Malaria Journal

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Guidelines and mindlines: why do clinical staff over-diagnose malaria in Tanzania? A qualitative study

Clare IR Chandler*, Caroline Jones, Gloria Boniface, Kaseem Juma, Hugh Reyburn and Christopher JM Whitty

Malaria Journal 2008, 7:53 doi:10.1186/1475-2875-7-53

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BioMed Central: 13 citations

Research   Open Access

Explaining the effects of a multifaceted intervention to improve inpatient care in rural Kenyan hospitals -- interpretation based on retrospective examination of data from participant observation, quantitative and qualitative studies

Mike English, Jacinta Nzinga, Patrick Mbindyo, Philip Ayieko, Grace Irimu, Lairumbi Mbaabu Implementation Science 2011, 6:124 (2 December 2011)

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Treatment guided by rapid diagnostic tests for malaria in Tanzanian children: safety and alternative bacterial diagnoses

George Mtove, Ilse CE Hendriksen, Ben Amos, Hedwiga Mrema, Victor Mandia, Alphaxard Manjurano, Florida Muro, Alma Sykes, Helena Hildenwall, Christopher JM Whitty, Hugh Reyburn Malaria Journal 2011, 10:290 (6 October 2011)

Use of RDTs to direct the use of anti-malarial drugs in young children did not result in any missed diagnoses of malaria although new infections soon after a consultation with a negative RDT result may undermine confidence in results.

Research   Open Access

Management of uncomplicated malaria in children under 13 years of age at a district hospital in senegal: from official guidelines to usual practices

Sophie Sarrassat, Richard Lalou, Moustapha Cissé, Jean-Yves Le Hesran Malaria Journal 2011, 10:285 (29 September 2011)

The paper describes a retrospective study of hospital records of children aged 2months to 13 years seen at a hospital in Senegal in 2004 and 2005. Data are presented for treatments given to febrile, non-febrile, tested, untested patients and patients with unknown temperature.

Review   Open Access

Taking stock: provider prescribing practices in the presence and absence of ACT stock

Bernadette Hensen, Lucy Paintain, Rima Shretta, Jane Bruce, Caroline Jones, Jayne Webster Malaria Journal 2011, 10:218 (3 August 2011)

An important paper in its field addressing relation between anti-malarial prescribing behaviour and ACT stock-out on six studies where some data on this topic are available. The paper concludes that stock outs influence behaviour and rightly call for revival of facility-based quality of care surveys, an activity largely forgotten within most of the control programmes.

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Use of RDTs to improve malaria diagnosis and fever case management at primary health care facilities in Uganda

Daniel J Kyabayinze, Caroline Asiimwe, Damalie Nakanjako, Jane Nabakooza, Helen Counihan, James K Tibenderana Malaria Journal 2010, 9:200 (12 July 2010)

A study of the effect on prescribing practices of introducing RDTs with basic training in Ugandan primary care facilities. The findings are important for the current roll out of RDTs and the recent switch from presumptive to parasitological diagnosis of malaria in children.

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Cost-effectiveness analysis of rapid diagnostic test, microscopy and syndromic approach in the diagnosis of malaria in Nigeria: implications for scaling-up deployment of ACT

Benjamin SC Uzochukwu, Eric N Obikeze, Obinna E Onwujekwe, Chima A Onoka, Ulla K Griffiths Malaria Journal 2009, 8:265 (23 November 2009)

Paper comparing different diagnostic methods used in Nigeria, from a cost-effectiveness view point

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Malaria treatment perceptions, practices and influences on provider behaviour: comparing hospitals and non-hospitals in south-east Nigeria

Obinna Onwujekwe, Benjamin Uzochukwu, Nkem Dike, Nkoli Uguru, Emmanuel Nwobi, Elvis Shu Malaria Journal 2009, 8:246 (28 October 2009)

The behaviour of providers is often influenced by their knowledge, financial incentives, competition, or to follow patient demands and expectations. This study used a pre-tested structured questionnaire to collect data from 225 providers from hospitals and non-hospitals about their malaria treatment practices

Research article   Open Access

Documenting the experiences of health workers expected to implement guidelines during an intervention study in Kenyan hospitals

Jacinta Nzinga, Patrick Mbindyo, Lairumbi Mbaabu, Ann Warira, Mike English Implementation Science 2009, 4:44 (23 July 2009)

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Malaria misdiagnosis in Uganda – implications for policy change

Joan Nankabirwa, Dejan Zurovac, Julius N Njogu, John B Rwakimari, Helen Counihan, Robert W Snow, James K Tibenderana Malaria Journal 2009, 8:66 (16 April 2009)

An important study which shows very poor adherence to microscopy results, (much lower than expected malaria prevalence among sick people, and very poor field microscopy standards. The implications of these findings are discussed in a context where RDTs are likely to replace microscopy in some settings.

Research   Open Access

Falciparum malaria and HIV-1 in hospitalized adults in Maputo, Mozambique: does HIV-infection obscure the malaria diagnosis?

Aase Berg, Sam Patel, Nina Langeland, Bjorn Blomberg Malaria Journal 2008, 7:252 (15 December 2008)

The main point of interest of this paper is that the attributable fraction of febrile illness due to malaria is lower in HIV infected adults compared to those who are uninfected. It adds fresh data to this issue.

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Deployment of ACT antimalarials for treatment of malaria: challenges and opportunities

Christopher JM Whitty, Clare Chandler, Evelyn Ansah, Toby Leslie, Sarah G Staedke Malaria Journal 2008, 7(Suppl 1):S7 (11 December 2008)

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Overuse of artemisinin-combination therapy in Mto wa Mbu (river of mosquitoes), an area misinterpreted as high endemic for malaria

Charles Mwanziva, Seif Shekalaghe, Arnold Ndaro, Bianca Mengerink, Simon Megiroo, Frank Mosha, Robert Sauerwein, Chris Drakeley, Roly Gosling, Teun Bousema Malaria Journal 2008, 7:232 (5 November 2008)

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Reduced paediatric hospitalizations for malaria and febrile illness patterns following implementation of community-based malaria control programme in rural Rwanda

Amy C Sievers, Jenifer Lewey, Placide Musafiri, Molly F Franke, Blaise J Bucyibaruta, Sara N Stulac, Michael L Rich, Corine Karema, Johanna P Daily Malaria Journal 2008, 7:167 (27 August 2008)

A paper presenting interesting data on the effectiveness evaluation of the wide-scale implementation of ITNs and community-based malaria treatment.