Assessment of malaria as a public health problem in and around Arjo Didhessa Sugar Cane Plantation area, Western Ethiopia
Background: Although much progress has been made in reducing malaria morbidity and mortality worldwide in the last decade, nationally malaria remains the third leading cause of death and still considered a major public health problem. Therefore, this study was aimed to assess malaria as a public health problem in and around the sugar cane plantation area of Arjo Didhessa sugar factory, Western Ethiopia.
Methods: A community-based cross-sectional study supplemented with clinical retrospective data, which included 452 study subjects was recruited and the study period was extended from May 2016 up to November of 2017. A standardized questionnaire was used to assess malaria risk factors and blood samples were received from all study participants and further subjected to Giemsa staining for determination of malaria prevalence. Data were analyzed by SPSS version 20. Malaria risk factors were identified by multivariate logistic regression at a significance level of P < 0.05.
Results: The overall malaria prevalence was 3.1%; Plasmodium vivax is the main type of malaria parasite. Overnight outdoor sleeping and improper utilization of mosquito bed nets were found to be statistically significant as malaria risk factors in the community. In the retrospective studies of five years, the peak malaria cases (13.84%) were reported in 2013 and the lowest cases (1.24%) in 2017.
Conclusions: The figure for malaria witnessed in this area remains higher than the observed national malaria prevalence indicating malaria remains a public health problem. Therefore, we suggest the factory administrators and health care professionals work more on raising awareness to avoid night outdoor sleeping and promote frequent and appropriate utilization of insecticide-treated nets in line with regular indoor residual spraying.
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Posted 12 May, 2020
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On 27 Dec, 2019
Received 15 Dec, 2019
On 27 Nov, 2019
Received 01 Nov, 2019
Received 28 Oct, 2019
On 03 Oct, 2019
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On 27 Sep, 2019
On 26 Sep, 2019
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On 23 Sep, 2019
Assessment of malaria as a public health problem in and around Arjo Didhessa Sugar Cane Plantation area, Western Ethiopia
Posted 12 May, 2020
On 27 Apr, 2020
On 01 Apr, 2020
On 30 Mar, 2020
On 29 Mar, 2020
On 29 Mar, 2020
On 23 Mar, 2020
On 19 Mar, 2020
On 18 Mar, 2020
On 18 Mar, 2020
On 19 Feb, 2020
Received 08 Feb, 2020
Invitations sent on 23 Jan, 2020
On 23 Jan, 2020
On 22 Jan, 2020
On 21 Jan, 2020
On 21 Jan, 2020
On 27 Dec, 2019
Received 15 Dec, 2019
On 27 Nov, 2019
Received 01 Nov, 2019
Received 28 Oct, 2019
On 03 Oct, 2019
On 27 Sep, 2019
Invitations sent on 27 Sep, 2019
On 27 Sep, 2019
On 26 Sep, 2019
On 25 Sep, 2019
On 23 Sep, 2019
Background: Although much progress has been made in reducing malaria morbidity and mortality worldwide in the last decade, nationally malaria remains the third leading cause of death and still considered a major public health problem. Therefore, this study was aimed to assess malaria as a public health problem in and around the sugar cane plantation area of Arjo Didhessa sugar factory, Western Ethiopia.
Methods: A community-based cross-sectional study supplemented with clinical retrospective data, which included 452 study subjects was recruited and the study period was extended from May 2016 up to November of 2017. A standardized questionnaire was used to assess malaria risk factors and blood samples were received from all study participants and further subjected to Giemsa staining for determination of malaria prevalence. Data were analyzed by SPSS version 20. Malaria risk factors were identified by multivariate logistic regression at a significance level of P < 0.05.
Results: The overall malaria prevalence was 3.1%; Plasmodium vivax is the main type of malaria parasite. Overnight outdoor sleeping and improper utilization of mosquito bed nets were found to be statistically significant as malaria risk factors in the community. In the retrospective studies of five years, the peak malaria cases (13.84%) were reported in 2013 and the lowest cases (1.24%) in 2017.
Conclusions: The figure for malaria witnessed in this area remains higher than the observed national malaria prevalence indicating malaria remains a public health problem. Therefore, we suggest the factory administrators and health care professionals work more on raising awareness to avoid night outdoor sleeping and promote frequent and appropriate utilization of insecticide-treated nets in line with regular indoor residual spraying.
Figure 1
Figure 2