Pre-referral rectal artesunate: no cure for unhealthy systems

MW Hetzel, P Awor, A Tshefu, E Omoluabi… - The Lancet Infectious …, 2023 - thelancet.com
Pre-referral rectal artesunate suppositories can save the lives of children with severe
malaria if patients receive adequate post-referral care. A multi-country randomised …

Effectiveness of rectal artesunate as pre-referral treatment for severe malaria in children under 5 years of age: a multi-country observational study

MW Hetzel, J Okitawutshu, A Tshefu, E Omoluabi… - BMC medicine, 2022 - Springer
Background To prevent child deaths from severe malaria, early parenteral treatment is
essential. Yet, in remote rural areas, accessing facilities offering parenteral antimalarials …

Availability of malaria diagnostic tests, anti-malarial drugs, and the correctness of treatment: a systematic review and meta-analysis

H Azizi, E Davtalab Esmaeili, F Abbasi - Malaria Journal, 2023 - Springer
Background Health facilities' availability of malaria diagnostic tests and anti-malarial drugs
(AMDs), and the correctness of treatment are critical for the appropriate case management …

Community access to rectal artesunate for malaria (CARAMAL): a large-scale observational implementation study in the Democratic Republic of the Congo, Nigeria …

C Lengeler, C Burri, P Awor, P Athieno… - PLOS Global Public …, 2022 - journals.plos.org
The key to reducing malaria deaths in highly endemic areas is prompt access to quality case
management. Given that many severe cases occur at peripheral level, rectal artesunate …

Prereferral rectal artesunate and referral completion among children with suspected severe malaria in the Democratic Republic of the Congo, Nigeria and Uganda

NC Brunner, E Omoluabi, P Awor, J Okitawutshu… - BMJ Global …, 2022 - gh.bmj.com
Introduction Children who receive prereferral rectal artesunate (RAS) require urgent referral
to a health facility where appropriate treatment for severe malaria can be provided …

Health system readiness and the implementation of rectal artesunate for severe malaria in sub-Saharan Africa: an analysis of real-world costs and constraints

MJ Lambiris, GN Venga, R Ssempala… - The Lancet Global …, 2023 - thelancet.com
Background Rectal artesunate, an efficacious pre-referral treatment for severe malaria in
children, was deployed at scale in Uganda, Nigeria, and DR Congo. In addition to …

The wrongful indictment of pre-referral rectal artesunate further delays the roll-out of this lifesaving drug

L von Seidlein - The Lancet Infectious Diseases, 2023 - thelancet.com
Administering rectal artesunate suppositories to patients with severe malaria before they
receive parenteral and oral consolidation therapy was found to reduce mortality more than a …

Assessing caregivers' perceptions of treatment-seeking for suspected severe malaria in the Democratic Republic of the Congo

J Okitawutshu, A Tshefu, JC Kalenga, G Delvento… - Malaria Journal, 2023 - Springer
Background Malaria remains a major public health issue in the Democratic Republic of the
Congo (DRC), accounting for 44% deaths among outpatient visits in children< 5 years of …

Defining the next generation of severe malaria treatment: a target product profile

J Achan, A Barry, D Leroy, G Kamara, S Duparc… - Malaria Journal, 2024 - Springer
Background Severe malaria is a life-threatening infection, particularly affecting children
under the age of 5 years in Africa. Current treatment with parenteral artemisinin derivatives …

Health workers' adherence to malaria case management protocols in Northern Sudan: a qualitative study

S Khalid Mohamed, D Khalid Mohamed, K Ahmed… - Malaria Journal, 2024 - Springer
Background Nonadherence to national standards for malaria diagnosis and treatment has
been reported in Sudan. In this study, qualitative research examined the clinical domains of …