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Table 3 RUMA methodology strengths and weaknesses.

From: Rapid urban malaria appraisal (RUMA) in sub-Saharan Africa

RUMA Methodology Strengths Weaknesses
Literature review • Time-saving, can be done before and afterwards
• Can identify qualified local expertise
• Comparison of the malaria patterns and trends
• Incomplete information in time and space
Collection of health statistics • Good description of malaria burden over a longer time period • Completeness and quality of data
Cross-sectional mapping of healthcare facilities & major Anopheles breeding sites • Visualization of information for policy makers
• Helps to plan urban health programmes and upgrade community infrastructure
• Time consuming and only limited scale possible
• Breeding sites may be transient /seasonal
School parasitaemia surveys • Good estimates of local endemicity and local risk factors
• Good description of fever prevalence in school
• Malaria risk gradient
• Limited representativeness if only small number of schools were sampled
Health facility-based fever surveys • Estimates malaria-attributable fevers and prevalence of clinical malaria
• Description of fever management
• Limited representativeness due to attendance bias
Brief description of the health care system • Understanding of the structure of city health department and of current malaria control activities
• Limited cost
• Review of the efficacy of case management
• Only focuses on the available information
• Depends on the efficiency of information dissemination within municipal departments