Tanzania is undergoing an epidemiological transition for malaria transmission with some
areas of the country having< 10%(hypoendemic) and other areas 10%-50% malaria
prevalence (mesoendemic). It is not known whether there is a difference in the quality of
malaria case management based on endemicity in Tanzania mainland. We examined the
influence of endemicity on the quality of malaria case management at health facilities. We
conducted a cross-sectional analysis of 1713 health facilities in Tanzania mainland, using …

Background: Tanzania is currently under an epidemiological transition of malaria
transmission with parts of the country having< 1%(hypoendemic; pre-elimination) and> 10%
malaria prevalence (mesoendemic). Hypoendemic areas in the pre-elimination phase
require high testing rates for fever cases and appropriate treatment of cases. There is
paucity of information on the quality of malaria case management in pre-elimination settings.
This study examined the influence of endemicity on the quality of malaria case management …