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. 2019 Mar 13;16(3):e1002762. doi: 10.1371/journal.pmed.1002762

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.