Evidence map›Paper›PMID 37864245›Full record

ArticleMalaria journal2023

The provision of malaria services in border districts of four countries in Southern Africa: results from a cross-sectional community assessment of malaria border health posts.

Mukosha Chisenga, Bongani Dlamini, Nyasha Mwendera, Paulo Maquina, Busiku Hamainza, José Franco Martins, Francisco Saute, Henrico Bock, Roly Gosling, Adam Bennett and 2 more

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 5 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

12 authors at 8 institutions in 8 countries.

Mukosha ChisengaSouthern African Development Community Malaria Elimination Eight Secretariat, Windhoek, Namibia. mchisenga@sadce8.org.
Bongani DlaminiSouthern African Development Community Malaria Elimination Eight Secretariat, Windhoek, Namibia.
Nyasha MwenderaSouthern African Development Community Malaria Elimination Eight Secretariat, Windhoek, Namibia.
Paulo MaquinaSouthern African Development Community Malaria Elimination Eight Secretariat, Windhoek, Namibia.
Busiku HamainzaMinistry of Health, National Malaria Elimination Centre, Chainama Hospital College, Lusaka, Zambia.
José Franco MartinsNational Malaria Control Programme, Ministry of Health, Luanda, Angola.
Francisco SauteManhiça Health Research Centre, Manhica, Mozambique.
Henrico BockMultidisciplinary Research Centre, University of Namibia, Windhoek, Namibia.
Roly GoslingMalaria Elimination Initiative, Global Health Group, University of California, San Francisco, San Francisco, USA.
Adam BennettPATH, Seattle, USA.
Jennifer SmithMalaria Elimination Initiative, Global Health Group, University of California, San Francisco, San Francisco, USA.
Immo KleinschmidtSouthern African Development Community Malaria Elimination Eight Secretariat, Windhoek, Namibia.
University of California, San Francisco · USManhiça Health Research Centre · MZMinistry of Health · ZMMinistry of Health · AOProgram for Appropriate Technology in Health · USSouthern African Development Community · BWUniversity of Namibia · NAUniversity of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe importation of parasites across borders remains a threat to malaria elimination. The Southern African Development Community Malaria Elimination Eight (E8) established 39 border health facilities on 5 key international borders between high and low-burden countries. These clinics aimed to improve access to prevention, diagnosis, and treatment of malaria for residents in border areas and for mobile and migrant populations who frequently cross borders. Studies were conducted in each of the four high-burden E8 countries (Angola, Mozambique, Zambia, and Zimbabwe) to evaluate malaria services in border areas.

methodsCross-sectional surveys were conducted within 30 km of recently established E8 Border Health Posts. Structured questionnaires were administered to randomly selected respondents to assess malaria-related knowledge and behavior, access to malaria prevention, diagnosis and treatment of malaria, and risk factors for malaria associated with local and cross-border travel.

resultsResults showed that most providers followed appropriate guidelines performing blood tests when individuals presented with fever, and that nearly all those who reported a positive blood test received medication. Lack of access to health care due to distance, cost or mistrust of the provider was rare. A minority of respondents reported not receiving timely diagnosis either because they did not seek help, or because they were not offered a blood test when presenting with fever. There was a high level of correct knowledge of causes, symptoms, and prevention of malaria. A majority, of border residents had access to primary prevention against malaria through either long-lasting insecticidal nets (LLINs) or indoor residual spraying (IRS). Cross border travel was common with travellers reporting sleeping outside without protection against malaria.

conclusionsThe study demonstrated the importance of border health facilities in providing access to malaria services. Prevention needs to be improved for people who travel and sleep outdoors. Community health workers can play a key role in providing access to information, testing and treating malaria.

Indexed as

MalariaAfrica, SouthernCross-Sectional StudiesHumansRisk FactorsSurveys and QuestionnairesBorder health postEliminationKAPMalaria

Identifiers

PMID37864245
PMCPMC10588083
OpenAlexW4387816469

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.