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. 2021 Jul 17;2021(7):CD011525. doi: 10.1002/14651858.CD011525.pub3

Massaga 2003 TZA.

Study characteristics
Methods Trial design: RCT
Trial dates: June 1999 to May 2000
Length of follow‐up: 9 to 10 months of age
Participants Number of participants: 291 infants
Inclusion criteria: infants aged 12 to 16 weeks attending Maternal and Child Health (MCH) clinics for growth monitoring or to receive their third diphtheria‐pertussis‐tetanus (DPT) and oral poliovirus vaccine
Exclusion criteria: congenital malformation; severe conditions that needed treatment in hospital; fever within past 2 days; packed‐cell volume < 24%; taking chemoprophylaxis
Interventions Interventions
  • Amodiaquine every 2 months and daily iron for 6 months 25 mg/kg over 3 days, with 10 mg/kg on first 2 days and 5 mg/kg on third day; 72 children

  • Amodiaquine and placebo; 74 children Iron and placebo: 7.5 mg elemental iron; 73 children

  • Placebo and placebo; 72 children


Infants received 2.5 mL daily supplementation of iron (3 mg of ferric ammonium citrate mixture/mL) or placebo for 6 months.
The first dose was given by the team and mothers were instructed how to administer the drug at home.
Outcomes Outcomes included in the review
  • Clinical malaria

  • All‐cause mortality

  • Hospital admissions

  • Anaemia

  • Adverse events


Outcomes not included in the review: none
Notes Location: Muheza district, north‐eastern Tanzania
Malaria transmission: perennial/Holoendemic
Funding: Danish International Development Agency
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk The trial used computer‐generated random numbers
Allocation concealment (selection bias) Low risk The trial used identical and centrally coded drugs and placebo
Blinding of participants and personnel (performance bias)
All outcomes Low risk "To ensure that treatment allocation was concealed from parents and the research team, and to ensure that infants received the right dose of medication, the trial drugs were coded and pre‐packed."
Blinding of outcome assessment (detection bias)
All outcomes Low risk "To ensure that treatment allocation was concealed from parents and the research team, and to ensure that infants received the right dose of medication, the trial drugs were coded and pre‐packed."
Incomplete outcome data (attrition bias)
All outcomes High risk The percentage loss was 21%
Selective reporting (reporting bias) Low risk The trial authors reported most expected outcomes
Other bias Low risk The trial appeared to be free of other sources of bias