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Rapid urban malaria appraisal (RUMA) in sub-Saharan Africa

BACKGROUND: The rapid urban malaria appraisal (RUMA) methodology aims to provide a cost-effective tool to conduct rapid assessments of the malaria situation in urban sub-Saharan Africa and to improve the understanding of urban malaria epidemiology. METHODS: This work was done in Yopougon municipalit...

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Autores principales: Wang, Shr-Jie, Lengeler, Christian, Smith, Thomas A, Vounatsou, Penelope, Cissé, Guéladio, Diallo, Diadie A, Akogbeto, Martin, Mtasiwa, Deo, Teklehaimanot, Awash, Tanner, Marcel
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1249588/
https://www.ncbi.nlm.nih.gov/pubmed/16153298
http://dx.doi.org/10.1186/1475-2875-4-40
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author Wang, Shr-Jie
Lengeler, Christian
Smith, Thomas A
Vounatsou, Penelope
Cissé, Guéladio
Diallo, Diadie A
Akogbeto, Martin
Mtasiwa, Deo
Teklehaimanot, Awash
Tanner, Marcel
author_facet Wang, Shr-Jie
Lengeler, Christian
Smith, Thomas A
Vounatsou, Penelope
Cissé, Guéladio
Diallo, Diadie A
Akogbeto, Martin
Mtasiwa, Deo
Teklehaimanot, Awash
Tanner, Marcel
author_sort Wang, Shr-Jie
collection PubMed
description BACKGROUND: The rapid urban malaria appraisal (RUMA) methodology aims to provide a cost-effective tool to conduct rapid assessments of the malaria situation in urban sub-Saharan Africa and to improve the understanding of urban malaria epidemiology. METHODS: This work was done in Yopougon municipality (Abidjan), Cotonou, Dar es Salaam and Ouagadougou. The study design consists of six components: 1) a literature review, 2) the collection of available health statistics, 3) a risk mapping, 4) school parasitaemia surveys, 5) health facility-based surveys and 6) a brief description of the health care system. These formed the basis of a multi-country evaluation of RUMA's feasibility, consistency and usefulness. RESULTS: A substantial amount of literature (including unpublished theses and statistics) was found at each site, providing a good overview of the malaria situation. School and health facility-based surveys provided an overview of local endemicity and the overall malaria burden in different city areas. This helped to identify important problems for in-depth assessment, especially the extent to which malaria is over-diagnosed in health facilities. Mapping health facilities and breeding sites allowed the visualization of the complex interplay between population characteristics, health services and malaria risk. However, the latter task was very time-consuming and required special expertise. RUMA is inexpensive, costing around 8,500–13,000 USD for a six to ten-week period. CONCLUSION: RUMA was successfully implemented in four urban areas with different endemicity and proved to be a cost-effective first approach to study the features of urban malaria and provide an evidence basis for planning control measures.
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spelling pubmed-12495882005-10-08 Rapid urban malaria appraisal (RUMA) in sub-Saharan Africa Wang, Shr-Jie Lengeler, Christian Smith, Thomas A Vounatsou, Penelope Cissé, Guéladio Diallo, Diadie A Akogbeto, Martin Mtasiwa, Deo Teklehaimanot, Awash Tanner, Marcel Malar J Methodology BACKGROUND: The rapid urban malaria appraisal (RUMA) methodology aims to provide a cost-effective tool to conduct rapid assessments of the malaria situation in urban sub-Saharan Africa and to improve the understanding of urban malaria epidemiology. METHODS: This work was done in Yopougon municipality (Abidjan), Cotonou, Dar es Salaam and Ouagadougou. The study design consists of six components: 1) a literature review, 2) the collection of available health statistics, 3) a risk mapping, 4) school parasitaemia surveys, 5) health facility-based surveys and 6) a brief description of the health care system. These formed the basis of a multi-country evaluation of RUMA's feasibility, consistency and usefulness. RESULTS: A substantial amount of literature (including unpublished theses and statistics) was found at each site, providing a good overview of the malaria situation. School and health facility-based surveys provided an overview of local endemicity and the overall malaria burden in different city areas. This helped to identify important problems for in-depth assessment, especially the extent to which malaria is over-diagnosed in health facilities. Mapping health facilities and breeding sites allowed the visualization of the complex interplay between population characteristics, health services and malaria risk. However, the latter task was very time-consuming and required special expertise. RUMA is inexpensive, costing around 8,500–13,000 USD for a six to ten-week period. CONCLUSION: RUMA was successfully implemented in four urban areas with different endemicity and proved to be a cost-effective first approach to study the features of urban malaria and provide an evidence basis for planning control measures. BioMed Central 2005-09-09 /pmc/articles/PMC1249588/ /pubmed/16153298 http://dx.doi.org/10.1186/1475-2875-4-40 Text en Copyright © 2005 Wang et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Methodology
Wang, Shr-Jie
Lengeler, Christian
Smith, Thomas A
Vounatsou, Penelope
Cissé, Guéladio
Diallo, Diadie A
Akogbeto, Martin
Mtasiwa, Deo
Teklehaimanot, Awash
Tanner, Marcel
Rapid urban malaria appraisal (RUMA) in sub-Saharan Africa
title Rapid urban malaria appraisal (RUMA) in sub-Saharan Africa
title_full Rapid urban malaria appraisal (RUMA) in sub-Saharan Africa
title_fullStr Rapid urban malaria appraisal (RUMA) in sub-Saharan Africa
title_full_unstemmed Rapid urban malaria appraisal (RUMA) in sub-Saharan Africa
title_short Rapid urban malaria appraisal (RUMA) in sub-Saharan Africa
title_sort rapid urban malaria appraisal (ruma) in sub-saharan africa
topic Methodology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1249588/
https://www.ncbi.nlm.nih.gov/pubmed/16153298
http://dx.doi.org/10.1186/1475-2875-4-40
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