ArticlePublic health action2026
A nationwide study of community- versus facility-based management of malaria in Sierra Leone from 2019 to 2023.
Article in Public health action, 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
19 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
settingA nationwide analysis in Sierra Leone using routine DHIS2 surveillance data, 2019-2023.
objectivesTo compare community-based and health facility-based malaria case management among people presenting with fever in Sierra Leone from 2019 to 2023, in terms of 1) suspected malaria cases, 2) testing by microscopy or rapid diagnostic tests, and 3) timely initiation of artemisinin-based combination therapy (ACT) within 24 h of reported fever onset, stratified by service level and age.
methodObservational, cross-sectional, comparative analysis of routinely collected national surveillance data.
resultsA total of 16.4 million fever cases were reported, of which 90% were managed at health facilities and 10% by community health workers. Overall, 15.8 million cases were tested for malaria, and 10.0 million were confirmed. Timely initiation of ACT within 24 h of reported fever onset was higher among community-managed cases (72.1%) compared with facility-managed cases (61.8%) (risk ratio 1.7, 95% confidence interval: 1.16-1.19), including children under 5 years.
conclusionCommunity-based malaria case management was associated with higher reported timeliness of ACT initiation compared with facility-based care. However, these findings should be interpreted cautiously, given that it is an observational design and the reliance on routinely collected surveillance data.
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.