The effect of providing fansidar (sulfadoxine-pyrimethamine) in schools on mortality in school-age children in Malawi

Malaria is a major cause of death in school-age (5–18 years) children in Malawi. Save the Children Federation helped schools in Mangochi District, Malawi, to obtain pupil-treatment kits, which enabled teachers to dispense sulfadoxine-pyrimethamine tablets according to national guidelines. The overal...

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Bibliographic Details
Published in:The Lancet (British edition) 2003-02, Vol.361 (9357), p.577-578
Main Authors: Pasha, Omrana, Rosso, Joy Del, Mukaka, Mary, Marsh, David
Format: Article
Language:English
Subjects:
Adolescent
Antimalarials - therapeutic use
Biological and medical sciences
Child
Children & youth
Drug Combinations
Health care
Human protozoal diseases
Humans
Infectious diseases
Malaria
Malaria - drug therapy
Malaria - epidemiology
Malaria - mortality
Malawi - epidemiology
Medical sciences
Mortality
Parasitic diseases
Pharmaceuticals
Protozoal diseases
Pyrimethamine - therapeutic use
Schools
Students
Sulfadoxine - therapeutic use
Tropical medicine
Vector-borne diseases
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Summary:Malaria is a major cause of death in school-age (5–18 years) children in Malawi. Save the Children Federation helped schools in Mangochi District, Malawi, to obtain pupil-treatment kits, which enabled teachers to dispense sulfadoxine-pyrimethamine tablets according to national guidelines. The overall and malaria-specific mortality rates were calculated for the 3 years before and 2 years after the intervention was introduced; rates dropped from 2·2 to 1·44 deaths/1000 student-years and from 1·28 to 0·44 deaths/1000 student-years, respectively. School-based interventions could play a part in mitigating malaria.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(03)12511-1