Literature DB >> 2896957

Comparison of two strategies for control of malaria within a primary health care programme in the Gambia.

B M Greenwood1, A M Greenwood, A K Bradley, R W Snow, P Byass, R J Hayes, A B N'Jie.   

Abstract

Two drug strategies for the control of malaria in children aged 3-59 months have been compared in a rural area of The Gambia--treatment of presumptive episodes of clinical malaria with chloroquine by village health workers, and treatment combined with fortnightly chemoprophylaxis with 'Maloprim' (pyrimethamine/dapsone) which was also given by village health workers. Treatment alone did not have any significant effect on mortality or morbidity from malaria. In contrast, treatment and chemoprophylaxis reduced overall mortality in children aged 1-4 years, mortality from probable malaria, and episodes of fever associated with malaria parasitaemia. A high level of compliance with chemoprophylaxis was obtained and no harmful consequences of chemoprophylaxis were observed.

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Year:  1988        PMID: 2896957     DOI: 10.1016/s0140-6736(88)91949-6

Source DB:  PubMed          Journal:  Lancet        ISSN: 0140-6736            Impact factor:   79.321


  39 in total

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5.  Home treatment of febrile children with antimalarial drugs in Togo.

Authors:  M S Deming; A Gayibor; K Murphy; T S Jones; T Karsa
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6.  Cluster randomised trial of intermittent preventive treatment for malaria in infants in area of high, seasonal transmission in Ghana.

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7.  alpha+-Thalassemia protects children against disease caused by other infections as well as malaria.

Authors:  S J Allen; A O'Donnell; N D Alexander; M P Alpers; T E Peto; J B Clegg; D J Weatherall
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8.  Using community health workers for malaria control: experience in Zaire.

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Review 9.  How might infant and paediatric immune responses influence malaria vaccine efficacy?

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10.  Use of drugs, perceived drug efficacy and preferred providers for febrile children: implications for home management of fever.

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