# name
Evaluating the impact of programmatic mass drug administration
                for malaria in Zambia using routine incidence data.

# metadata.dc.description.abstract[].value
BACKGROUND NlmCategory: BACKGROUND content: In
                2016, the Zambian National Malaria Elimination Centre started
                programmatic mass drug administration (pMDA) campaigns with
                dihydroartemisinin-piperaquine as a malaria elimination tool in
                Southern Province. Two rounds were administered, two months
                apart (coverage 70% and 57% respectively). We evaluated the
                impact of one year of pMDA on malaria incidence using routine
                data. - Label: METHODS NlmCategory: METHODS content: We
                conducted an interrupted time series with comparison group
                analysis on monthly incidence data collected at the health
                facility catchment area (HFCA) level, with a negative binomial
                model using generalized estimating equations. pMDA was conducted
                in HFCAs with greater than 50 cases/1,000 people/year. Ten HFCAs
                with incidence rates marginally above this threshold (pMDA
                group) were compared to 20 HFCAs marginally below (comparison
                group). - Label: RESULTS NlmCategory: RESULTS content: "The pMDA
                HFCAs saw a 46% greater decrease in incidence at the time of
                intervention than the comparison areas (incidence rate ratio:
                0.536 [0.337-0.852]); however, incidence increased toward the
                end of the season. No HFCAs saw a transmission interruption." -
                Label: CONCLUSION NlmCategory: CONCLUSIONS content: pMDA,
                implemented during one year with imperfect coverage in low
                transmission areas with sub-optimal vector control coverage,
                significantly reduced incidence. However, elimination will
                require additional tools. Routine data are important resources
                for programmatic impact evaluations and should be considered for
                future analyses.

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
Evaluating the impact of programmatic mass drug administration
                for malaria in Zambia using routine incidence data.