Trial reportMalaria journal2026
Impact of proactive community case management of malaria on malaria prevalence in Bankass, Mali: a cluster-randomised controlled trial.
Trial report in Malaria journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02694055 (Proactive Community Case Management and Child Survival), which is not on this map. Not yet cited in PubMed.
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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
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Proactive Community Case Management and Child Survival: A Cluster-Randomized Controlled Trial
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0 citing papers in PubMed.
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Authors and funding
16 authors.
Funding
Abstract
backgroundProactive community case management (ProCCM) of malaria is a strategy to improve access to prompt and effective case management of malaria at the community level by supporting community health workers (CHWs) to visit every household in their community every 1 to 2 weeks to identify people with malaria symptoms, offer rapid diagnostic tests, and first line malaria treatment for those with positive tests. We sought to determine if this strategy could decrease malaria parasite prevalence in high malaria transmission settings.
methodsCHWs in the intervention (ProCCM) arm were asked to visit households proactively twice per month to offer an extensive package of maternal and child health services, including malaria case management for males and females of all ages, compared to those in the control arm that offered these services from a fixed point in the community. We measured parasite prevalence among all ages, and fever prevalence, care seeking, and access to diagnostic testing among children under 5 years at the endline survey of a 3-year cluster-randomized controlled trial of ProCCM, covering a population of over 100,000 in Bankass, Mali, a remote rural area that became a conflict zone during the study period.
resultsThere was no difference between intervention and control arms in parasite prevalence among all ages, fever in the last 2 weeks, care seeking, or access to diagnostic testing for malaria among children under 5 years. However, CHWs in the intervention arm reached the goal of two visits per month in less than half the households.
conclusionsIn this high transmission setting, with well-supported, supplied, supervised, and compensated CHWs, both fixed point (control) and proactive household (intervention) visits offered comparable benefits in extending access to malaria case management to community members, despite intervention arm CHWs not reaching the target household visit frequency. Trial registration Trial registration number NCT02694055 (registered February 26, 2016).
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