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50%  The proportion of children under five years who were given antimalaria drugs in Africa from 1998- 2004
 
Millennium Development Goal 6: Combat HIV/AIDS, malaria and other diseases
Target: Halt and begin to reverse the incidence of malaria and other major diseases

In Africa, where the vast majority of malaria cases and deaths occur in young children, WHO recommends that all acute childhood fevers in areas of high malaria endemicity be treated presumptively with an antimalarial. Therefore, the proportion of young children with fever who received an antimalarial drug represents a relevant survey-based indicator of the coverage of antimalarial treatment among all malaria patients with prompt and effective treatment. Between 1998 and 2004, across 35 national surveys, the median proportion of children under 5 years of age that were treated with an antimalarial drug was 49.6% (range 3.0–68.8%).

 

However, most of these antimalarial treatments could not be considered effective since: (i) 95% were with chloroquine, against which there is a high rate of falciparum malaria resistance; (ii) a significant proportion were not started within 24 hours of the onset of fever, so not all treatments were necessarily given in sufficient time to prevent a possible progression into severe life-threatening malaria; and (iii) the dosages typically taken might not always have been adequate for full parasitological cure, although dosaging was not measured in national surveys. For these reasons, the coverage with prompt and effective antimalarial treatment was probably much lower than survey data indicate. However, it is likely that the proportion of fevers treated with effective antimalarial regimens is now increasing in those countries that have recently implemented a change in drug policy to combination treatment.

 

Source: UNICEF, WHO & Roll Back Malaria, World Malaria Report 2005, Geneva 2005.
 
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