This study used a novel customised electronic monitoring device—termed smart blister packs—to examine the validity of self-reported adherence to artemether-lumefantrine (AL) in southern Tanzania. Smart blister packs resulted in lower estimates of timely completion of AL and may be less prone to recall and social desirability bias.
Some studies of the impact of RDTs on malaria case management have combined these two different successes into a binary outcome describing ‘correct management’. However combining correct management of positives and negatives into a single summary measure can be misleading. The problems, which are analogous to those encountered in the evaluation of diagnostic tests, can largely be avoided if data for patients with and without malaria are presented and analysed separately.
A study suggesting that seasonal malaria chemoprevention has the potential to avert several million malaria cases and tens of thousands of childhood deaths each year if successfully delivered to the populations at risk.