title: Falciparum malaria in young children of rural Burkina Faso: comparison of survey data in 1999 with 2009.
abstract: BACKGROUND
  Roll Back Malaria (RBM) interventions such as insecticide-treated mosquito nets (ITN) and artemisinin-based combination therapy (ACT) have become implemented with different velocities in the endemic countries of sub-Saharan Africa (SSA) in recent years. There is conflicting evidence on how much can be achieved under real life conditions with the current interventions in the highly endemic savannah areas of SSA.
  
  
  METHODS
  The study took place in a rural area of north-western Burkina Faso, which was defined as holoendemic in 1999. Clinical and parasitological data were compared in two cohorts of young children of the same age range from eight villages. Surveys took place in June and December of the year 1999 and 2009 respectively.
  
  
  RESULTS
  Prevalence of mosquito net use increased from 22% in 1999 to 73% in 2009, with the majority of nets being ITNs in 2009. In 2009, P. falciparum prevalence was significantly lower compared to 1999 (overall reduction of 22.8%).
  
  
  CONCLUSIONS
  The reduction in malaria prevalence in young children observed between 1999 and 2009 in a rural and formerly malaria holoendemic area of Burkina Faso is likely attributable to the increase in ITN availability and utilization over time.
authors: Institute of Public Health, Ruprecht-Karls-University Heidelberg, INF 324, 69124 Heidelberg, Germany. beiersmann@uni-heidelberg.de
authors: Claudia
authors: C
authors: Beiersmann
authors: Mamadou
authors: M
authors: Bountogo
authors: Justin
authors: J
authors: Tiendrébeogo
authors: Manuela
authors: M
authors: De Allegri
authors: Valérie R
authors: VR
authors: Louis
authors: Boubacar
authors: B
authors: Coulibaly
authors: Maurice
authors: M
authors: Yé
authors: Olaf
authors: O
authors: Mueller
mesh_terms: D000818:Animals; D002050:Burkina Faso / Q000453:epidemiology; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007223:Infant; D057148:Insecticide-Treated Bednets / Q000706:statistics & numerical data; D016778:Malaria, Falciparum / Q000453:epidemiology* / Q000469:parasitology / Q000473:pathology; D008297:Male; D015995:Prevalence; D012424:Rural Population