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Table 5 Nature and frequency of evidence cited

From: Malaria treatment policy change in Uganda: what role did evidence play?

Nature of evidence Local evidence& International
Efficacy studiesd 20 10
Monitoring and evaluatione 12  
Guidance from WHOf   11
Surveys (NHS, DHS, census)g 7  
Operational researchh 5  
Social sciencei 5  
Epidemiology 4  
Clinical observationj 3  
Entomology 1  
Total 57 21
  1. &Refers to evidence from Uganda.
  2. dData on the efficacy of used antimalarials (CQ, SP, amodiaquine). Results from the Tanzania study and three sentinel sites in Uganda. The Uganda sentinel sites were put in place and supported by the MoH.
  3. eMainly the Health Management Information System showing malaria burden.
  4. fRecommendation on when to consider changing the first line treatment; resistance cut-off levels. ACTs are the most effective medicines available to treat uncomplicated malaria.
  5. gNational household survey data, Uganda poverty participatory assessment surveys, DHS, census. Citing population-based data on self-reported malaria cases, use of ITNs, health-seeking behaviour, and access to malaria treatment.
  6. hEvidence of the areas requiring strengthening in the logistic system, health system weaknesses affecting delivery of malaria interventions, and implementation experiences on home-based management of fever.
  7. iEvidence of economic burden of malaria, evidence of other malaria control strategies such as behavioural change issues, and acceptability of the different anti-malarials.
  8. jClinicians’ observations in Uganda national referral hospitals.