How Far Are We from Reaching Universal Malaria Testing of All Fever Cases?

ABSTRACT: Universal malaria diagnostic testing of all fever cases is the first step in correct malaria case management. However, monitoring adherence to universal testing is complicated by unreliable recording and reporting of the true number of fever cases. We searched the literature to obtain gold-standard estimates for the proportion of patients attending outpatient clinics in sub-Saharan Africa with malarial and non-malarial febrile illness. To correct for differences in malaria transmission, we calculated the proportion of patients with fever after excluding confirmed malaria cases. Next, we analyzed routine data from Guinea and Senegal to calculate the proportion of outpatients tested after exclusion of confirmed malaria cases from the numerator and denominator. From 12 health facility surveys

SUBMITTER: Plucinski MM 

PROVIDER: S-EPMC6169169 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature