Evidence map›Paper›PMID 31182444›Full record

Observational studyBMJ open2019

Adding proactive and reactive case detection into the integrated community case management system to optimise diagnosis and treatment of malaria in a high transmission setting of Cameroon: an observational quality improvement study.

Cavin Epie Bekolo, Thomas D'Arcy Williams

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
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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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

2 authors.

Cavin Epie BekoloCentre Medical d'Arrondissement de Bare, Nkongsamba, Cameroon.ORCID 0000-0002-9845-9842
Thomas D'Arcy WilliamsCommunity Health, Peace Corps Cameroon, Yaounde, Centre, Cameroon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIntegrated community case management (iCCM) of childhood illness is a powerful intervention to reduce mortality. Yet, only 29% and 59% of children with fever in sub-Saharan Africa had access to malaria testing and treatment between 2015 and 2017. We report how iCCM+ based on incorporating active case detection of malaria into iCCM could help improve testing and treatment.

designA community-led observational quality improvement study.

settingThe rural community of Bare-Bakem in Cameroon.

participantsChildren and adults with fever between April and June 2018.

interventionA modified iCCM programme (iCCM+) comprising a proactive screening of febrile children <5 years old for malaria using rapid diagnostic testing to identify index cases and a reactive screening triggered by these index cases to detect secondary cases in the community. PRIMARY AND SECONDARY OUTCOME MEASURES: The proportion of additional malaria cases detected by iCCM+ over iCCM.

resultsWe screened 501 febrile patients of whom

conclusionMost symptomatic cases of malaria remain undetected in the community despite the introduction of CCM of malaria. iCCM+ can be adopted to diagnose and treat more of these undiagnosed cases especially when targeted to schools, older children and larger households.

Indexed as

CameroonCase ManagementChild, PreschoolCommunity Health ServicesDelivery of Health Care, IntegratedFemaleHealth Services AccessibilityHealth Services ResearchHumansMalariaMaleQuality ImprovementRural PopulationYoung Adultactive case detectionCameroonintegrated community case managementmalaria

Identifiers

PMID31182444
PMCPMC6561439

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.