Symptom overlap for malaria and pneumonia—policy implications for home management strategies

• Published in: Acta tropica Vol. 90; no. 2; pp. 211 - 214
• Main Authors: Källander, Karin, Nsungwa-Sabiiti, Jesca, Peterson, Stefan
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier B.V 01.04.2004; Elsevier
• Subjects: Biological and medical sciences; Child, Preschool; Cough - etiology; Fever - etiology; General aspects; Home Care Services; Home management; Human protozoal diseases; Humans; Hyperventilation - etiology; IMCI; Infant; Infectious diseases; Malaria; Malaria - complications; Malaria - epidemiology; Malaria - physiopathology; Malaria - therapy; Medical sciences; Medicin och hälsovetenskap; Overlap; Parasitic diseases; Pneumonia; Pneumonia - complications; Pneumonia - epidemiology; Pneumonia - physiopathology; Pneumonia - therapy; Prevalence; Protozoal diseases; Uganda; Uganda - epidemiology; Uganda; Africa; IMCI; Home management; Uganda; Pneumonia; Overlap; Malaria; Human; Lung disease; Protozoal disease; Respiratory disease; Parasitosis; Infection; Clinical management; Treatment; Tropical medicine; Strategy; Diagnosis
• ISSN: 0001-706X; 1873-6254
• DOI: 10.1016/j.actatropica.2003.11.013

Malaria and pneumonia are the leading causes of child death in Sub-Saharan Africa (SSA). Integrated management of childhood illness (IMCI) at health facilities is presumptive: fever for malaria, and cough/difficult breathing with fast breathing for pneumonia. Of 3671 Ugandan under-fives at 14 health centres, 30% had symptoms compatible both with malaria and pneumonia, necessitating dual treatment. Of 2944 “malaria” cases, 37% also had “pneumonia”. The Global Fund and Roll Back Malaria are now supporting home management of malaria strategies across SSA. To adequately treat the sick child, these community strategies need to address the malaria-pneumonia symptom overlap and manage both conditions.