Advances in malaria elimination in Botswana: a dramatic shift to parasitological diagnosis, 2008-2014

Hdl Handle:
http://hdl.handle.net/10144/619149
Title:
Advances in malaria elimination in Botswana: a dramatic shift to parasitological diagnosis, 2008-2014
Authors:
Moakofhi, K; Edwards, JK; Motlaleng, M; Namboze, J; Butt, W; Obopile, M; Mosweunyane, T; Manzi, M; Takarinda, KC; Owiti, P
Journal:
Public Health Action
Abstract:
Background: Malaria elimination requires infection detection using quality assured diagnostics and appropriate treatment regimens. Although Botswana is moving towards malaria elimination, reports of unconfirmed cases may jeopardise this effort. This study aimed to determine the proportion of cases treated for malaria that were confirmed by rapid diagnostic testing (RDT) and/or microscopy. Methods: This was a retrospective descriptive study using routine national data from the integrated disease surveillance and case-based surveillance systems from 2008 to 2014. The data were categorised into clinical and confirmed cases each year. An analysis of the data on cases registered in three districts that reported approximately 70% of all malaria cases was performed, stratified by year, type of reporting health facilities and diagnostic method. Results: During 2008-2014, 50 487 cases of malaria were reported in Botswana, and the proportion of RDT and/or blood microscopy confirmed cases improved from 6% in 2008 to 89% in 2013. The total number of malaria cases decreased by 97% in the same period, then increased by 41% in 2013. Conclusion: This study shows that malaria diagnostic tests dramatically improved malaria diagnosis and consequently reduced the malaria burden in Botswana. The study identified a need to build capacity on microscopy for species identification, parasite quantification and guiding treatment choices.
Publisher:
International Union Against Tuberculosis and Lung Disease
Issue Date:
25-Apr-2018
URI:
http://hdl.handle.net/10144/619149
DOI:
10.5588/pha.17.0017
PubMed ID:
29713592
Submitted date:
2018-05-11
Language:
en
ISSN:
2220-8372
Appears in Collections:
Operational Research Courses

Full metadata record

DC FieldValue Language
dc.contributor.authorMoakofhi, Ken
dc.contributor.authorEdwards, JKen
dc.contributor.authorMotlaleng, Men
dc.contributor.authorNamboze, Jen
dc.contributor.authorButt, Wen
dc.contributor.authorObopile, Men
dc.contributor.authorMosweunyane, Ten
dc.contributor.authorManzi, Men
dc.contributor.authorTakarinda, KCen
dc.contributor.authorOwiti, Pen
dc.date.accessioned2018-05-17T14:39:46Z-
dc.date.available2018-05-17T14:39:46Z-
dc.date.issued2018-04-25-
dc.date.submitted2018-05-11-
dc.identifier.citationAdvances in malaria elimination in Botswana: a dramatic shift to parasitological diagnosis, 2008-2014. 2018, 8 (Suppl 1):S34-S38 Public Health Actionen
dc.identifier.issn2220-8372-
dc.identifier.pmid29713592-
dc.identifier.doi10.5588/pha.17.0017-
dc.identifier.urihttp://hdl.handle.net/10144/619149-
dc.description.abstractBackground: Malaria elimination requires infection detection using quality assured diagnostics and appropriate treatment regimens. Although Botswana is moving towards malaria elimination, reports of unconfirmed cases may jeopardise this effort. This study aimed to determine the proportion of cases treated for malaria that were confirmed by rapid diagnostic testing (RDT) and/or microscopy. Methods: This was a retrospective descriptive study using routine national data from the integrated disease surveillance and case-based surveillance systems from 2008 to 2014. The data were categorised into clinical and confirmed cases each year. An analysis of the data on cases registered in three districts that reported approximately 70% of all malaria cases was performed, stratified by year, type of reporting health facilities and diagnostic method. Results: During 2008-2014, 50 487 cases of malaria were reported in Botswana, and the proportion of RDT and/or blood microscopy confirmed cases improved from 6% in 2008 to 89% in 2013. The total number of malaria cases decreased by 97% in the same period, then increased by 41% in 2013. Conclusion: This study shows that malaria diagnostic tests dramatically improved malaria diagnosis and consequently reduced the malaria burden in Botswana. The study identified a need to build capacity on microscopy for species identification, parasite quantification and guiding treatment choices.en
dc.language.isoenen
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen
dc.rightsArchived with thanks to Public Health Actionen
dc.titleAdvances in malaria elimination in Botswana: a dramatic shift to parasitological diagnosis, 2008-2014en
dc.identifier.journalPublic Health Actionen

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