@article{fdi:010063691,
  title = {{N}ationwide evaluation of malaria infections, morbidity, mortality, and coverage of malaria control interventions in {M}adagascar},
  author = {{K}esteman, {T}. and {R}andrianarivelojosia, {M}. and {M}attern, {C}. and {R}aboanary, {E}. and {P}ourette, {D}olores and {G}irond, {F}. and {R}aharimanga, {V}. and {R}andrianasolo, {L}. and {P}iola, {P}. and {R}ogier, {C}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {I}n the last decade, an important scale-up was observed in malaria control interventions. {M}adagascar entered the process for pre-elimination in 2007. {P}olicy making needs operational indicators, but also indicators about effectiveness and impact of malaria control interventions ({MCI}). {T}his study is aimed at providing data about malaria infection, morbidity, and mortality, and {MCI} in {M}adagascar. {M}ethods: {T}wo nationwide surveys were simultaneously conducted in 2012-2013 in {M}adagascar: a study about non-complicated clinical malaria cases in 31 sentinel health facilities, and a cross-sectional survey ({CSS}) in 62 sites. {T}he {CSS} encompassed interviews, collection of biological samples and verbal autopsies ({VA}). {D}ata from {CSS} were weighted for age, sex, malaria transmission pattern, and population density. {VA} data were processed with {I}nter{VA}-4 software. {R}esults: {CSS} included 15,746 individuals of all ages. {P}arasite rate ({PR}) as measured by rapid diagnostic tests was 3.1%, and was significantly higher in five to 19 year olds, in males, poorer socio-economic status ({SES}) quintiles and rural areas. {L}ong-lasting insecticidal nets ({LLIN}) use was 41.7% and was significantly lower in five to 19 year olds, males and wealthier {SES} quintiles. {P}roportion of persons covered by indoor residual spraying ({IRS}) was 66.8% in targeted zones. {P}roportion of persons using other insecticides than {IRS} was 22.8%. {C}overage of intermittent preventive treatment during pregnancy was 21.5%. {E}xposure to information, education and communication messages about malaria was significantly higher in wealthier {SES} for all media but information meetings. {T}he proportion of fever case managements considered as appropriate with regard to malaria was 15.8%. {M}alaria was attributed as the cause of death in 14.0% of 86 {VA}, and 50% of these deaths involved persons above the age of five years. {T}he clinical case study included 818 cases of which people above the age of five accounted for 79.7%. {I}n targeted zones, coverage of {LLIN} and {IRS} were lower in clinical cases than in general population. {C}onclusions: {T}his study provides valuable data for the evaluation of effectiveness and factors affecting {MCI}. {MCI} and evaluation surveys should consider the whole population and not only focus on under-fives and pregnant women in pre-elimination or elimination strategies.},
  keywords = {{M}alaria ; {M}ortality ; {M}orbidity ; {P}revalence ; {P}revention and control ; {C}ross-sectional studies ; {H}ealth surveys ; {V}ector control ; {I}nsecticide-treated bed nets ; {C}ase management ; {MADAGASCAR}},
  booktitle = {},
  journal = {{M}alaria {J}ournal},
  volume = {13},
  numero = {},
  pages = {art. 465 [19 ]},
  ISSN = {1475-2875},
  year = {2014},
  DOI = {10.1186/1475-2875-13-465},
  URL = {https://www.documentation.ird.fr/hor/fdi:010063691},
}