Malaria is a major cause of death in school-age (5-18 years) children in Malawi. Save the Children Federation helped schools in Mangochi District, Malawi, to obtain pupil-treatment kits, which enabled teachers to dispense sulfadoxine-pyrimethamine tablets according to national guidelines. The overall and malaria-specific mortality rates were calculated for the 3 years before and 2 years after the intervention was introduced; rates dropped from 2·2 to 1·44 deaths/1000 student-years and from 1·28 to 0·44 deaths/1000 student-years, respectively. School-based interventions could play a part in mitigating malaria.
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