Trial reportBMJ global health2020
Impact of school-based malaria case management on school attendance, health and education outcomes: a cluster randomised trial in southern Malawi.
Trial report in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02213211 (Impact of a School-based Programme of Malaria Diagnosis and Treatment on School Attendance in Southern Malawi), which is not on this map. Cited by 15 papers.
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.
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.
Impact of a School-based Programme of Malaria Diagnosis and Treatment on School Attendance in Southern Malawi
Who cites it
15 citing papers in PubMed, 25 citations in OpenAlex.
- Effect of malaria prevention education on bed net utilization, incidence of malaria and treatment seeking among school-aged children in Southern Ethiopia; cluster randomized controlled trial.BMC infectious diseases · 2023Trial
- Iron Status of Burkinabé Adolescent Girls Predicts Malaria Risk in the Following Rainy Season.Nutrients · 2020Trial
- Educational frameworks for zoonotic malaria prevention: a narrative review integrating behavioural theory, participatory design, and instructional models for Plasmodium knowlesi in Southeast Asia.Malaria journal · 2026Review
- Practical inference for a complier average causal effect in cluster randomised trials with a binary outcome.Clinical trials (London, England) · 2026Article
- Article
- Advancing malaria treatment with magnetic and mesoporous silica nanoparticles loaded with sulfadoxine-pyrimethamine: a review.Discover nano · 2025Review
- Exploring Early Childhood Development Interventions for Building Human Capital in Sub-Saharan Africa: A Scoping Review.Child: care, health and development · 2025Article
- Feasibility and effectiveness of tailored interventions for two populations at high-risk of malaria in Senegal: Koranic school children and gold miners.PLOS global public health · 2025Article
- Malaria and missed school days: exploring school absenteeism patterns and local strategies in Odisha, India.Frontiers in public health · 2025Article
- Comparing approaches for chemoprevention for school-based malaria control in Malawi: an open label, randomized, controlled clinical trial.EClinicalMedicine · 2024Article
- Factors influencing patients' adherence to malaria artemisinin-based combination therapy in Kamuli District, Uganda.Malaria journal · 2024Article
- Barriers to accessing malaria treatment amongst school-age children in rural Malawi.Malaria journal · 2023Article
- Impact of school-based malaria intervention on primary school teachers' time in Malawi: evidence from a time and motion study.Malaria journal · 2022Article
- Malawi ICEMR Malaria Research: Interactions and Results Influencing Health Policies and Practices.The American journal of tropical medicine and hygiene · 2022Article
- Assessing Asymptomatic Malaria Carriage ofChildren (Basel, Switzerland) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
19 authors at 5 institutions in 3 countries.
Funding
Abstract
Introduction: Evidence indicates children who suffer from ill-health are less likely to attend or complete schooling. Malaria is an important cause of morbidity and mortality in school-age children. However, they are less likely to receive malaria treatment at health facilities and evidence for how to improve schoolchildren's access to care is limited. This study aimed to evaluate the impact of a programme of school-based malaria case management on schoolchildren's attendance, health and education. Methods: A cluster randomised controlled trial was conducted in 58 primary schools in Zomba District, Malawi, 2011-2015. The intervention, implemented in 29 randomly selected schools, provided malaria rapid diagnostic tests and artemisinin-based combination therapy to diagnose and treat uncomplicated malaria as part of basic first aid kits known as 'Learner Treatment Kits' (LTK). The primary outcome was school attendance, assessed through teacher-recorded daily attendance registers and independent periodic attendance spot checks. Secondary outcomes included prevalence of Results: Between November 2013 and March 2015, 97 trained teachers in 29 schools provided 32 685 unique consultations. Female schoolchildren were significantly more likely than male to seek a consultation (unadjusted OR=1.78 (95% CI 1.58 to 2.00). No significant intervention effect was observed on the proportion of child-days recorded as absent in teacher registers (n=9017 OR=0.90 (95% CI 0.77 to 1.05), p=0.173) or of children absent during random school visits-spot checks (n=5791 OR=1.09 (95% CI 0.87 to 1.36), p=0.474). There was no significant impact on child-reported well-being, prevalence of Conclusion: Despite high community demand, the LTK programme did not reduce schoolchildren's absenteeism or improve health or education outcomes in this study setting. Trial registration number: ClinicalTrials.gov NCT02213211.
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What OpenQuestion holds
Registered trials
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.