title: Promotion of malaria home-based treatment in Africa: The dangers of creating a second health system.
abstract: Many African countries have begun to scale-up home-based management of malaria (HMM) with artemisinin-based combination therapy. Evidence shows that this strategy gives efficient results in reducing the malaria burden. This initiative should be promoted to reduce malaria-related mortality and morbidity. HMM could, however, lead to critical public health problems, including the misdiagnosis of serious infections distinct from malaria as well as desertion of the public health system. I wish to emphasise the importance of improving the existing health system in African malaria-endemic areas for long-term improvement of population health in this context of HMM implementation.
authors.affiliation: Institut de Recherche pour le Développement (IRD) UMR 152, Pharmacochimie et Pharmacologie pour le développement, Toulouse, France.
authors.forename: Agnès
authors.initials: A
authors.lastname: Aubouy