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Impact of a malaria intervention package in schools on Plasmodium infection, anaemia and cognitive function in schoolchildren in Mali: a pragmatic cluster-randomised trial

Author

Listed:
  • Siân Clarke

    (Faculty of Infectious and Tropical Diseases - LSHTM - London School of Hygiene and Tropical Medicine)

  • Saba Rouhani

    (Faculty of Infectious and Tropical Diseases - LSHTM - London School of Hygiene and Tropical Medicine, Save the Children, Bamako, Mali)

  • Seybou Diarra

    (Save the Children, Bamako, Mali)

  • Renion Saye

    (INSP - Institut National de Santé Publique [Bamako] = National Institute of Research on Public Health)

  • Modibo Bamadio

    (Save the Children, Bamako, Mali)

  • Rebecca Jones

    (Faculty of Infectious and Tropical Diseases - LSHTM - London School of Hygiene and Tropical Medicine)

  • Diahara Traore

    (Ministry of Health, Programme National de Lutte contre le Paludisme, Mali)

  • Klenon Traore

    (Ministry of Health, Programme National de Lutte contre le Paludisme, Mali)

  • Matthew Jukes

    (National Institute for Environmental Health Sciences Research Triangle Park - National Institute for Environmental Health Sciences Research Triangle Park)

  • Josselin Thuilliez

    (CES - Centre d'économie de la Sorbonne - UP1 - Université Paris 1 Panthéon-Sorbonne - CNRS - Centre National de la Recherche Scientifique)

  • Simon Brooker

    (Faculty of Infectious and Tropical Diseases - LSHTM - London School of Hygiene and Tropical Medicine)

  • Natalie Roschnik

    (Save the Children, Bamako, Mali)

  • Moussa Sacko

    (INSP - Institut National de Santé Publique [Bamako] = National Institute of Research on Public Health)

Abstract

Background : School-aged children are rarely targeted by malaria control programmes, yet the prevalence of Plasmodium infection in primary school children often exceeds that seen in younger children and could affect haemoglobin concentration and school performance. Methods : A cluster-randomised trial was carried out in 80 primary schools in southern Mali to evaluate the impact of a school-based malaria intervention package. Intervention schools received two interventions sequentially: (1) teacher-led participatory malaria prevention education, combined with distribution of long-lasting insecticidal nets (LLINs), followed 7 months later at the end of the transmission season by (2) mass delivery of artesunate and sulfadoxine-pyrimethamine administered by teachers, termed intermittent parasite clearance in schools (IPCs). Control schools received LLINs as part of the national universal net distribution programme. The impact of the interventions on malaria and anaemia was evaluated over 20 months using cross-sectional surveys in a random subset of 38 schools(all classes), with a range of cognitive measures (sustained attention, visual search, numeracy, vocabulary and writing) assessed in a longitudinal cohort of children aged 9–12 years in all 80 schools.

Suggested Citation

  • Siân Clarke & Saba Rouhani & Seybou Diarra & Renion Saye & Modibo Bamadio & Rebecca Jones & Diahara Traore & Klenon Traore & Matthew Jukes & Josselin Thuilliez & Simon Brooker & Natalie Roschnik & Mou, 2017. "Impact of a malaria intervention package in schools on Plasmodium infection, anaemia and cognitive function in schoolchildren in Mali: a pragmatic cluster-randomised trial," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) halshs-01674689, HAL.
    • Handle: RePEc:hal:cesptp:halshs-01674689
    DOI: 10.1136/bmjgh-2016-000182
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    Cited by:

    1. Noam Angrist & Matthew C. H. Jukes & Sian Clarke & R. Matthew Chico & Charles Opondo & Donald Bundy & Lauren M. Cohee, 2023. "School-based malaria chemoprevention as a cost-effective approach to improve cognitive and educational outcomes: a meta-analysis," Papers 2303.10684, arXiv.org.
    2. Cirera, Laia & Castelló, Judit Vall & Brew, Joe & Saúte, Francisco & Sicuri, Elisa, 2022. "The impact of a malaria elimination initiative on school outcomes: Evidence from Southern Mozambique," Economics & Human Biology, Elsevier, vol. 44(C).

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