Table 3. Efficacy and impact of SMC against malaria, parasitaemia, gametocyte carriage, anaemia, and deaths, in each age group.
Outcome | CCM | SMC+CCM | Efficacy (95% CI) | Difference‡ (95% CI) |
---|---|---|---|---|
Children <5 years (aged 3–59 months at cycle 1) | ||||
Malaria cases, rate/1,000 (cases/1,000s of person-months)* | 134.6 (797/5.92) | 23.8 (145/6.10) | 82% (71%, 89%) | 110.8 (64.7, 156.8), p < 0.001 |
Prevalence of parasitaemia† | 18% | 5.7% | 69% (42%, 83%) | 12.5% (6.8%, 18.2%), p < 0.001 |
Gametocyte carriage† | 3.5% | 1.1% | 69% (−2.1%, 91%) | 2.45% (−0.6%, 5.5%), p = 0.105 |
Mean Hb, g/l† | 94 | 101 | 7 (2, 11), p = 0.007 | |
Anaemia (Hb < 110 g/l)† | 77.4% | 68.4% | 12% (0.0%, 22%) | 9.1% (0.6%, 17.5%), p = 0.037 |
Severe anaemia (Hb < 60 g/l)† | 3.3% | 0.81% | 75% (13%, 93%) | 2.5% (0.2%, 5.0%), p = 0.036 |
Deaths from all causes, rate/1,000 (deaths/1,000s of person-months)* | 1.87 (11/5.92) | 1.98 (12/6.10) | −0.11 (−2.0, 1.8) | |
Children 5–9 years (aged 60–119 months at cycle 1) | ||||
Malaria cases, rate/1,000 (cases/1,000s of person-months)* | 121.6 (675/5.55) | 20.2 (125/6.17) | 83% (76%, 89%) | 101.3 (66.7, 136.0), p < 0.001 |
Prevalence of parasitaemia† | 25% | 5.8% | 77% (53%, 89%) | 19.3% (8.3%, 30.2%), p = 0.001 |
Gametocyte carriage† | 2.1% | 1.2% | 44% (−115%, 86%) | 0.9% (−1.0%, 2.8%), p = 0.327 |
Mean Hb, g/l† | 109 | 114 | 5.2 (0.4, 9.9), p = 0.035 | |
Anaemia (Hb < 110 g/l)† | 47.5% | 33.4% | 30% (5.4%, 48%) | 14.1% (3.1%, 25.0%), p = 0.014 |
Severe anaemia (Hb < 60 g/l)† | 2.1% | 1.7% | 16% (−224%, 78%) | 0.3% (−2.1%, 2.8%), p = 0.778 |
Deaths from all causes, rate/1,000 (deaths/1,000s of person-months)* | 0.18 (1/5.55) | 0.32 (2/6.17) | −0.14 (−0.66, 0.37) |
‡Difference: CCM − SMC+CCM.
*Confirmed cases or deaths per 1,000 child-months (number of cases or deaths/1,000s of child-months) for July–November 2011.
†Measured at the end of the transmission season.
CCM, community case management; Hb, haemoglobin; SMC, seasonal malaria chemoprevention.