BACKGROUND: Heath facility-based sentinel site surveillance has been proposed as a means of monitoring trends in malaria morbidity but may also provide an opportunity to improve malaria case management. Here we described the impact of a sentinel site malaria surveillance system on promoting laboratory testing and rational antimalarial drug use. METHODOLOGY/PRINCIPAL FINDINGS: Sentinel site malaria surveillance was established at six health facilities in Uganda between September 2006 and January 2007. Data were collected from all patients presenting to the outpatient departments including demographics, laboratory results, diagnoses, and treatments prescribed. Between the start of surveillance and March 2010, a total 424,701 patients were seen of which 229,375 (54%) were suspected of having malaria. Comparing the first three months with the last three months of surveillance, the proportion of patients with suspected malaria who underwent diagnostic testing increased from 39% to 97% (p

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malaria case management monitoring trends in malaria morbidity sentinel site malaria surveillance system laboratory testing rational antimalarial drug use methodologyprincipal laboratory results

Moses R Kamya,Grant Dorsey,Ruth Kigozi,Anne Gasasira,Asadu Sserwanga,Stella Kakeeto,Sussann Nasr,Denis Rubahika,Scott Filler,Hasifa Bukirwa,Jamal C Harris,Manoj Menon,Fred Kizito,Ebony Quinto,.Improved malaria case management through the implementation of a health facility-based sentinel site surveillance system in Uganda.. 6 (1),.

Moses R Kamya,Grant Dorsey,Ruth Kigozi,Anne Gasasira,Asadu Sserwanga,Stella Kakeeto,Sussann Nasr,Denis Rubahika,Scott Filler,Hasifa Bukirwa,Jamal C Harris,Manoj Menon,Fred Kizito,Ebony Quinto,"Improved malaria case management through the implementation of a health facility-based sentinel site surveillance system in Uganda." 6

Moses R Kamya,Grant Dorsey,Ruth Kigozi,Anne Gasasira,Asadu Sserwanga,Stella Kakeeto,Sussann Nasr,Denis Rubahika,Scott Filler,Hasifa Bukirwa,Jamal C Harris,Manoj Menon,Fred Kizito,Ebony Quinto,"Improved malaria case management through the implementation of a health facility-based sentinel site surveillance system in Uganda."