Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Sep 7;105(6):1722-1731.
doi: 10.4269/ajtmh.21-0325.

A Systematic Review of the Evidence on the Effectiveness and Cost-Effectiveness of Mass Screen-and-Treat Interventions for Malaria Control

Sooyoung Kim  1 , Verah Nafula Luande  2 , Joacim Rocklöv  2 , Jane M Carlton  1   3 , Yesim Tozan  1
Affiliations

A Systematic Review of the Evidence on the Effectiveness and Cost-Effectiveness of Mass Screen-and-Treat Interventions for Malaria Control

Sooyoung Kim et al. Am J Trop Med Hyg. .

Abstract

Malaria elimination and eradication efforts have stalled globally. Further, asymptomatic infections as silent transmission reservoirs are considered a major challenge to malaria elimination efforts. There is increased interest in a mass screen-and-treat (MSAT) strategy as an alternative to mass drug administration to reduce malaria burden and transmission in endemic settings. This study systematically synthesized the existing evidence on MSAT, from both epidemiological and economic perspectives. Searches were conducted on six databases (PubMed, EMBASE, CINALH, Web of Science, Global Health, and Google Scholar) between October and December 2020. Only experimental and quasi-experimental studies assessing the effectiveness and/or cost-effectiveness of MSAT in reducing malaria prevalence or incidence were included. Of the 2,424 citation hits, 14 studies based on 11 intervention trials were eligible. Eight trials were conducted in sub-Saharan Africa and three trials in Asia. While five trials targeted the community as a whole, pregnant women were targeted in five trials, and school children in one trial. Transmission setting, frequency, and timing of MSAT rounds, and measured outcomes varied across studies. The pooled effect size of MSAT in reducing malaria incidence and prevalence was marginal and statistically nonsignificant. Only one study conducted an economic evaluation of the intervention and found it to be cost-effective when compared with the standard of care of no MSAT. We concluded that the evidence for implementing MSAT as part of a routine malaria control program is growing but limited. More research is necessary on its short- and longer-term impacts on clinical malaria and malaria transmission and its economic value.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram of the search strategy.
Figure 2.
Figure 2.
Pooled estimates of epidemiological outcomes from the 14 included studies using random-effect meta-analysis methods.
Figure 3.
Figure 3.
Risk of bias assessment for the 14 studies included in the systematic literature review. This figure appears in color at www.ajtmh.org.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. World Health Organization , 2019. World Malaria Report 2019. Geneva, Switzerland: WHO.
    1. Feachem RGA. et al., 2019. Malaria eradication within a generation: ambitious, achievable, and necessary. Lancet 394: 1056–1112. - PubMed
    1. Alonso PL, 2020. The role of mass drug administration of antimalarials. Am J Trop Med Hyg 103: 1–2. - PMC - PubMed
    1. Cheaveau J, Mogollon DC, Mohon MAN, Golassa L, Yewhalaw D, Pillai DR, 2019. Asymptomatic malaria in the clinical and public health context. Expert Rev Anti Infect Ther 17: 997–1010. - PubMed
    1. World Health Organization , 2015. The Role of Mass Drug Administration, Mass Screening and Treatment, and Focal Screening and Treatment for Malaria. Geneva, Switzerland: WHO.

Publication types