Table 1 Impact of Covid-19 on malaria services
Malaria Indicators | Immediate change | Monthly change | |||||
|---|---|---|---|---|---|---|---|
Estimate | 95% CI | P-value | Estimate | 95% CI | P-value | ||
Malaria testing | Testing (per 1000 population) the health facility level | − 5.87 | [− 17.62, 5.87] | 0.308 | − 4.32 | [− 6.25, − 2.40] |  < 0.001* |
Testing (per 1000 population) at the community level | 0.80 | [− 9.89, 11.50] | 0.884 | 2.38 | [0.34, 4.41] | 0.033* | |
Testing (per 1000 population)—community and health facilities combined | − 0.43 | [− 18.29, 17.42] | 0.962 | − 1.28 | [− 5.76, 3.20] | 0.582 | |
% of suspected malaria cases that received a parasitological test at the community level | 4.75 | [− 4.20, 13.70] | 0.280 | 2.96 | [1.49, 4.42] |  < 0.001* | |
Uncomplicated malaria | Uncomplicated malaria cases (per 1000 population) | − 0.79 | [− 14.55, 12.96] | 0.911 | 2.69 | [− 1.13, 6.51] | 0.183 |
Uncomplicated malaria cases (per 1000 population) at the health facility level | − 0.16 | [− 8.02, 7.69] | 0.964 | − 0.23 | [− 1.52, 1.05] | 0.707 | |
Uncomplicated malaria cases (per 1000 population) at the community level | 0.90 | [− 7.87, 9.69] | 0.841 | 2.06 | [0.28, 3.84] | 0.034* | |
% of malaria cases diagnosed at the community level | 3.15 | [− 7.41, 13.73] | 0.539 | 1.93 | [0.20, 3.66] | 0.030* | |
Malaria test positivity | Overall positivity rate (%) | − 1.23 | [− 11.18, 8.71] | 0.810 | 3.05 | [1.22, 4.88] | 0.004* |
Positivity rate (%) at the health facility level | 1.93 | [− 13.89, 17.77] | 0.813 | 4.75 | [1.36, 8.15] | 0.012* | |
Positivity rate (%) at the community level | 6.72 | [1.13, 12.30] | 0.020* | − 0.51 | [− 1.42, 0.40] | 0.253 | |
Severe malaria and deaths | Severe malaria (per 100,000 malaria cases) | 16.74 | [− 4.68, 38.16] | 0.142 | − 5.47 | [− 8.62, − 2.32] | 0.003* |
Case fatality rate (per 100,000 malaria cases) | 5.80 | [3.62, 7.98] |  < 0.001* | − 0.52 | [− 0.83, − 0.21] | 0.003* | |