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Table 3 Positive predictive value of a history of fever for identifying a recent malaria infection among children six to 59 months living in large cities, all urban communities and all rural communities

From: Malaria indicator surveys demonstrate a markedly lower prevalence of malaria in large cities of sub-Saharan Africa

Country (large cities pooled)

PPV = Positive predictive value of a history of fever: % of children with fever in the last 2 weeks who have malaria by RDT

 

Large cities

Urban (pop. >= 5,000)

Rural (pop. < 5,000)

 

n

PPV

95% CI

n

PPV

95% CI

n

PPV

95% CI

Angola (Luanda + Huambo)

180

1.1%

(0%-2.5%)

376

2.3%

(0.1%-4.2%)

695

24.4%

(17.6%-31.2%)

Burkina Faso (Ouagadougou)

*

  

320

51.9%

(44.2%-59.6%)

1023

83.2%

(80.3%-86.1%)

Cameroon (Douala + Yaoundé)

108

13.6%

(6.2%-21.0%)

533

31.2%

(25.1%-37.4%)

860

50.8%

(45.4%-56.2%)

Ghana (Accra + Kumasi)

*

  

277

46.1%

(36.7%-55.5%)

858

80.2%

(76.5%-83.9%)

Kenya (Nairobi + Mombasa)

*

  

79

1.2%

(0%-3.1%)

756

25.0%

(16.9%-33.1%)

Liberia (Monrovia)

110

17.2%

(5.9%-28.4%)

569

33.3%

(24.6%-42.0%)

844

56.5%

(51.6%-61.3%)

Madagascar (Antananarivo)

63

0%

--

167

2.1%

(0%-4.5%)

689

17.9%

(12.8%-23.1%)

Malawi (Lilongwe + Blantyre)

62

13.0%

(6.2%-19.9%)

139

29.1%

(14.0%-44.1%)

486

64.1%

(57.1%-71.2%)

Mali (Bamako)

50

7.0%

(0%-15.9%)

150

19.1%

(7.1%-31.1%)

548

60.1%

(52.4%-67.9%)

Mozambique (Maputo + Matola)

54

0%

--

189

21.0%

(12.4%-29.6%)

416

58.9%

(52.2%-65.6%)

Nigeria (Lagos, Kano, Ibadan, Abuja, Port Harcourt, Kaduna, Jos, Maiduguri, Benin, Enugu, Onitsha, Ilorin + Ogbomosho)

59

35.8%

(9.9%-61.8%)

408

53.4%

(42.3%-64.4%)

1207

59.9%

(54.2%-65.6%)

Rwanda (Kigali)

*

  

85

2.2%

(0%-5.1%)

535

3.8%

(1.3%-6.2%)

Senegal (Dakar)

*

  

*

  

*

  

Tanzania (Dar es Salaam)

*

  

215

6.5%

(2.3%-10.7%)

1254

19.7%

(15.6%-23.7%)

Uganda (Kampala)

*

  

129

49.2%

(34.4%-4.0%)

1482

67.9%

(62.2%-73.5%)

Zambia (Lusaka)

*

  

224

22.9%

(11.3%-34.5%)

839

48.1%

(39.9%-56.4%)

  1. Note: An asterisk (*) indicates that a statistic is based on fewer than 50 unweighted cases and has been suppressed.