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...

Full description

Bibliographic Details
Main Authors: 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
Format: Article
Language:English
Published: BMC 2024-04-01
Series:Malaria Journal
Subjects:
Online Access:https://doi.org/10.1186/s12936-024-04939-6
_version_ 1797199633496145920
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
record_format Article
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
work_keys_str_mv AT isaacisiko factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey
AT simonnyegenye factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey
AT danielkiprotichbett factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey
AT jacksonmichealasingwire factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey
AT lenznwachinemereokoro factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey
AT nanaawayaemeribe factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey
AT catherinechepkoskeikoech factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey
AT ovyeahgu factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey
AT nayagadzamabulus factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey
AT kellytaremwa factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey
AT aaronmwesigwa factorsassociatedwiththeriskofmalariaamongchildrenanalysisof2021nigeriamalariaindicatorsurvey