Rational case management of malaria with a rapid diagnostic test, Paracheck Pf®, in antenatal health care in Bangui, Central African Republic.

Abstract : UNLABELLED: ABSTRACT: BACKGROUND: Both treatment and prevention strategies are recommended by the World Health Organization for the control of malaria during pregnancy in tropical areas. The aim of this study was to assess use of a rapid diagnostic test for prompt management of malaria in pregnancy in Bangui, Central African Republic. METHODS: A cohort of 76 pregnant women was screened systematically for malaria with ParacheckPf® at each antenatal visit. The usefulness of the method was analysed by comparing the number of malaria episodes requiring treatment in the cohort with the number of prescriptions received by another group of pregnant women followed-up in routine antenatal care. RESULTS: In the cohort group, the proportion of positive ParacheckPf® episodes during antenatal clinics visits was 13.8%, while episodes of antimalarial prescriptions in the group which was followed-up routinely by antenatal personnel was estimated at 26.3%. Hence, the relative risk of the cohort for being prescribed an antimalarial drug was 0.53. Therefore, the attributable fraction of presumptive treatment avoided by systematic screening with ParacheckPf® was 47%. CONCLUSIONS: Use of a rapid diagnostic test is useful, affordable and easy for adequate treatment of malaria in pregnant women. More powerful studies of the usefulness of introducing the test into antenatal care are needed in all heath centres in the country and in other tropical areas.
Document type :
Journal articles
Complete list of metadatas

Cited literature [41 references]  Display  Hide  Download

https://hal-riip.archives-ouvertes.fr/pasteur-00734478
Contributor : Mirdad Kazanji <>
Submitted on : Monday, September 24, 2012 - 4:06:00 PM
Last modification on : Thursday, April 18, 2019 - 11:35:26 PM
Long-term archiving on: Friday, December 16, 2016 - 3:45:01 PM

File

MANIRAKISA_2012_BMCPublicHealt...
Publisher files allowed on an open archive

Identifiers

Collections

Citation

Alexandre Manirakiza, Eugène Serdouma, Luc Salva Heredeïbona, Djibrine Djalle, Nestor Madji, et al.. Rational case management of malaria with a rapid diagnostic test, Paracheck Pf®, in antenatal health care in Bangui, Central African Republic.. BMC Public Health, BioMed Central, 2012, 12, pp.482. ⟨10.1186/1471-2458-12-482⟩. ⟨pasteur-00734478⟩

Share

Metrics

Record views

239

Files downloads

163