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Insecticide-treated curtains reduce the prevalence and intensity of malaria infection in Burkina Faso

et al
August 1999

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Describes a large, randomized controlled trial to investigate the impact of insecticide-treated curtains (ITC) on child mortality that was conducted in an area of seasonal, holoendemic malaria in Burkina Faso. Concludes that widespread implementation of ITC in this area of high malaria transmission led to a modest reduction in the prevalence of malaria infection and to a more substantial reduction in the intensity of these infections which caused increased Hb levels

Changing home treatment of childhood fevers by training shop keepers in rural Kenya

et al
May 1999

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Malaria control in Africa relies primarily on early effective treatment for clinical disease, but most early treatments for fever occur through self-medication with shop-bought drugs. Lack of information to community members on over-the-counter drug use has led to widespread ineffective treatment of fevers, increased risks of drug toxicity and accelerating drug resistance. This study examined the feasibility and measured the likely impact of training shop keepers in rural Africa on community drug use. It concludes that this approach is both feasible and likely to have a significant impact

Malaria prevention : lessons learned

ARATA, Andrew
May 1999

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A brief but insightful report on lessons learned in malaria prevention. These are carefully explained and expanded in the text and include points such as the impact of urbanisation in Africa on malaria epidemiology; the need for simple, rapid but scientifically sound methods for assssing transmission; the role of risk area mapping in surveillance and project planning; and the need for careful operational research prior to implementing Insecticide Treated Net (ITN) programmes

Rebound mortality and the cost-effectiveness of malaria control : potential impact of increased mortality in late childhood following the introduction of insecticide treated nets

March 1999

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Describes a scientific study that investigates the suggestion that long-term use of insecticide-treated nets (ITNs) in areas of high malaria transmission could lead to mortality rebound in later childhood, which would reduce the cost-effectiveness of the intervention, and at the extreme could lead to negative overall effects