Table 6. Effect of IPTc on prevalence of parasitaemia, dhps and dhfr resistance markers measured at cross sectional surveys during the intervention year.
Study | Arm | Children with asexual ParasitaemiaA % (N) | p-valueB | Parasite carriage of resistance markers | Estimated minimum prevalence of resistant parasitaemia amongst children | |||||
dhfr triple mutation % (N) | p-valueB | dhps 437 mutation % (N) | p-valueB | dhfr triple mutation % | dhps 437 mutation % | |||||
Pre-intervention | ||||||||||
Cisse (2006) [20] | Niakhar | SP+AS | 37 (516) | 0.77 | 51 (71) | 0.06 | 28 (67) | 0.92 | 19 | 10 |
Placebo | 36 (512) | - | 67 (69) | - | 29 (72) | - | 24 | 11 | ||
Dicko (2008) [21] | Kambila | SP bimonthly | 36 (53) | 0.14 | - | - | - | - | - | - |
Control | 23 (53) | - | - | - | - | - | - | - | ||
Dicko (2011) [12] | Kati Region | SP+AQ | - | - | 59 (41) | - | 38 (41) | - | - | - |
Placebo | - | - | - | - | ||||||
Konaté (2011) [13] | Boussé | SP+AQ | - | - | 33 (132) | - | - | - | - | |
Placebo | - | - | - | - | ||||||
Sesay (2011) [23] | Farafenni | SP+AQ | 0.5 (639) | 0.99 | - | - | - | - | - | - |
Placebo | 0.5 (638) | - | - | - | - | - | - | - | ||
Post-intervention | ||||||||||
Cisse (2006) [20] | Niakhar | SP+AS | 14 (440) | <0.001 | 95 (41) | 0.01 | 86 (28) | <0.001 | 13 | 12 |
Placebo | 37 (446) | - | 75 (122) | - | 44 (89) | - | 28 | 16 | ||
Kweku (2008) [22] | Hohoe | SP bimonthly | 16 (550) | 0.14 | 90 (51) | 0.41 | 63 (54) | 0.33 | 14 | 10 |
AS+AQ bimonthly | 22 (464) | 0.29 | 84 (55) | 0.86 | 63 (51) | 0.35 | 18 | 14 | ||
AS+AQ monthly | 5 (559) | <0.001 | 92 (13) | 0.49 | 45 (11) | 0.62 | 4 | 2 | ||
Placebo | 20 (589) | - | 85 (53) | - | 54 (54) | - | 17 | 11 | ||
Dicko (2008) [21] | Kambila | SP bimonthly | 4 (55) | 0.04 | - | - | - | - | - | - |
Control | 15 (54) | - | - | - | - | - | - | - | ||
Dicko (2011) [12] | Kati Region | SP+AQ | 7 (1405) | <0.001 | 49 (83) | 0.02 | 68 (83) | <0.001 | 5 | 6 |
Placebo | 13 (1423) | - | 34 (160) | 44 (165) | 6 | 8 | ||||
Konaté (2011) [13] | Boussé | SP+AQ | 11 (1436) | <0.001 | 50 (114) | 0.61 | 6 | - | ||
Placebo | 42 (1430) | - | 53 (122) | 22 | - | |||||
Sesay (2011) [23] | Farafenni | SP+AQ | 0.6 (513) | 0.52 | - | - | - | - | - | - |
Placebo | 0.9 (533) | - | - | - | - | - | - | - |
Any density parasitaemia,
Chi2 test, AQ: amodiaquine, AS: artesunate, DHA: dihydroartemisinin, N = total number of samples analysed, PQ: piperaquine, SP: sulphadoxine pyrimethamine.