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What does it mean ?
Full Name:Proportion of children under five years old with fever in last two weeks who had a finger or heel stick to screen for Malaria
Full Unit:%
Year-range of Data:2012 - 2014
Source:WHO World Malaria Report 2015, Annex 5
Link :http://www.who.int/malaria/publications/world-malaria-report-2015/en/
Date Source Published:9th December 2015
Date Source Accessed:2nd May 2016

The following countries had no data:
Algeria, Angola, Botswana, Burkina Faso, Cameroon, Cape Verde, Central African Rep, Chad, Djibouti, Egypt, Equatorial Guinea, Eritrea , Ethiopia, Guinea-Bissau, Kenya, Lesotho, Libya, Mauritania, Mauritius, Morocco, Mozambique, SADR, São Tomé and Príncipe, Seychelles, Somalia, South Africa, South Sudan, Sudan, Swaziland, Tunisia, Uganda, Zimbabwe

Alternative Data Sources

Under 5s with Fever in Last 2 Weeks Screened for Malaria

What does it mean ?

This indicator measures the proportion of children with fever who obtain a parasitological diagnosis. A parasitological diagnosis is one that leads to a treatment to deal with a parasite and/or the effects of parasitism. In this case a parasitological diagnosis method used is a finger or heal stick. In this age group this is most often used to screen for malaria, particularly when the child presents with fever. This indicator can be used as a proxy for the number of children under five who have access to diagnostic testing for Malaria.

Why does it matter ?

In reality, only a minority of fever cases presented in children under-five at a health facility show evidence of malaria when tested. The majority should not be treated with malaria medication. This indicator shows how many children in a clinic have the true cause of fever ascertained and are treated appropriately. Treatment of patients with malaria medication who do not have malaria is one cause of high-cost wastage in health-systems, and is responsible for the rapid acceleration of drug resistance.

How is it collected ?

A national survey was undertaken in each country from a representative sample of households during which women living in these sampled households were interviewed. These women were asked whether any of their children had a fever in the previous 2 weeks, and, if so, whether they received a finger/heel stick. Data is collected from a range of surveys including Multiple Indicator Cluster Surveys, Demographic Health Surveys and Malaria Indicator Surveys.

Find out more about the Summary Definition and the Methodology for Collection and Calculation

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Summary Definition, Methodology for Collection and Calculation

Alternative Data Sources

The data for each indicator on African Health Stats (AHS) are published by the UN agency, or UN inter-agency group, which holds responsibility for global monitoring of the indicator. This varies by indicator. Please refer to ‘Data Source’. AHS uses data from these sources because such data are internationally comparable and it is the mandate of those agencies to prepare such data and monitor progress internationally. In some cases the UN agency has made adjustments to the data in order to make national data internationally comparable, for example they may adjust national estimates to account for differences in survey design, the extent of potential underreporting, and the definition of what is being measured (eg. maternal deaths). This means that at times there may be discrepancies between national and international estimates. Individual countries may prefer to instead rely on national figures for national monitoring. For uniformity, AHS uses only international estimates of the UN agencies in data visualisations.

In 2014, the following countries communicated that they use alternative figures to monitor the indicator Under 5s with Fever in Last 2 Weeks Screened for Malaria instead of the figures that appear in AHS data visualisations. The most recent alternative figure supplied by these countries in 2014, by source are: Zimbabwe 2012 68.8 (no source).

Collection Summary

A national survey was undertaken in each country from a representative sample of households during which women living in these sampled households were interviewed. These women were asked whether any of their children had a fever in the previous 2 weeks, and, if so, whether they received a finger/heel stick. Data is collected from a range of surveys including Multiple Indicator Cluster Surveys, Demographic Health Surveys and Malaria Indicator Surveys.

For more information, visit: http://www.who.int/malaria/publications/world-malaria-report-2015/en/

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