Evidence map›Paper›PMID 29523144›Full record

ArticleMalaria journal2018

The use and preference of artemether as a first-choice treatment for malaria: results from a cross-sectional survey in the Bata district, Equatorial Guinea.

Maria Romay-Barja, Policarpo Ncogo, Gloria Nseng, Maria A Santana-Morales, Pedro Berzosa, Zaida Herrador, Basilio Valladares, Matilde Riloha, Agustin Benito

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 6 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

9 authors at 4 institutions in 2 countries.

Maria Romay-BarjaCentro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Spain. mromay@isciii.es.ORCID http://orcid.org/0000-0002-0177-6885
Policarpo NcogoCentro de Referencia de Control de Endemias, Malabo, Equatorial Guinea.
Gloria NsengMinisterio de Salud y Bienestar Social, Malabo, Equatorial Guinea.
Maria A Santana-MoralesRed de Investigación Colaborativa en Enfermedades Tropicales, RICET, Madrid, Spain.
Pedro BerzosaCentro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Spain.
Zaida HerradorCentro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Spain.
Basilio ValladaresRed de Investigación Colaborativa en Enfermedades Tropicales, RICET, Madrid, Spain.
Matilde RilohaMinisterio de Salud y Bienestar Social, Malabo, Equatorial Guinea.
Agustin BenitoCentro Nacional de Medicina Tropical, Instituto de Salud Carlos III, Madrid, Spain.
Instituto de Salud Carlos III · ESNational University of Equatorial Guinea · GQUniversidad de La Laguna · ESCentro Cultural de España en Malabo · GQ

Funding

Agencia Española de Cooperación Internacional para el Desarrollo (ES) TREG1415/11Tropical Diseases Research Network (RICET) RD12/0018/0001
6 · The paper itself

Abstract

backgroundMalaria is endemic in Equatorial Guinea with stable transmission, and it remains a major cause of morbidity and mortality in children under 5 years of age. Adherence to artemisinin-based combination therapy (ACT) as a first-line treatment for uncomplicated malaria is critical to malaria control. Six years after the introduction of artesunate-amodiaquine (AS/AQ) therapy in Equatorial Guinea, adherence to the first-line treatment seems to be low in the Bata district. The factors associated with the choice of malaria treatment have not been studied previously in this area; therefore, this study aimed to analyse the preference and use of artemether as malaria treatment and its related factors in the Bata district of Equatorial Guinea.

methodsIn 2013, a cross-sectional study was conducted in the Bata district, which involved 428 households. Bivariate and multivariate statistical analyses were conducted to determine the relevance of socio-economic, geographical, and behavioural factors that played a role in the preference and use of artemether as malaria treatment.

resultsArtemether was considered the best treatment for malaria by 110 caregivers (26%), and was the antimalarial most administrated in the Bata district. It was prescribed to 117 children (27.34%); while, only 6.78% were administered AS/AQ. Caregivers living ≤ 3 km from the nearest health facility were almost two times more likely to consider artemether as the best treatment than those living farther away (95% CI 0.31-0.86). Caregivers with at least a secondary school education were 2.7 times more likely to consider artemether as the best treatment than those less educated. Children whose caregivers considered artemether the best treatment against malaria were five times more likely to be treated with artemether than children with caregivers who did not consider it the best (OR 5.07, 95% CI 2.93-8.78). In contrast, children that reported weakness as a symptom were less likely to be treated with artemether than those with other symptoms (OR 0.47, 95% CI 0.28-0.78).

conclusionCaregivers, public and private health staff, and drug sellers need to understand the importance of using ACT to treat uncomplicated malaria and the dangers of using artemisinin monotherapy.

Indexed as

AdolescentAdultAntimalarialsArtemetherChild, PreschoolCross-Sectional StudiesFemaleGuineaHealth Knowledge, Attitudes, PracticeHumansInfantMalaria, FalciparumMaleMiddle AgedYoung AdultAntimalarialsArtemetherACTArtemetherArtemisinin-based combination therapyBehaviourMalariaPractitionersTreatment

Identifiers

PMID29523144
PMCPMC5845225
OpenAlexW2799799340

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.