title: The effect of providing fansidar (sulfadoxine-pyrimethamine) in schools on mortality in school-age children in Malawi.
abstract: Malaria is a major cause of death in school-age (5-18 years) children in Malawi. Save the Children Federation helped schools in Mangochi District, Malawi, to obtain pupil-treatment kits, which enabled teachers to dispense sulfadoxine-pyrimethamine tablets according to national guidelines. The overall and malaria-specific mortality rates were calculated for the 3 years before and 2 years after the intervention was introduced; rates dropped from 2.2 to 1.44 deaths/1000 student-years and from 1.28 to 0.44 deaths/1000 student-years, respectively. School-based interventions could play a part in mitigating malaria.
authors.affiliation: Office of Health, International Programs, Save the Children Federation, Westport, CT 06881, USA.
authors.forename: Omrana
authors.initials: O
authors.lastname: Pasha
authors.forename: Joy
authors.initials: J
authors.lastname: Del Rosso
authors.forename: Mary
authors.initials: M
authors.lastname: Mukaka
authors.forename: David
authors.initials: D
authors.lastname: Marsh
mesh_terms: D000293:Adolescent; D000962:Antimalarials / Q000627:therapeutic use*; D002648:Child; D004338:Drug Combinations; D006801:Humans; D008288:Malaria / Q000188:drug therapy* / Q000453:epidemiology / Q000401:mortality; D008295:Malawi / Q000453:epidemiology; D011739:Pyrimethamine / Q000627:therapeutic use*; D013413:Sulfadoxine / Q000627:therapeutic use*
chemical_list: D000962:Antimalarials; D004338:Drug Combinations; C001205:fanasil, pyrimethamine drug combination; D013413:Sulfadoxine; D011739:Pyrimethamine