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Region: Africa
- Landscape Assessment of Opportunities for Introduction of HPV DNA Tests in Kenya, Tanzania, and Uganda: Report Executive Summaries
PATH conducted a landscape analysis of cervical cancer screening in Kenya, Tanzania, and Uganda to clarify opportunities for HPV testing as a primary cervical cancer screening method in these countries. We conducted stakeholder interviews and meetings in each country to discuss the decision-making process for test introduction, potential advantages of HPV testing, and anticipated barriers to introduction and ways to overcome them.
Publication date: December 2016
Region: Africa
- Adverse Event Reporting From Malaria Mass Drug Administration Rounds Conducted in Southern Province, Zambia
This poster demonstrates that the use of DHAp for malaria treatment was generally safe and well tolerated. A total of 687 adverse events (AEs) were reported (0.13% of participants, 0.24% of treatments). Four AEs were initially reported as serious adverse events, though three were later identified as not related to drug ingestion.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Case Investigation With Reactive Focal Drug Administration for Malaria in Northern Senegal
The objective of the study was to evaluate whether case investigation with focal testing and focal drug administration can decrease malaria incidence. The lack of impact attributable to the program may have been due to the large increase in cases and subsequent imperfect case investigation, with 33% of eligible cases not investigated.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Comparing Data From a Malaria Routine Surveillance System to Health Facility Source Records in Ethiopia and Senegal
This poster, which focuses on data from Ethiopia and Senegal, shows that differences between DHIS2 and the facility source records are small and decreased from 2013 to 2014, suggesting that the system can provide accurate and timely information on malaria transmission intensity at the health-post level.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Cost-Effectiveness of Malaria Control Measures: A Cluster-Randomized Control Trial of IRS and LLINs in Mozambique
This poster details a study evaluating the cost-effectiveness of indoor residual spraying (IRS) with pirimiphos-methyl, in addition to long-lasting insecticide-treated bednets (LLINs) in an area of high malaria transmission and emerging pyrethroid resistance.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Do Dashboards Matter for Malaria Elimination?: Documented Experience From the Development and Testing of Visualizations, Dashboards, and Alerts for Malaria Elimination in Southern Province, Zambia
Real-time, accurate, and actionable data are critical for malaria elimination; using dashboards to visualize malaria data in Zambia is one possible solution to strengthen feedback loops to the most granular levels and motivate end users. To make dashboards matter, dashboards should be developed jointly with eventual end users and focus on tools for practical decision-making.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Mother-Baby Friendly Initiative Plus: A Model for Human Milk Banking in Kenya
This fact sheet describes how PATH supports Kenyan partners to adapt our existing human milk banking model, called the Mother-Baby Friendly Initiative Plus (MBFI+), to meet the country’s needs for newborn care.
Publication date: November 2016
- Outdoor Biting Behaviour and Insecticide Resistance in Malaria Vectors Might Challenge Malaria Elimination in Southern Province, Zambia
This study aimed to monitor vector behavior, species composition, and vector susceptibility to insecticides used for malaria vector control to guide the malaria elimination agenda. Outdoor biting, early biting, pyrethroid insecticide resistance, and carbamate insecticide resistance were identified and could undermine elimination efforts. Additional interventions and sustainable insecticide resistance management strategies are likely to be required.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- PET-PCR Method for Supporting Malaria Elimination Infection Identification as Part of a Field Trial in Mass Drug Administration in Southern Zambia
This study aimed to identify infections below the level of detection of the HRP2-based RDTs used to screen a cohort of individuals followed longitudinally in a randomized control trial. A negative RDT was highly predictive of a true negative, however a positive RDT was only correct half the time. RDT-positive/PCR-negative samples were likely to have been recently treated and cleared of parasites.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Reactive Case Investigation With Reactive Focal Testing and Treatment for Malaria in Targeted Regions in Senegal: Operational Learnings
This analysis assessed operational aspects of implementing reactive case investigation in very low malaria transmission areas in northern Senegal. Malaria incidence increased throughout the country, overwhelming the health system and contributing to case investigation not being conducted according to protocol, missing many households.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Results From the 2015 Ethiopia National Malaria Indicator Survey
