Repeated mosquito net distributions, improved treatment, and trends in malaria cases in sentinel health facilities in Papua New Guinea
Daniela Rodriguez-Rodriguez, Seri Maraga, Lina Lorry, Leanne J Robinson, Peter M Siba, Ivo Mueller, Justin Pulford, Amanda Ross, Manuel W Hetzel
Malaria Journal | BMC | Published : 2019
BACKGROUND: Long-lasting insecticidal nets (LLIN), improved diagnosis and artemisinin-based combination therapy (ACT) have reduced malaria prevalence in Papua New Guinea since 2008. Yet, national incidence trends are inconclusive due to confounding effects of the scale-up of rapid diagnostic tests, and inconsistencies in routine reporting. METHODS: Malaria trends and their association with LLIN and ACT roll-out between 2010 and 2014 in seven sentinel health facilities were analysed. The analysis included 35,329 fever patients. Intervention effects were estimated using regression models. RESULTS: Malaria incidence initially ranged from 20 to 115/1000 population; subsequent trends varied by si..View full abstract
Funding for data collection was provided through a Global Fund to Fight AIDS, Tuberculosis and Malaria Round 8 malaria grant. DRR was supported by the Forlen Stiftung, Basel, and the R. Geigy Foundation, Basel, Switzerland.