Evidence map›Paper›PMID 42265691›Full record

ArticleMalaria journal2026

Effect of malaria training on community healthcare providers' compliance with malaria treatment guidelines in Nigeria using propensity score matching.

Sikiru Baruwa, Toyin O Akomolafe, Emeka Emmanuel Okafor, Osimhen Ubuane, Rodio Diallo, Michael Alagbile, Jennifer Ladokun, Johnson Ekele, Dayyabu Yusuf

Abstract read
In one paragraph

Article in Malaria journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

Sikiru BaruwaPopulation Council, Abuja, Nigeria. sbaruwa@popcouncil.org.
Toyin O AkomolafePopulation Council, Abuja, Nigeria.
Emeka Emmanuel OkaforSociety for Family Health, Abuja, Nigeria.
Osimhen UbuanePopulation Council, Abuja, Nigeria.
Rodio DialloGates Foundation, Seattle, USA.
Michael AlagbileSociety for Family Health, Abuja, Nigeria.
Jennifer LadokunSociety for Family Health, Abuja, Nigeria.
Johnson EkeleSociety for Family Health, Abuja, Nigeria.
Dayyabu YusufSociety for Family Health, Abuja, Nigeria.

Funding

Gates Foundation INV-007278
6 · The paper itself

Abstract

introductionCommunity Pharmacists (CPs) and Patent and Proprietary Medicine Vendors (PPMVs) are important primary sources of care for many Nigerians. They are the first line of contact for those seeking advice or treatment for fever. However, the process needs to be strengthened and aligned with the World Health Organization (WHO) malaria treatment guidelines, as these providers currently diagnose based solely on symptoms. The IntegratE Project 2.0 is piloting innovative models to expand quality family planning and primary health care services through CPs and PPMVs across 11 Nigerian states, while generating evidence for policy reform. Our evaluation examines the effect of the malaria training module on knowledge, acceptability, and compliance with WHO treatment guidelines and identification of quality drugs among CPs and PPMVs, using a propensity score matching (PSM) analysis.

methodsA quasi-experimental evaluation design with a comparison group was implemented. Baseline and follow-up data were collected from February 2022 to December 2022 using structured questionnaires from self-selected intervention and randomly selected comparison groups. Descriptive statistics and PSM models were computed to estimate the average treatment effect (ATE) and average treatment effect for the treated (ATET). All analyses were performed using Stata 16.1, and a p-value < 0.05 was deemed significant.

resultsFindings showed a significant positive impact of training on knowledge of malaria diagnosis and treatment (β = 0.052; 95% CI 0.006, 0.097; p = 0.03) and acceptability of the WHO test, treat, and refer guidelines among trained CPs and PPMVs (β = 0.432; 95% CI: 0.041, 0.822; p = 0.03). However, the training has no effect on compliance with treatment guidelines and identification of quality drugs.

conclusionMalaria training using standard treatment guidelines modestly increases private providers' knowledge and acceptance. A scale-up of malaria training for CPs and PPMVs is recommended, and further research is needed on guideline compliance.

Indexed as

AntimalarialsCommunity Health WorkersGuideline AdherenceHealth Knowledge, Attitudes, PracticeMalariaFemaleHumansMaleNigeriaPropensity ScoreAntimalarialsAcceptabilityCommunity PharmacistsComplianceKnowledgeMalariaNigeriaPatent and proprietary medicine vendorsPropensity score matching

Identifiers

PMID42265691
PMCPMC13330328

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LicenceCC BY
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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.