ArticleMalaria journal2026
Microscopy underestimates submicroscopic malaria infections in Ethiopia's southern rift valley: a community-based cross-sectional study.
Article in Malaria journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundEfforts to control malaria face several challenges, including the presence of parasite reservoirs within the community that contribute to disease transmission. This study aimed to assess malaria prevalence among community members using microscopy and nested polymerase chain reaction (PCR) to detect parasite reservoirs in malaria-endemic settings.
methodsA community-based cross-sectional study was conducted in malaria-endemic districts of the Gamo Zone in the southern Rift Valley of Ethiopia. The research was conducted as part of a baseline assessment for a trial evaluating the impact of house screening and ivermectin treatment of domestic animals on malaria incidence. Capillary blood samples were collected from the study participants to prepare blood films and dried blood spots. Malaria parasite detection and species identification were performed using both microscopy and nested PCR.
resultsOf 4745 participants screened by microscopy, malaria prevalence was 2.7% (126/4745; 95% CI: 2.2-3.2%). Nested PCR was performed on 1183 samples, including 97 microscopy-positive and 1,086 microscopy-negative samples. PCR confirmed 67% (65/97) of microscopy-positive cases, yielding a PCR-corrected microscopy prevalence of 1.4% (65/4745). Submicroscopic infections were detected in 6.1% (66/1086) of microscopy-negative samples. Malaria prevalence across Kebeles ranged from 0.5-2.3% by microscopy and 4.1-9.6% by PCR. Species misclassification by microscopy was common: 19.5% of P. falciparum infections were misidentified as P. vivax, 14.0% of P. vivax as P. falciparum, and 33.0% of microscopy-positive samples were PCR-negative.
conclusionThese findings emphasize that community-based malaria diagnosis using microscopy underestimates malaria prevalence, highlighting the need for improved diagnostic methods.
Indexed as
Identifiers
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.