Review Article

Malaria Treatment Policy Change and Implementation: The Case of Uganda

Table 1

Antimalarial drug efficacy studies in Uganda from 2000 to 2001: results for children less than 5 years.

Period of studySite, transmission intensityResearchers/authors and/or publicationProtocol usedDrug or drug combinationTreatment failure rates (%)Parasitological failure rate (%)
After 14 daysAfter 28 days

2000Kampala, Medium [14]WHO 1996SP10
AQ7
AQ/SP3

July 2000 to August 2001Kampala, Medium [15]Longitudinal studySP1732
AQ/SP12
AS/SP15

July to Sept 2001Kaberamaido, high[16]WHO 1996CQ45
SP16
CQ/SP12

October 2001Kabale, low[17]*WHO 1996bCQ7.5
SP0
CQ/SP0

March 2001 to Jan 2002Kampala, Medium[18]*WHO 1996SP1530
CQ/SP717
AQ/SP01

Dec 2001 to March 2002Tororo, high[7]WHO 1996CQ/SP840
AQ/SP015
SP942

Jan to Nov 2002Bundibugyo, high[19]WHO 2002SP23.437
AQ8.820.6
CQ/SP6.022.8

Aug 2002 to July 2003Mulago Hospital, Kampala Medium[9]WHO 1996CQ/SP35
AQ/SP9
AQ/AS2

Dec 2002 to June 2003Kanungu, low[8]WHO 1996CQ/SP6773
AQ/SP3538
Kyenjojo, high[8]WHO 1996CQ/SP3758
AQ/SP1424
Mubende, medium[8]WHO 1996CQ/SP3443
AQ/SP1314
All sites combined[8]WHO 1996CQ/SP22Range 34–67Range 43–73
AQ/SP8Range 13–35Range 14–38

Nov 2002 to May 2004Jinja, low to medium[20]WHO 2003CQ/SP40
AQ/SP13
AQ/AS4
Arua, medium to high[20]WHO 2003CQ/SP46
AQ/SP14
AQ/AS9
Tororo, high[20]WHO 2003CQ/SP34
AQ/SP18
AQ/AS12
Apac, high[20]WHO 2003CQ/SP22
AQ/SP7
AQ/AS10
All sites combined [20]WHO 2003CQ/SP22–46
AQ/SP7–18
AQ/AS4–10

*Study participants included both children and adults; results reported for both children and adults together. AS: Artesunate; AQ: Amodiaquine, CQ: Chloroquine, SP: Sulfadoxine-Pyrimethamine.