PMID- 20439954 OWN - NLM STAT- MEDLINE DCOM- 20100527 LR - 20211020 IS - 1476-1645 (Electronic) IS - 0002-9637 (Print) IS - 0002-9637 (Linking) VI - 82 IP - 5 DP - 2010 May TI - Community effectiveness of intermittent preventive treatment for infants (IPTi) in rural southern Tanzania. PG - 772-81 LID - 10.4269/ajtmh.2010.09-0207 [doi] AB - Intermittent preventive treatment of malaria in infants (IPTi) with sulphadoxine-pyrimethamine shows evidence of efficacy in individually randomized, controlled trials. In a large-scale effectiveness study, IPTi was introduced in April 2005 by existing health staff through routine contacts in 12 randomly selected divisions out of 24 in 6 districts of rural southern Tanzania. Coverage and effects on malaria and anemia were estimated through a representative survey in 2006 with 600 children aged 2-11 months. Coverage of IPTi was 47-76% depending on the definition. Using an intention to treat analysis, parasitemia prevalence was 31% in intervention and 38% in comparison areas (P = 0.06). In a "per protocol" analysis of children who had recently received IPTi, parasite prevalence was 22%, 19 percentage points lower than comparison children (P = 0.01). IPTi can be implemented on a large scale by existing health service staff, with a measurable population effect on malaria, within 1 year of launch. FAU - Armstrong Schellenberg, Joanna R M AU - Armstrong Schellenberg JR AD - London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT. Joanna.schellenberg@lshtm.ac.uk FAU - Shirima, Kizito AU - Shirima K FAU - Maokola, Werner AU - Maokola W FAU - Manzi, Fatuma AU - Manzi F FAU - Mrisho, Mwifadhi AU - Mrisho M FAU - Mushi, Adiel AU - Mushi A FAU - Mshinda, Hassan AU - Mshinda H FAU - Alonso, Pedro AU - Alonso P FAU - Tanner, Marcel AU - Tanner M FAU - Schellenberg, David M AU - Schellenberg DM LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Trop Med Hyg JT - The American journal of tropical medicine and hygiene JID - 0370507 RN - 0 (Antimalarials) SB - IM MH - Anemia/prevention & control MH - Antimalarials/*administration & dosage/therapeutic use MH - Drug Administration Schedule MH - Female MH - Humans MH - Infant MH - Malaria/epidemiology/*prevention & control MH - Male MH - Rural Population MH - Socioeconomic Factors MH - Tanzania/epidemiology PMC - PMC2861388 EDAT- 2010/05/05 06:00 MHDA- 2010/05/28 06:00 PMCR- 2011/05/01 CRDT- 2010/05/05 06:00 PHST- 2010/05/05 06:00 [entrez] PHST- 2010/05/05 06:00 [pubmed] PHST- 2010/05/28 06:00 [medline] PHST- 2011/05/01 00:00 [pmc-release] AID - 82/5/772 [pii] AID - 10.4269/ajtmh.2010.09-0207 [doi] PST - ppublish SO - Am J Trop Med Hyg. 2010 May;82(5):772-81. doi: 10.4269/ajtmh.2010.09-0207.