health centre surveys as a potential tool for monitoring malaria epidemiology by area and over time健康中心作为一个潜在的工具来监控疟疾流行病学调查的地区,随着时间的推移.pdfVIP
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health centre surveys as a potential tool for monitoring malaria epidemiology by area and over time健康中心作为一个潜在的工具来监控疟疾流行病学调查的地区,随着时间的推移
Health Centre Surveys as a Potential Tool for Monitoring
Malaria Epidemiology by Area and over Time
1,2 1 1,2 1 2
Abraham R. Oduro *, Kalifa A. Bojang , David J. Conway , Tumani Corrah , Brian M. Greenwood ,
David Schellenberg2
1 Medical Research Council Laboratories, Banjul, The Gambia, 2 London School of Hygiene and Tropical Medicine, London, United Kingdom
Abstract
Background: Presently, many malaria control programmes use health facility data to evaluate the impact of their
interventions. Facility-based malaria data, although useful, have problems with completeness, validity and representative-
ness and reliance on routinely collected health facility data might undermine demonstration of the magnitude of the impact
of the recent scaleups of malaria interventions. To determine whether carefully conducted health centre surveys can be
reliable means of monitoring area specific malaria epidemiology, we have compared malaria specific indices obtained from
surveys in health centres with indices obtained from cross-sectional surveys conducted in their catchment communities.
Methods: A series of age stratified, seasonal, cross-sectional surveys were conducted during the peak malaria transmission
season in 2008 and during the following dry season in 2009 in six ecologically diverse areas in The Gambia. Participants were
patients who attended the health centres plus a representative sample from the catchment villages of these health facilities.
Parasitaemia, anaemia, attributable proportion of fever and anti-MSP1-19 antibody seroprevalence were compared in the
health facility attendees and community participants.
Results: A total of 16,230 subjects completed the study
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