QUALITY IMPROVEMENT
A composite management intervention plus financial incentives reduced mortality from malaria in children <5 years of age
| The first 150 words of the full text of this article appear below. |
S Biai
Dr S Biai, INDEPTH Network, Bissau Codex, Guinea-Bissau; sidubiai@hotmail.com
STUDY DESIGN
randomised controlled trial.
unclear.*
unblinded.*
STUDY QUESTION
paediatric ward at the national hospital in Guinea-Bissau.
951 children 3 months to 5 years of age (median age 24 mo, 56% boys) who had clinically suspected malaria (axillary temperature >37.5°C or recent fever with no other obvious cause); >3 episodes of vomiting in the previous 24 hours; impaired consciousness (Blantyre coma score 3–4); coma (Blantyre score 0–2, 
30 min after a generalised convulsion); cerebral malaria (2 convulsions in the preceding 24 h); severe anaemia (haemoglobin <50 g/l); or inability to eat, suck, drink, sit, or stand.
strict implementation of a standardised protocol plus financial incentives for health workers (n = 460 children) or usual care (n = 491 children). On the intervention ward, staff rigorously followed recommended procedures in national standardised guidelines on management of malaria. The study supervisor systematically controlled the
King George's Medical University Lucknow, India
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