Impact of community-based presumptive chloroquine treatment of fever cases on malaria morbidity and mortality in a tribal area in Orissa State, India
2008

Community-Based Chloroquine Treatment for Malaria in India

Sample size: 125439 publication Evidence: moderate

Author Information

Author(s): Das Lalit K, Jambulingam Purushothaman, Sadanandane Candasamy

Primary Institution: Vector Control Research Centre, Indian Council of Medical Research

Hypothesis

Can community-based presumptive chloroquine treatment reduce malaria morbidity and mortality in tribal areas?

Conclusion

The study showed that a community-based chloroquine distribution system is effective in reducing malaria-related morbidity and mortality.

Supporting Evidence

  • The average number of fever days reduced from 5.9 to 1.6 in experimental villages.
  • Malaria mortality declined by 75% in experimental villages compared to check villages.
  • A total of 88,575 fever cases were treated by 411 volunteers over three years.

Takeaway

This study found that giving malaria treatment through local volunteers helped many people feel better and reduced deaths from malaria.

Methodology

Volunteers distributed chloroquine to fever cases, and the impact was evaluated by comparing fever days, incidence, and prevalence in experimental and control villages over three years.

Potential Biases

Potential bias from self-reported data and the influence of local politics on volunteer selection.

Limitations

The study may not be generalizable to other regions due to specific local conditions and reliance on volunteer participation.

Participant Demographics

The majority of volunteers were male, small farmers or agricultural laborers, with some having no formal education.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2875-7-75

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