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Willingness-to-pay for long-lasting insecticide-treated bed nets: a discrete choice experiment with real payment in Ghana

January 15, 2020 - 14:34 -- Open Access
Y. Natalia Alfonso, Matthew Lynch, Elorm Mensah, Danielle Piccinini and David Bishai
Malaria Journal 2020 19:14, 13 January 2020

Expanding access to long-lasting insecticidal nets (LLINs) is difficult if one is limited to government and donor financial resources. Private commercial markets could play a larger role in the continuous distribution of LLINs by offering differentiated LLINs to middle-class Ghanaians. This population segment has disposable income and may be willing to pay for LLINs that meet their preferences. Measuring the willingness-to-pay (WTP) for LLINs with specialty features that appeal to middle-class Ghanaians could help malaria control programmes understand what is the potential for private markets to work alongside fully subsidized LLIN distribution channels to assist in spreading this commodity.

Exploring the Use of a General Equilibrium Method to Assess the Value of a Malaria Vaccine: An Application to Ghana

January 14, 2020 - 16:37 -- Open Access
Yerushalmi E, Hunt P, Hoorens S, Sauboin C, Smith R
MDM Policy & Practice, 2019 Dec 19;4(2):2381468319894345

Malaria is an important health and economic burden in sub-Saharan Africa. Conventional economic evaluations typically consider only direct costs to the health care system and government budgets. This paper quantifies the potential impact of malaria vaccination on the wider economy, using Ghana as an example.

Understanding the gap between access and use: a qualitative study on barriers and facilitators to insecticide-treated net use in Ghana

December 17, 2019 - 16:31 -- Open Access
Collins Stephen Ahorlu, Philip Adongo, April Monroe, et al.
Malaria Journal 2019 18:417, 12 December 2019

Mass and continuous distribution channels have significantly increased access to insecticide-treated nets (ITNs) in Ghana since 2000. Despite these gains, a large gap remains between ITN access and use.

Probing the composition of Plasmodium species contained in malaria infections in the Eastern region of Ghana

December 10, 2019 - 20:07 -- Open Access
Amoah LE, Donu D, Abuaku B, Ahorlu C, Arhinful D, Afari E, Malm K, Koram KA
BMC Public Health. 2019 Dec 2;19(1):1617

Asymptomatic falciparum and non-falciparum malaria infections are major challenges to malaria control interventions, as they remain a source of continual infection in the community. This becomes even more important as the debate moves towards elimination and eradication.

Factors influencing adherence to the new intermittent preventive treatment of malaria in pregnancy policy in Keta District of the Volta region, Ghana

December 2, 2019 - 18:02 -- Open Access
Vandy AO, Peprah NY, Jerela JY, Titiati P, Manu A, Akamah J, Maya ET, Torpey K
BMC Pregnancy Childbirth. 2019 Nov 20;19(1):424

About 25% of pregnant women in malaria-endemic areas are infected with malaria and this accounts for about 15% of maternal deaths globally. Intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) is one of the main strategies for prevention of malaria in pregnancy. A new recommendation was made by the World Health Organization (WHO) that at least three doses of IPTp-SP should be administered before delivery. This study sought to determine the factors influencing adherence to the new IPTp-SP policy in Keta District, Volta region, Ghana.


Research: Malaria and respiratory syncytial virus as causes of acute febrile illness in an urban paediatric population in Ghana

February 6, 2014 - 22:04 -- Ingeborg van Schayk
Keziah L. Malm, Kofi M. Nyarko, Ernest Kenu, Constance Bart-Plange, Kojo Koram, Gyapong J.O., Seth Owusu-Agyei, George Armah, Fred N. Binka
MWJ 2014, 5, 1

This study determined the proportion of acute febrile illness in an urban paediatric population that was due to malaria or respiratory syncytial virus (RSV). A hospital based surveillance system recruited children below five years of age reporting with fever (axillary temperature ≥ 37.5°C). Thick blood film from capillary blood taken through a finger prick, was Giemsa-stained and microscopically examined for malaria parasites to confirm malaria diagnosis. Nasopharyngeal aspirate was also examined for RSV by polymerase chain reaction. Out of 481 febrile children, 51(10.8%) were positive for malaria whilst 75 (15.4%) were positive for RSV. Seven of the 75 RSV-positive cases (9.3%) were co-infected with malaria. Based on judgement by clinicians, over 80% of the febrile children were diagnosed and treated as having malaria either alone or in combination with other diseases. It is concluded that the diagnosis and subsequent treatment of patients based solely on clinical diagnosis leads to an over diagnosis of malaria. Improvement in the guidelines and facilities for the diagnosis of non-malaria febrile illness leads to improved malaria diagnosis. 

Research: Malaria transmission intensity and dynamics of clinical malaria incidence in a mountainous forest region of Ghana

October 30, 2013 - 16:05 -- Ingeborg van Schayk
Kingsley Badu, Ruth C. Brenya, Christian Timmann, Rolf Garms, Thomas F. Kruppa
MWJ 2013, 4, 14

Malaria transmission was assessed in four villages with different micro-ecological features in the forest zone of the Akwapim-Mampong Range in Ghana. Human landing catches(HLC) of mosquitoes were conducted and Plasmodium falciparum circumsporozoite rates were assessed by ELISA. 

Research: Community perception of malaria and its influence on health-seeking behaviour in rural Ghana: a descriptive study

January 8, 2013 - 10:02 -- Bart G.J. Knols
Alexander Suuk Laar, Amos Kankponang Laar, Philip Ayizem Dalinjong
MWJ 2013, 4, 1

This article is the outcome of a descriptive cross-sectional study that assessed local perceptions on malaria and health seeking behaviour among inhabitants in the Kassena-Nankana district in the Upper East Region of Ghana. A total of 120 respondents were included in the study through a systematic random sampling procedure of households. The majority (65%) of respondents had awareness about malaria and linked it to mosquito bites.

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