Evidence map›Paper›PMID 30740696›Full record

ArticleHealth services research2019

Effectiveness of antimalarial interventions in Nigeria: Evidence from facility-level longitudinal data.

Nopphol Witvorapong, Kolo Yaro Yakubu

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 99% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

2 authors at 2 institutions in 2 countries.

Nopphol WitvorapongCenter for Health Economics, Faculty of Economics, Chulalongkorn University, Pathumwan, Bangkok, Thailand.ORCID 0000-0002-7926-381X
Kolo Yaro YakubuStrengthening Accountability and Quality Improvement for Maternal, Newborn and Child Health Project, Pact Nigeria, Gombe, Nigeria.
Chulalongkorn University · THDevelopment Research and Projects Centre · NG

Funding

Chulalongkorn UniversityRatchadaphiseksomphot Endowment Fund
6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a program of antimalarial interventions implemented in 2010-2013 in Niger State, Nigeria. DATA SOURCES: Utilization reports from 99 intervention and 51 non-intervention health facilities from the Niger State Malaria Elimination Program, supplemented by data on facility-level characteristics from the Niger State Primary Health Care Development Agency and Local Government Malaria Control units. STUDY

designEstimated with mixed-effects negative binomial modeling, a difference-in-differences method was used to quantify the impact of the program on the number of febrile illness cases and confirmed malaria cases. Potential confounding factors, non-stationarity, seasonality, and autocorrelation were explicitly accounted for. DATA EXTRACTION

methodsData were retrieved from hard copies of utilization reports and manually inputted to create a panel of 5550 facility-month observations. PRINCIPAL

findingsThe program was implemented in two phases. The first phase (August 2010-June 2012) involved the provision of free artemisinin-based combination therapies, long-lasting insecticidal nets, and intermittent preventive treatments. In the second phase (July 2012-March 2013), the program introduced an additional intervention: free parasite-based rapid diagnostic tests. Compared to the pre-intervention period, the average number of monthly febrile illness and malaria cases increased by 20.876 (P < 0.01) and 22.835 (P < 0.01) in the first phase, and by 19.007 (P < 0.05) and 19.681 (P < 0.05) in the second phase, respectively. The results are consistent across different evaluation methods.

conclusionsThis study suggests that user-fee removal leads to increased utilization of antimalarial services. It motivates future studies to cautiously select their investigative methods.

Indexed as

AntimalarialsArtemisininsCase ManagementDrug Therapy, CombinationGovernment ProgramsHealth EducationHealth WorkforceHumansInsecticide-Treated BednetsLongitudinal StudiesMalariaModels, EconometricNigeriaReagent Kits, DiagnosticAntimalarialsartemisininArtemisininsReagent Kits, Diagnosticdifference-in-differencesmalariaNigeria

Identifiers

PMID30740696
PMCPMC6505411
OpenAlexW2914331744

What OpenQuestion holds

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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.