Evidence map›Paper›PMID 42373213›Full record

ArticleBMJ global health2026

Risk perceptions of high-dose primaquine and tafenoquine among

Muthoni Mwaura, Nora Engel, Muhaba Kejela, Kansite Gellebo Korra, Tsegabehan Wodaj, Tamiru Shibiru Degaga, Benedikt Ley, Ric Price, Anja Krumeich, Kamala Thriemer

Abstract read
In one paragraph

Article in BMJ global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Muthoni MwauraGlobal and Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia muthoni.mwaura@menzies.edu.au.ORCID 0000-0002-5297-5999
Nora EngelGlobal and Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.
Muhaba KejelaDepartment of Sociology and Social Anthropology, Arba Minch University, Arba Minch, Ethiopia.
Kansite Gellebo KorraDepartment of Sociology and Social Anthropology, Arba Minch University, Arba Minch, Ethiopia.
Tsegabehan WodajDepartment of English Language and Literature, Arba Minch University, Arba Minch, Ethiopia.
Tamiru Shibiru DegagaGlobal and Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.
Benedikt LeyGlobal and Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.ORCID 0000-0002-5734-0845
Ric PriceGlobal and Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.ORCID 0000-0003-2000-2874
Anja KrumeichDepartment of Health Ethics and Society, Care and Public Health Research Institute, Maastricht University, Maastricht, LI, Netherlands.
Kamala ThriemerGlobal and Tropical Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia.ORCID 0000-0001-7536-7497

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence to radical cure for

methodsGuided by qualitative methodology and a risk perception lens, this study explored

resultsThe 7-day-high-dose primaquine regimen and single-dose tafenoquine were viewed as promising solutions to the adherence challenges of the standard 14-day primaquine regimen; however, participants raised concerns about the effectiveness of the shortened treatment duration and the safety of the increased daily dose of primaquine. A risk perception lens revealed that concerns about effectiveness and safety were influenced by prior public health messaging emphasising completion of the full 14-day regimen alongside fears of overdosing and drug-induced haemolysis. Pill characteristics, including number, shape and colour as well as fears of overdosing and drug-induced haemolysis also contributed to apprehension about the safety of these regimens.

conclusionParticipants' perceptions of shortened radical cure regimens were shaped by concerns about effectiveness and safety, influenced by prior treatment messaging and pill characteristics such as higher dosing and pill burden. A risk perception lens can inform implementation and communication strategies for novel regimens, where addressing user perceptions alongside practical improvements, such as reducing pill burden, is essential for optimising uptake and adherence.

Indexed as

AminoquinolinesAntimalarialsMalaria, VivaxPrimaquineAdultEthiopiaFemaleFocus GroupsGlucosephosphate Dehydrogenase DeficiencyHumansMaleQualitative ResearchAminoquinolinesAntimalarialsPrimaquinetafenoquineGlobal HealthMalariaQualitative studyTreatment

Identifiers

PMID42373213
PMCPMC13331116

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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.