Effectiveness of a community intervention on malaria in rural Tanzania

• Verfasst von: Eriksen, Jaran [VerfasserIn]
• Verfasst von: Mujinja, P [VerfasserIn]
• Verfasst von: Warsame, M [VerfasserIn]
• Verfasst von: Nsimba, S [VerfasserIn]
• Verfasst von: Kouyaté, B [VerfasserIn]
• Verfasst von: Gustafsson, LL [VerfasserIn]
• Verfasst von: Jahn, Albrecht [VerfasserIn]
• Verfasst von: Müller, Olaf [VerfasserIn]
• Verfasst von: Sauerborn, Rainer [VerfasserIn]
• Verfasst von: Tomson, G [VerfasserIn]
• Titel: Effectiveness of a community intervention on malaria in rural Tanzania
• Titelzusatz: a randomised controlled trial
• Verf.angabe: Eriksen J, Mujinja P, Warsame M, Nsimba S, Kouyaté B, Gustafsson LL, Jahn A, Müller O, Sauerborn R, Tomson G
• E-Jahr: 2010
• Jahr: December 2010
• Umfang: 9 S.
• Fussnoten: Gesehen am 27.03.2023
• Titel Quelle: Enthalten in: African health sciences
• Ort Quelle: Kampala : Makerere Medical School, 2001
• Jahr Quelle: 2010
• Band/Heft Quelle: 10(2010), 4 vom: Dez., Seite 332-340
• ISSN Quelle: 1729-0503
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1840122943

Abstract

Background - Malaria infections are a major public health problem in Africa and prompt treatment is one way of controlling the disease and saving lives. - Methods - This cluster-randomised controlled community intervention conducted in 2003-2005 aimed at improving early malaria case management in under five children. Health workers were trained to train community-based women groups in recognizing malaria symptoms, providing first-line treatment for uncomplicated malaria and referring severe cases. Evaluation was through a pre- (2004) and a post-intervention survey (2005). Anaemia prevalence was the primary outcome. - Results - 1715 children aged 6-59 months were included in the pre-intervention survey and 2169 in the post-intervention survey. The prevalence of anaemia decreased significantly from 37% [95% CI 34.7-39.3] to 0.5% [95% CI 0.2-0.7] after the intervention (p<0.001); slightly more in the intervention (from 43.9% to 0.8%) than in the control (30.8% to 0.17%) group (p=0.038). Fever and reported fever decreased significantly and the mean body weight of the children increased significantly over the study period in both control and intervention groups. - Conclusion - The decrease in anaemia was significantly associated with the intervention, whereas the fever and body weight trends might be explained by other malaria control activities or seasonal/climate effects in the area. The community intervention was shown to be feasible in the study context.