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Prompt access to effective malaria treatment among children under five in sub-Saharan Africa: a multi-country analysis of national household survey data

Overview of attention for article published in Malaria Journal, August 2015
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  • Above-average Attention Score compared to outputs of the same age (51st percentile)
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29 Dimensions

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154 Mendeley
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Title
Prompt access to effective malaria treatment among children under five in sub-Saharan Africa: a multi-country analysis of national household survey data
Published in
Malaria Journal, August 2015
DOI 10.1186/s12936-015-0844-7
Pubmed ID
Authors

Jui A. Shah, Jacques B. O. Emina, Erin Eckert, Yazoume Ye

Abstract

Scaling up diagnostic testing and treatment is a key strategy to reduce the burden of malaria. Delays in accessing treatment can have fatal consequences; however, few studies have systematically assessed these delays among children under five years of age in malaria-endemic countries of sub-Saharan Africa. This study identifies predictors of prompt treatment with first-line artemisinin combination therapy (ACT) and describes profiles of children who received this recommended treatment. This study uses data from the most recent Demographic and Health Survey, Malaria Indicator Survey, or Anaemia and Parasite Prevalence Survey conducted in 13 countries. A Chi square automatic interaction detector (CHAID) model was used to identify factors associated with prompt and effective treatment among children under five years of age. The percentage of children with fever who received any anti-malarial treatment varies from 3.6 % (95 % CI 2.8-4.4 %) in Ethiopia to 64.5 % (95 % CI 62.7-66.2 %) in Uganda. Among those who received prompt treatment with any anti-malarial medicine, the percentage who received ACT ranged from 32.2 % (95 % CI 26.1-38.4 %) in Zambia to nearly 100 % in Tanzania mainland and Zanzibar. The CHAID analysis revealed that country of residence is the best predictor of prompt and effective treatment (p < 0.001). Depending on the country, the second best predictor was maternal education (p = 0.004), place of residence (p = 0.008), or household wealth index (p < 0.001). This study reveals that country of residence, maternal education, place of residence, and socio-economic status are key predictors of prompt access to malaria treatment. Achieving universal coverage and the elimination agenda will require effective monitoring to detect disparities early and sustained investments in routine data collection and policy formulation.

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The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 154 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Ethiopia 1 <1%
Kenya 1 <1%
Nigeria 1 <1%
Unknown 151 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 30 19%
Researcher 22 14%
Student > Bachelor 13 8%
Student > Postgraduate 9 6%
Student > Ph. D. Student 8 5%
Other 26 17%
Unknown 46 30%
Readers by discipline Count As %
Medicine and Dentistry 34 22%
Nursing and Health Professions 18 12%
Social Sciences 13 8%
Agricultural and Biological Sciences 11 7%
Biochemistry, Genetics and Molecular Biology 4 3%
Other 19 12%
Unknown 55 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 January 2016.
All research outputs
#14,465,725
of 24,400,706 outputs
Outputs from Malaria Journal
#3,642
of 5,827 outputs
Outputs of similar age
#130,427
of 272,282 outputs
Outputs of similar age from Malaria Journal
#73
of 136 outputs
Altmetric has tracked 24,400,706 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 5,827 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.0. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 272,282 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 136 others from the same source and published within six weeks on either side of this one. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.