The most recent Ethiopia National Malaria Indicator Survey was conducted in 2015 and sought to measure progress toward achieving the goals and objectives of the Ethiopia National Malaria Strategic Plan 2011–2015. The survey noted improvements in intervention coverage and use, but also identified gaps in utilization of interventions, especially in low transmission areas.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Surveillance Systems for Elimination: Lessons From Rapid Reporting Across Four Countries
Findings suggest that the selection of open source platforms such as DHIS2 and ODK and the training and mentoring of local staff at all levels can lead to a well-supported system that can produce high-quality information for decision-making.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Targeted Community Sensitization to Reduce Anticipated Refusals in a Malaria Mass Drug Administration Trial: Lessons Learned in Southern Zambia
Participating communities were reached with information about mass drug administration (MDA) through village meetings, drama groups, radio ads, and engagement of village chiefs and local headmen among other methods. Communities that received sensitization were able to recall MDA messages, refusal rate was low (2%), and most participants reported that they believed the benefits of participating to outweigh the risks.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Transitioning an Evidence-Based Malaria Mass Drug Administration Research Strategy to Program/Routine Mode: Factors for Consideration
Following the implementation of a successful study trial to evaluate mass drug administration (MDA), the next logical step is to transition to program mode. A modified MDA program has been developed based on evidence generated from the trial that is currently being implemented in southern Zambia.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Understanding the Role of Regional Centres of Regulatory Excellence in Strengthening Medicines Regulation in Africa
In 2014, in response to the need to increase access to health technologies and bolster innovation, NEPAD agency launched efforts to designate Regional Centres of Regulatory Excellence (RCOREs) in Africa. RCOREs aim to improve the safety and quality of health technologies by strengthening regulatory capacity in African Union member states.
Publication date: November 2016
Region: Africa
- Using Outreach Training and Supportive Supervision to Monitor Adherence to Updated Malaria Case Management Guidelines in the Eastern Region of Ghana
To facilitate uptake of the updated national health facility guidelines and enhance the quality of malaria case management, MalariaCare supported Ghana’s National Malaria Control Program to conduct on-site training and supportive supervision (OTSS) visits to 26 districts in Ghana’s Eastern region. This poster details the results of these visits and the study’s implications for malaria case management.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Zambia National Malaria Indicator Survey 2015: Data Collection, Processing, and Results
The 2015 malaria indicator survey (MIS) reflected high ITN coverage and increased IPTp coverage. Most provinces could further expand IRS. Despite high ITN coverage, there was not a drop in malaria prevalence by microscopy.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Zambia’s Strategy to Move From Accelerated Burden Reduction to Malaria Elimination (2016–2020)
Zambia looks to pursue an increasingly aggressive strategy in pursuit of a malaria-free country. The strategy will use a stratified approach to deploy interventions across the country, building on progress to date, and accelerate efforts toward national elimination with a focus on strengthening surveillance systems, expanding access to diagnosis and treatment, enhancing coverage of vector control interventions, and rolling out population-wide and focal drug-based strategies where appropriate.
Publication date: November 2016
Region: Africa
Part of series: ASTMH posters
- Addressing Shared Fecal Sludge Containment Needs in Abidjan, Cote d’Ivoire
The goal of the Sanitation Service Delivery (SSD) project is to improve urban sanitation outcomes through developing scalable, market-based models that contribute to structural change within the region’s sanitation sector. Results from user research on shared fecal sludge containment in Abidjan, Cote d’Ivoire are outlined in this poster.
Publication date: October 2016
Region: Africa
- Congenital Syphilis in Nigeria, Zambia, and India: Identifying Policy Pathways to Eliminate Mother-to-Child Transmission of Syphilis
Syphilis remains a serious health threat for pregnant women and newborns, though elimination of mother-to-child transmission (EMTCT) of syphilis is within reach. This paper, focusing on Nigeria, Zambia, and India, provides policy recommendations to strengthen commitment to EMTCT of syphilis and advance solutions that expand access to high-quality services.
Publication date: October 2016