Prevalence of malaria and contributing factors in children under five years of age attending Nakasongola General Military Hospital. A cross-sectional study.
DOI:
https://doi.org/10.51168/insights.v2i10.29Keywords:
Prevalence of malaria, contributing factors, children under five, under-five morbidity, pediatric malaria, malaria risk factors, Nakasongola General Military HospitalAbstract
Background.
Children under 5 years old are the group most vulnerable to malaria infection because of less developed immune systems. This study aimed to determine the prevalence of malaria and contributing factors in children under five (5) years of age who attend the OPD in Nakasongola General Military Hospital.
Methods.
A descriptive cross-sectional study was used employing a quantitative approach to data collection. The caregivers of children below five years of age who were sent to the laboratory for malaria testing were requested to participate in the study, and those willing were enrolled until the required sample size was reached. Data on socioeconomic factors and coverage of ITN use were collected using a pretested structured questionnaire. Data were analyzed using SPSS version 27 software, and results were presented in tables and graphs.
Results.
66 (53.2%) of these children were males, 30 (24.2%) were between 12 and 23 months of age, and the overall prevalence of malaria was 44.4%. Among the malaria-positive children, 60.0% were males and between 36 and 47 months of age (25.5%). Malaria infection was associated with low caregivers’ age (38.2%) among caregivers 15 – 19 years old, rural residence (70.9%), primary level education (56.4%), and peasant farming (30.9%). Children who slept under ITNs were more likely to be protected from malaria infection (98.3%).
Conclusion.
Malaria infection is highly prevalent in children aged between 36 and 47 months.
Socioeconomic factors, such as the age and education level of the household head, use of mosquito bed nets for sleeping, place of residence, and age of the children, were significant factors associated with malaria prevalence among children under 5 years of age.
Recommendations.
National studies should be conducted to identify the different geographical regions of the country that are most at risk of malaria, using updated malaria risk maps.
References
Abossie Ashenafi, Tsegaye Yohanes, Adisu Nedu, Weynshet Tafesse & Mengistu Damitie. (2020). Prevalence of malaria and associated risk factors among febrile children under five years: A cross-sectional study in Arba Mich Zuria District, South Ethiopia. Dove Press Journal: Infection and Drug Resistance, 2020 (13): 363 – 372. http://doi.org/10.2147/IDR.S223873.
Akello Anne Ruth, John Paul Byagamy, Samuel Etajak, Charles Stephen Okadhi, et al. (2022). Factors influencing consistent use of bed nets for the control of malaria among children under five years in Soroti District, North Eastern Uganda. DOI: https://doi.org/10.21203/rs.3.rs-1684141/v1
Bah Mohamed Salieu. (2020). The Relationship between malaria status in under-five children and some household demographic, socioeconomic, and environmental factors associated with the disease in Sierra Leone. Thesis, Georgia State University. DOI: https://doi.org/10.57709/17625877
Beavogui A.H., Delamou A., Bienvenu S. C., Daouda Camara et al. (2020). Prevalence of malaria and factors associated with infection in children aged 6 months to 9 years in Guinea: Results from a national cross-sectional study. Parasite Epidemiology and Control; 11 (2020), e00162. https://doi.org/10.1016/j.parepi.2020.e00162.
Habyarimana Faustin & Shaun Ramroop. (2020). Prevalence and risk factors associated with malaria among children aged six months to 14 years old in Rwanda: Evidence from the 2017 Rwanda Malaria Indicator Survey. International Journal of Environmental Research and Public Health, 17 (21), 7975. https://doi.org/10.3390/ijerph17217975.
Mengistu H. & Solomon G. (2015). Trend analysis of malaria prevalence in Arsi Negele Health Centre, Southern Ethiopia. Journal of Infectious Disease and Immunology 7 (1): 1 – 6. DOI:10.5897/JIDI2014.0147.
Nfor N. O. & Senyuy D. T. (2020). Malaria among febrile neonates attending the neonatology unit of the Bamenda Regional Hospital. Parasite Epidemiology and Control; 11 (2020), e00184. https://doi.org/10.1016/j.parepi.2020.e00184
NMCD, UBOS, and ICF. (2020). Uganda Malaria Indicator Survey 2018–2019. Uganda National Malaria Control Division, Uganda Bureau of Statistics: Kampala, Uganda; ICF: Rockville, Maryland, USA.
Qureshi I., Qureshi M. A., Gudepu R. K., Arlappa N. (2014). Prevalence of malaria infection among under-five-year-old tribal children residing in malaria-endemic forest villages. F1000Research 3: 286. DOI: 10.1268 8/f1000research.5632.1
UBOS. (2020). 2020 Statistical Abstract. Uganda Bureau of Statistics: Kampala, Uganda.
WHO. (2015). World Malaria Report 2015. World Health Organization: Geneva, Switzerland.
WHO. (2017). Global Vector Control Response 2017–2030. World Health Organization: Geneva, Switzerland.
WHO. (2020). World Malaria Report 2020. World Health Organization: Geneva, Switzerland.
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