Author:
Ompad Danielle C.,Padhan Timir K.,Kessler Anne,Mohanty Stuti,Tozan Yesim,Jones Abbey M.,van Eijk Anna Maria,Sullivan Steven A.,Haque Mohammed A.,Pradhan Madan Mohan,Mohanty Sanjib,Carlton Jane M.,Sahu Praveen K.
Abstract
Durgama Anchalare Malaria Nirakaran (DAMaN) is a multi-component malaria intervention for hard-to-reach villages in Odisha, India. The main component, Malaria Camps (MCs), consists of mass screening, treatment, education, and intensified vector control. We evaluated MC effectiveness using a quasi-experimental cluster-assigned stepped-wedge study with a pretest-posttest control group in 15 villages: six immediate (Arm A), six delayed (Arm B), and three previous interventions (Arm C). The primary outcome was PCR+Plasmodiuminfection prevalence. Across all arms, the odds of PCR+ malaria were 54% lower at the third follow-up compared to baseline. A time (i.e., visit) x study arm interaction revealed significantly lower odds of PCR+ malaria in Arm A versus B at the third follow-up. The cost per person ranged between US$3-8, the cost per tested US$4-7, and the cost per treated US$82-1,614, per camp round. These results suggest that the DAMaN intervention is a promising, financially feasible approach for malaria control.
Publisher
Cold Spring Harbor Laboratory
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