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Research Article
Victor M Oguoma
Health Research Institute, University of Canberra, Canberra, Australia
Corresponding Author
ORCiD: https://orcid.org/0000-0001-9505-7197
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background:
Malaria remains a major public health threat in sub-Saharan Africa. Despite efforts to eradicate the disease in Nigeria, it is still a major cause of morbidity and mortality; especially among children under five (U5) years. This study assessed individual, household, and community risk factors for malaria in Nigerian children U5 years of age.
Methods:
Data from the Nigerian Malaria Health Indicator Survey 2015 were pooled for analyses. This comprised of national survey of 329 clusters. Children aged 6-59 months who were tested for malaria using microscopy were retained. Multilevel logit model accounting for sampling design was used to assess individual, household and community factors associated with malaria parasitaemia.
Results:
A total of 5742 children were assessed for malaria parasitaemia with overall prevalence of 27% (95% CI 26-28%). Plasmodium falciparum constituted 98% of the Plasmodium species. There was no significant difference in parasitaemia between older children, and those ≤12 months. In adjusted analyses, rural living, Northwest region, household size of >7, dependence on river and rain water as primary water source were associated with higher odds of parasitaemia; while higher wealth index, all U5s who slept under bed net and dependence on packaged water were associated with lower odds of parasitemia.
Conclusion:
Malaria remains a substantial public health burden in Nigeria, especially in U5 children, despite sustained investment in malaria control and prevention. A quarter of the overall national burden are in the U5s. Across the six geopolitical zones, the highest burden was in children living in poorest rural households.
Keywords
Children under-five, Malaria infection, Parasitaemia, ITN, Sub-Saharan Africa
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research Article
Victor M Oguoma
Health Research Institute, University of Canberra, Canberra, Australia
Corresponding Author
ORCiD: https://orcid.org/0000-0001-9505-7197
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
View the published article at Transactions of The Royal Society of Tropical Medicine and Hygiene.
No community comments so far
Version 1
Posted 02 Jun, 2020
No comments provided
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Transactions of The Royal Society of Tropical Medicine and Hygiene.
Background:
Malaria remains a major public health threat in sub-Saharan Africa. Despite efforts to eradicate the disease in Nigeria, it is still a major cause of morbidity and mortality; especially among children under five (U5) years. This study assessed individual, household, and community risk factors for malaria in Nigerian children U5 years of age.
Methods:
Data from the Nigerian Malaria Health Indicator Survey 2015 were pooled for analyses. This comprised of national survey of 329 clusters. Children aged 6-59 months who were tested for malaria using microscopy were retained. Multilevel logit model accounting for sampling design was used to assess individual, household and community factors associated with malaria parasitaemia.
Results:
A total of 5742 children were assessed for malaria parasitaemia with overall prevalence of 27% (95% CI 26-28%). Plasmodium falciparum constituted 98% of the Plasmodium species. There was no significant difference in parasitaemia between older children, and those ≤12 months. In adjusted analyses, rural living, Northwest region, household size of >7, dependence on river and rain water as primary water source were associated with higher odds of parasitaemia; while higher wealth index, all U5s who slept under bed net and dependence on packaged water were associated with lower odds of parasitemia.
Conclusion:
Malaria remains a substantial public health burden in Nigeria, especially in U5 children, despite sustained investment in malaria control and prevention. A quarter of the overall national burden are in the U5s. Across the six geopolitical zones, the highest burden was in children living in poorest rural households.
Figure 1
Figure 2
Figure 3
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