Is the Expanded Programme on Immunisation the most appropriate delivery system for intermittent preventive treatment of malaria in West Africa?
Open Access
- 5 June 2007
- journal article
- Published by Wiley in Tropical Medicine & International Health
- Vol. 12 (6) , 743-750
- https://doi.org/10.1111/j.1365-3156.2007.01844.x
Abstract
Summary: Objective To investigate the coverage and equity of the Expanded Programme on Immunisation (EPI) and its effect on age schedule, seasonality of malaria risk, and linked intermittent preventive treatment (IPT) in West Africa.Method Secondary analyses of data from a trial of IPT in Ghana. The potential effectiveness and impact of EPI‐linked IPT in West Africa was calculated using the coverage of Diptheria Pertussis Tetanus vaccination obtained from national surveys and the reported protective efficacies of IPT.Results In West Africa, where the transmission of malaria is highly seasonal, only 10% of malaria episodes in infants would be averted with the current coverage of EPI.Conclusion In this setting, the EPI‐linked IPT is not necessarily the most appropriate approach and alternative IPT schedules and delivery systems are needed.Keywords
This publication has 21 references indexed in Scilit:
- Intermittent Preventive Treatment for Malaria Control Administered at the Time of Routine Vaccinations in Mozambican Infants: A Randomized, Placebo‐Controlled TrialThe Journal of Infectious Diseases, 2006
- Integrating insecticide‐treated bednets into a measles vaccination campaign achieves high, rapid and equitable coverage with direct and voucher‐based methodsTropical Medicine & International Health, 2005
- Cluster randomised trial of intermittent preventive treatment for malaria in infants in area of high, seasonal transmission in GhanaBMJ, 2005
- Editorial: Intermittent preventive treatment for malaria control in infants: moving towards evidence-based policy and public health actionTropical Medicine & International Health, 2005
- Community-directed interventions strategy enhances efficient and effective integration of health care delivery and development activities in rural disadvantaged communities of UgandaTropical Medicine & International Health, 2005
- The global distribution of clinical episodes of Plasmodium falciparum malariaNature, 2005
- Applying an equity lens to child health and mortality: more of the same is not enoughThe Lancet, 2003
- Intermittent treatment for malaria and anaemia control at time of routine vaccinations in Tanzanian infants: a randomised, placebo-controlled trialThe Lancet, 2001
- Changes in the pattern of infant and childhood mortality in Upper River Division, The Gambia, from 1989 to 1993Tropical Medicine & International Health, 1997
- Community participation in the eradication of guinea worm diseaseActa Tropica, 1996