Baseline malaria prevalence and care-seeking behaviours in rural Madagascar prior to a trial to expand malaria community case management to all ages

Background Integrated community case management of malaria, pneumonia, and diarrhoea can reduce mortality in children under five years (CU5) in resource-poor countries. There is growing interest in expanding malaria community case management (mCCM) to older individuals, but limited empirical evidenc...

Full description

Saved in:
Bibliographic Details
Published in:Malaria journal 2021-10, Vol.20 (1), p.1-422, Article 422
Main Authors: Sayre, Dean, Steinhardt, Laura C., Irinantenaina, Judickaelle, Dentinger, Catherine, Rasoanaivo, Tsinjo Fehizoro, Kapesa, Laurent, Razafindrakoto, Jocelyn, Legrand, Agathe, Prada, Nicole, Gutman, Julie, Lewis, Lauren, Mangahasimbola, Reziky Tiandraza, Andriamananjara, Mauricette, Ravaoarinosy, Aimée Vololoniala, Ralemary, Nicolas, Garchitorena, Andres, Harimanana, Aina
Format: Article
Language:English
Subjects:
Age
Behavior
Case management
Catchment area
Catchment areas
Children
Confidence intervals
Diarrhea
Disease transmission
Enumeration
Expansion
Fever
Health care
Health facilities
Households
Human diseases
Laboratories
Life Sciences
Malaria
Mortality
Participation
Pneumonia
Polls & surveys
Population
Population characteristics
Rural areas
Santé publique et épidémiologie
Surveillance
Surveying
Vector-borne diseases
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Integrated community case management of malaria, pneumonia, and diarrhoea can reduce mortality in children under five years (CU5) in resource-poor countries. There is growing interest in expanding malaria community case management (mCCM) to older individuals, but limited empirical evidence exists to guide this expansion. As part of a two-year cluster-randomized trial of mCCM expansion to all ages in southeastern Madagascar, a cross-sectional survey was conducted to assess baseline malaria prevalence and healthcare-seeking behaviours. Methods Two enumeration areas (EAs) were randomly chosen from each catchment area of the 30 health facilities (HFs) in Farafangana district designated for the mCCM age expansion trial; 28 households were randomly selected from each EA for the survey. All household members were asked about recent illness and care-seeking, and malaria prevalence was assessed by rapid diagnostic test (RDT) among children 
ISSN:1475-2875
1475-2875
DOI:10.1186/s12936-021-03956-z