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Disparities between malaria infection and treatment rates: Evidence from a cross-sectional analysis of households in Uganda

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  • Indrani Saran
  • Jessica Cohen

Abstract

Background: In Sub-Saharan Africa, both under-treatment and over-treatment of malaria are common since illnesses are often diagnosed and treated on the basis of symptoms. We investigate whether malaria treatment rates among febrile individuals correspond to observed patterns of malaria infection by age and by local prevalence. Methods and findings: We use data on treatment of febrile illnesses from a household survey that was conducted between March and May 2012 in 92 villages in six districts in Eastern Uganda. All household members were also tested for malaria using a rapid diagnostic test. We show that both the age of the febrile individual and the village prevalence rate are strongly associated with the odds that a febrile patient was infected with malaria, but not with the odds of ACT treatment. Compared to individuals who were aged 15 or above, febrile individuals aged 5–14 had 3.21 times the odds of testing positive for malaria (95% CI: [2.36 4.37], P

Suggested Citation

  • Indrani Saran & Jessica Cohen, 2017. "Disparities between malaria infection and treatment rates: Evidence from a cross-sectional analysis of households in Uganda," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-18, February.
    • Handle: RePEc:plo:pone00:0171835
    DOI: 10.1371/journal.pone.0171835
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    1. Guido J H Bastiaens & Teun Bousema & Toby Leslie, 2014. "Scale-up of Malaria Rapid Diagnostic Tests and Artemisinin-Based Combination Therapy: Challenges and Perspectives in Sub-Saharan Africa," PLOS Medicine, Public Library of Science, vol. 11(1), pages 1-4, January.
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