@article{fdi:010087692,
  title = {{M}alaria prevalence in {M}auritania : a systematic review and meta-analysis},
  author = {{E}l {M}oustapha, {I}. and {M}oukah, {M}. {O}. and {S}alem, {M}soa and {B}rahim, {K}. and {B}riolant, {S}. and {B}asco, {L}eonardo and {B}oukhary, {A}oms},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground{U}nderstanding malaria epidemiology is a critical step toward efficient malaria control and elimination. {T}he objective of this meta-analysis was to derive robust estimates of malaria prevalence and {P}lasmodium species from studies conducted in {M}auritania and published since 2000.{M}ethods{T}he present review followed the {PRISMA} guidelines. {S}earches were conducted in various electronic databases such as {P}ub{M}ed, {W}eb of {S}cience, and {S}copus. {T}o obtain pooled prevalence of malaria, meta-analysis was performed using the {D}er{S}imonian-{L}aird random-effects model. {M}ethodological quality of eligible prevalence studies was assessed using {J}oanna {B}riggs {I}nstitute tool. {I}nconsistency and heterogeneity between studies were quantified by the {I}-2 index and {C}ochran's {Q} test. {P}ublication bias was assessed with funnel plots and {E}gger's regression tests.{R}esults{A} total of 16 studies with a good individual methodological quality were included and analysed in this study. {T}he overall random effects pooled prevalence of malaria infection (symptomatic and asymptomatic) across all included studies was 14.9% (95% confidence interval [95% {CI}]: 6.64, 25.80, {I}-2 = 99.8%, {P} < 0.0001) by microscopy, 25.6% (95% {CI}: 8.74, 47.62, {I}-2 = 99.6%, {P} < 0.0001) by {PCR} and 24.3% (95% {CI}: 12.05 to 39.14, {I}-2 = 99.7%, {P} < 0.0001) by rapid diagnostic test. {U}sing microscopy, the prevalence of asymptomatic malaria was 1.0% (95% {CI}: 0.00, 3.48) against 21.46% (95% {CI}: 11.03, 34.21) in symptomatic malaria. {T}he overall prevalence of {P}lasmodium falciparum and {P}lasmodium vivax was 51.14% and 37.55%, respectively. {S}ubgroup analysis showed significant variation ({P} = 0.039) in the prevalence of malaria between asymptomatic and symptomatic cases.{C}onclusion{P}lasmodium falciparum and {P}. vivax are widespread in {M}auritania. {R}esults of this meta-analysis implies that distinct intervention measures including accurate parasite-based diagnosis and appropriate treatment of confirmed malaria cases are critical for a successful malaria control and elimination programme in {M}auritania.},
  keywords = {{M}alaria ; {M}eta-analysis ; {M}auritania ; {P}revalence ; {P}lasmodium falciparum ; {P}lasmodium vivax ; {S}ystematic review ; {MAURITANIE}},
  booktitle = {},
  journal = {{M}alaria {J}ournal},
  volume = {22},
  numero = {1},
  pages = {146 [14 ]},
  year = {2023},
  DOI = {10.1186/s12936-023-04569-4},
  URL = {https://www.documentation.ird.fr/hor/fdi:010087692},
}