Factors associated with the risk of malaria among children: analysis of 2021 Nigeria Malaria Indicator Survey
Abstract Background Malaria remains a burden globally, with the African region accounting for 94% of the overall disease burden and deaths in 2019. It is the major cause of morbidity and mortality among children in Nigeria. Though different environmental factors have been assessed to influence the d...
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BMC
2024-04-01
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Series: | Malaria Journal |
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Online Access: | https://doi.org/10.1186/s12936-024-04939-6 |
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author | Isaac Isiko Simon Nyegenye Daniel Kiprotich Bett Jackson Micheal Asingwire Lenz Nwachinemere Okoro Nana Awaya Emeribe Catherine Chepkoskei Koech Ovye Ahgu Naya Gadzama Bulus Kelly Taremwa Aaron Mwesigwa |
author_facet | Isaac Isiko Simon Nyegenye Daniel Kiprotich Bett Jackson Micheal Asingwire Lenz Nwachinemere Okoro Nana Awaya Emeribe Catherine Chepkoskei Koech Ovye Ahgu Naya Gadzama Bulus Kelly Taremwa Aaron Mwesigwa |
author_sort | Isaac Isiko |
collection | DOAJ |
description | Abstract Background Malaria remains a burden globally, with the African region accounting for 94% of the overall disease burden and deaths in 2019. It is the major cause of morbidity and mortality among children in Nigeria. Though different environmental factors have been assessed to influence the distribution and transmission of malaria vectors, there is a shortage of information on how they may influence malaria transmission among under-fives in Nigeria. Methods This study was based on the secondary data analysis of the Nigeria Malaria Indicator Survey 2021. The study sample comprised 10,645 women (aged 15–49) who delivered a child in the 2 years preceding the survey. The study was restricted to under-fives. Logistic regression was used to identify factors associated with the risk of malaria. Results There was a positive association between the risk of malaria and heard/seen malaria messages in the last 6 months (AOR 1.39, 95% CI 1.19–1.62), houses with walls built using rudimentary materials (AOR = 1.38, 95% CI 1.04–1.83), at least 6 children living in the house (AOR 1.22, 95% CI 1.00–1.49), children being 1 or 2 years old was associated with increased odds (AOR 1.89, 95% CI 1.50–2.34 and AOR 1.89, 95% CI 1.52–2.36), children from households with only treated nets (AOR 1.23, 95% CI 1.04–1.46) and those from the North West or South East regions (AOR 1.50, 95% CI 1.10–2.05 and AOR 1.48, 95% CI 1.01–2.16), respectively. All other predictors were not associated with the risk of malaria. Conclusion The factors associated with the risk of malaria in this study included sleeping under treated mosquito nets, the age of the children, residing in the northwest and southeast regions, wall construction material, 6 children and above in the household and hearing/seen malaria messages in the last 6 months. Continuous health education and public health interventions, such as the provision of LLITNs, will reduce the risk of malaria and improve the health and well-being of children under 5 years of age. |
first_indexed | 2024-04-24T07:18:51Z |
format | Article |
id | doaj.art-c4c524e21d244cb1b5f37daa79983e21 |
institution | Directory Open Access Journal |
issn | 1475-2875 |
language | English |
last_indexed | 2024-04-24T07:18:51Z |
publishDate | 2024-04-01 |
publisher | BMC |
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series | Malaria Journal |
