Evidence map›Paper›PMID 29162099›Full record

ArticleMalaria journal2017

Malaria prevalence metrics in low- and middle-income countries: an assessment of precision in nationally-representative surveys.

Victor A Alegana, Jim Wright, Claudio Bosco, Emelda A Okiro, Peter M Atkinson, Robert W Snow, Andrew J Tatem, Abdisalan M Noor

Abstract read
In one paragraph

Article in Malaria journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Malaria Elimination in Africa: Rethinking Strategies forTropical medicine and infectious disease · 2023
    Review
  4. Article
  5. Article
  6. PLOS global public health · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
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

8 authors.

Victor A AleganaGeography and Environment, University of Southampton, Southampton, UK. V.A.Alegana@soton.ac.uk.
Jim WrightGeography and Environment, University of Southampton, Southampton, UK.
Claudio BoscoGeography and Environment, University of Southampton, Southampton, UK.
Emelda A OkiroPopulation Health Theme, Kenya Medical Research Institute-Wellcome Trust Research Programme, Nairobi, Kenya.
Peter M AtkinsonGeography and Environment, University of Southampton, Southampton, UK.
Robert W SnowPopulation Health Theme, Kenya Medical Research Institute-Wellcome Trust Research Programme, Nairobi, Kenya.
Andrew J TatemGeography and Environment, University of Southampton, Southampton, UK.
Abdisalan M NoorPopulation Health Theme, Kenya Medical Research Institute-Wellcome Trust Research Programme, Nairobi, Kenya.

Funding

Bill and Melinda Gates Foundation 1032350Bill and Melinda Gates Foundation opp1106427Bill and Melinda Gates Foundation opp1134076Wellcome Trust 103602Wellcome Trust 106866/z/15/zWellcome Trust 201866/Z/16/ZWorld Health Organization 001
6 · The paper itself

Abstract

backgroundOne pillar to monitoring progress towards the Sustainable Development Goals is the investment in high quality data to strengthen the scientific basis for decision-making. At present, nationally-representative surveys are the main source of data for establishing a scientific evidence base, monitoring, and evaluation of health metrics. However, little is known about the optimal precisions of various population-level health and development indicators that remains unquantified in nationally-representative household surveys. Here, a retrospective analysis of the precision of prevalence from these surveys was conducted.

methodsUsing malaria indicators, data were assembled in nine sub-Saharan African countries with at least two nationally-representative surveys. A Bayesian statistical model was used to estimate between- and within-cluster variability for fever and malaria prevalence, and insecticide-treated bed nets (ITNs) use in children under the age of 5 years. The intra-class correlation coefficient was estimated along with the optimal sample size for each indicator with associated uncertainty.

findingsResults suggest that the estimated sample sizes for the current nationally-representative surveys increases with declining malaria prevalence. Comparison between the actual sample size and the modelled estimate showed a requirement to increase the sample size for parasite prevalence by up to 77.7% (95% Bayesian credible intervals 74.7-79.4) for the 2015 Kenya MIS (estimated sample size of children 0-4 years 7218 [7099-7288]), and 54.1% [50.1-56.5] for the 2014-2015 Rwanda DHS (12,220 [11,950-12,410]).

conclusionThis study highlights the importance of defining indicator-relevant sample sizes to achieve the required precision in the current national surveys. While expanding the current surveys would need additional investment, the study highlights the need for improved approaches to cost effective sampling.

Indexed as

Africa South of the SaharaBayes TheoremDeveloping CountriesHumansMalariaPrevalenceReproducibility of ResultsRetrospective StudiesSurveys and QuestionnairesIndicatorsIntra-class correlationMalariaPrecision

Identifiers

PMID29162099
PMCPMC5697056

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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.