallikeri malaria.medRxiv : the preprint server for health sciences · 2023Article
- Unravelling the impact of insecticide-treated bed nets on childhood malaria in Malawi.Malaria journal · 2023Article
- Impact of mass distribution of long-lasting insecticide nets on the incidence of malaria in Lomami, Democratic Republic of Congo: a study based on electronic health record data (2018 - 2019).The Pan African medical journal · 2023Observational
- Impact of malaria control interventions on malaria infection and anaemia in low malaria transmission settings: a cross-sectional population-based study in Sudan.BMC infectious diseases · 2022Article
- Individual, household and area predictors of anaemia among children aged 6-59 months in Nigeria.Public health in practice (Oxford, England) · 2022Article
- Impact of malaria control interventions on malaria infection and anaemia in areas with irrigated schemes: a cross-sectional population-based study in Sudan.BMC infectious diseases · 2021Article
- Associating the scale-up of insecticide-treated nets and use with the decline in all-cause child mortality in the Democratic Republic of Congo from 2005 to 2014.Malaria journal · 2021Article
- Joint modelling of malaria and anaemia in children less than five years of age in Malawi.Heliyon · 2021Article
- Estimating malaria chemoprevention and vector control coverage using program and campaign data: A scoping review of current practices and opportunities.Journal of global health · 2020Article
- A Scoping Review of the Risk Factors Associated with Anaemia among Children Under Five Years in Sub-Saharan African Countries.International journal of environmental research and public health · 2020Article
- Article
- Asymptomatic SubmicroscopicThe American journal of tropical medicine and hygiene · 2020Article
- Evaluating malaria programmes in moderate- and low-transmission settings: practical ways to generate robust evidence.Malaria journal · 2020Article
- Bacteraemia, Malaria, and Case Fatality Among Children Hospitalized With Fever in Dar es Salaam, Tanzania.Frontiers in microbiology · 2020Article
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12 authors at 6 institutions in 2 countries.
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Abstract
Malaria control intervention coverage increased nationwide in Malawi during 2000-2010. Trends in intervention coverage were assessed against trends in malaria parasite prevalence, severe anemia (hemoglobin < 8 g/dL), and all-cause mortality in children under 5 years of age (ACCM) using nationally representative household surveys. Associations between insecticide-treated net (ITN) ownership, malaria morbidity, and ACCM were also assessed. Household ITN ownership increased from 27.4% (95% confidence interval [CI] = 25.9-29.0) in 2004 to 56.8% (95% CI = 55.6-58.1) in 2010. Similarly intermittent preventive treatment during pregnancy coverage increased from 28.2% (95% CI = 26.7-29.8) in 2000 to 55.0% (95% CI = 53.4-56.6) in 2010. Malaria parasite prevalence decreased significantly from 60.5% (95% CI = 53.0-68.0) in 2001 to 20.4% (95% CI = 15.7-25.1) in 2009 in children aged 6-35 months. Severe anemia prevalence decreased from 20.4% (95% CI: 17.3-24.0) in 2004 to 13.1% (95% CI = 11.0-15.4) in 2010 in children aged 6-23 months. ACCM decreased 41%, from 188.6 deaths per 1,000 live births (95% CI = 179.1-198.0) during 1996-2000, to 112.1 deaths per 1,000 live births (95% CI = 105.8-118.5) during 2006-2010. When controlling for other covariates in random effects logistic regression models, household ITN ownership was protective against malaria parasitemia in children (odds ratio [OR] = 0.81, 95% CI = 0.72-0.92) and severe anemia (OR = 0.82, 95% CI = 0.72-0.94). After considering the magnitude of changes in malaria intervention coverage and nonmalaria factors, and given the contribution of malaria to all-cause mortality in malaria-endemic countries, the substantial increase in malaria control interventions likely improved child survival in Malawi during 2000-2010.
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