spelling | doaj.art-c4c524e21d244cb1b5f37daa79983e212024-04-21T11:09:03ZengBMCMalaria Journal1475-28752024-04-012311910.1186/s12936-024-04939-6Factors associated with the risk of malaria among children: analysis of 2021 Nigeria Malaria Indicator SurveyIsaac Isiko0Simon Nyegenye1Daniel Kiprotich Bett2Jackson Micheal Asingwire3Lenz Nwachinemere Okoro4Nana Awaya Emeribe5Catherine Chepkoskei Koech6Ovye Ahgu7Naya Gadzama Bulus8Kelly Taremwa9Aaron Mwesigwa10Department of Community Medicine, Institute of Nutrition and Public Health, Nims UniversityDepartment of Statistics and Applied Planning, School of Statistics and Planning, Makerere UniversityDepartment of Radiation and Imaging Technology, Paramedical College, Nims UniversityFaculty of Pharmacy, Marwadi UniversityDepartment of Community Medicine, David Umahi Federal University Teaching HospitalDepartment of Community Medicine, Jos University Teaching HospitalDepartment of Sociology and Anthropology, Maseno UniversityDepartment of Public Health, Federal Medical CenterDepartment of Community Medicine, College of Medical Sciences, Abubakar Tafawa Balewa UniversitySchool of Public Health, College of Health Sciences, Makerere UniversityFaculty of Pharmacy, Marwadi UniversityAbstract Background Malaria remains a burden globally, with the African region accounting for 94% of the overall disease burden and deaths in 2019. It is the major cause of morbidity and mortality among children in Nigeria. Though different environmental factors have been assessed to influence the distribution and transmission of malaria vectors, there is a shortage of information on how they may influence malaria transmission among under-fives in Nigeria. Methods This study was based on the secondary data analysis of the Nigeria Malaria Indicator Survey 2021. The study sample comprised 10,645 women (aged 15–49) who delivered a child in the 2 years preceding the survey. The study was restricted to under-fives. Logistic regression was used to identify factors associated with the risk of malaria. Results There was a positive association between the risk of malaria and heard/seen malaria messages in the last 6 months (AOR 1.39, 95% CI 1.19–1.62), houses with walls built using rudimentary materials (AOR = 1.38, 95% CI 1.04–1.83), at least 6 children living in the house (AOR 1.22, 95% CI 1.00–1.49), children being 1 or 2 years old was associated with increased odds (AOR 1.89, 95% CI 1.50–2.34 and AOR 1.89, 95% CI 1.52–2.36), children from households with only treated nets (AOR 1.23, 95% CI 1.04–1.46) and those from the North West or South East regions (AOR 1.50, 95% CI 1.10–2.05 and AOR 1.48, 95% CI 1.01–2.16), respectively. All other predictors were not associated with the risk of malaria. Conclusion The factors associated with the risk of malaria in this study included sleeping under treated mosquito nets, the age of the children, residing in the northwest and southeast regions, wall construction material, 6 children and above in the household and hearing/seen malaria messages in the last 6 months. Continuous health education and public health interventions, such as the provision of LLITNs, will reduce the risk of malaria and improve the health and well-being of children under 5 years of age.https://doi.org/10.1186/s12936-024-04939-6Children under 5 yearsFamilyMalariaNigeriaMalaria risk |
spellingShingle | Isaac Isiko Simon Nyegenye Daniel Kiprotich Bett Jackson Micheal Asingwire Lenz Nwachinemere Okoro Nana Awaya Emeribe Catherine Chepkoskei Koech Ovye Ahgu Naya Gadzama Bulus Kelly Taremwa Aaron Mwesigwa Factors associated with the risk of malaria among children: analysis of 2021 Nigeria Malaria Indicator Survey Malaria Journal Children under 5 years Family Malaria Nigeria Malaria risk |
title | Factors associated with the risk of malaria among children: analysis of 2021 Nigeria Malaria Indicator Survey |
title_full | Factors associated with the risk of malaria among children: analysis of 2021 Nigeria Malaria Indicator Survey |
title_fullStr | Factors associated with the risk of malaria among children: analysis of 2021 Nigeria Malaria Indicator Survey |
title_full_unstemmed | Factors associated with the risk of malaria among children: analysis of 2021 Nigeria Malaria Indicator Survey |
title_short | Factors associated with the risk of malaria among children: analysis of 2021 Nigeria Malaria Indicator Survey |
title_sort | factors associated with the risk of malaria among children analysis of 2021 nigeria malaria indicator survey |
topic | Children under 5 years Family Malaria Nigeria Malaria risk |
url | https://doi.org/10.1186/s12936-024-04939-6 |
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