Determinants of malaria among under-five children in Ethiopia: Bayesian multilevel analysis
Abstract Background In Ethiopia, malaria is one of the public health problems, and it is still among the ten top leading causes of morbidity and mortality among under-five children. However, the studies conducted in the country have been inconclusive and inconsistent. Thus, this study aimed to asses...
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| Format: | Article |
| Language: | English |
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BMC
2020-09-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-09560-1 |
| _version_ | 1818955303874461696 |
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| author | Setognal Birara Aychiluhm Kassahun Alemu Gelaye Dessie Abebaw Angaw Getachew Asfaw Dagne Abay Woday Tadesse Adugna Abera Dereje Dillu |
| author_facet | Setognal Birara Aychiluhm Kassahun Alemu Gelaye Dessie Abebaw Angaw Getachew Asfaw Dagne Abay Woday Tadesse Adugna Abera Dereje Dillu |
| author_sort | Setognal Birara Aychiluhm |
| collection | DOAJ |
| description | Abstract Background In Ethiopia, malaria is one of the public health problems, and it is still among the ten top leading causes of morbidity and mortality among under-five children. However, the studies conducted in the country have been inconclusive and inconsistent. Thus, this study aimed to assess factors associated with malaria among under-five children in Ethiopia. Methods We retrieved secondary data from the malaria indicator survey data collected from September 30 to December 10, 2015, in Ethiopia. A total of 8301 under-five-year-old children who had microscopy test results were included in the study. Bayesian multilevel logistic regression models were fitted and Markov chain Monte Carlo simulation was used to estimate the model parameters using Gibbs sampling. Adjusted Odd Ratio with 95% credible interval in the multivariable model was used to select variables that have a significant association with malaria. Results In this study, sleeping under the insecticide-treated bed nets during bed time (ITN) [AOR 0.58,95% CI, 0.31–0.97)], having 2 and more ITN for the household [AOR 0.43, (95% CI, 0.17–0.88)], have radio [AOR 0.41, (95% CI, 0.19–0.78)], have television [AOR 0.19, (95% CI, 0.01–0.89)] and altitude [AOR 0.05, (95% CI, 0.01–0.13)] were the predictors of malaria among under-five children. Conclusions The study revealed that sleeping under ITN, having two and more ITN for the household, altitude, availability of radio, and television were the predictors of malaria among under-five children in Ethiopia. Thus, the government should strengthen the availability and utilization of ITN to halt under-five mortality due to malaria. |
| first_indexed | 2024-12-20T10:35:55Z |
| format | Article |
| id | doaj.art-c8e6a19fb5f945d1a215714754f803f5 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-20T10:35:55Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-c8e6a19fb5f945d1a215714754f803f52022-12-21T19:43:37ZengBMCBMC Public Health1471-24582020-09-0120111010.1186/s12889-020-09560-1Determinants of malaria among under-five children in Ethiopia: Bayesian multilevel analysisSetognal Birara Aychiluhm0Kassahun Alemu Gelaye1Dessie Abebaw Angaw2Getachew Asfaw Dagne3Abay Woday Tadesse4Adugna Abera5Dereje Dillu6Department of Public Health, College of Medicine and Health Sciences, Samara UniversityDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of GondarCollege of Public Health, University of South FloridaDepartment of Public Health, College of Medicine and Health Sciences, Samara UniversityEthiopian Public Health InstituteEthiopian Ministry of HealthAbstract Background In Ethiopia, malaria is one of the public health problems, and it is still among the ten top leading causes of morbidity and mortality among under-five children. However, the studies conducted in the country have been inconclusive and inconsistent. Thus, this study aimed to assess factors associated with malaria among under-five children in Ethiopia. Methods We retrieved secondary data from the malaria indicator survey data collected from September 30 to December 10, 2015, in Ethiopia. A total of 8301 under-five-year-old children who had microscopy test results were included in the study. Bayesian multilevel logistic regression models were fitted and Markov chain Monte Carlo simulation was used to estimate the model parameters using Gibbs sampling. Adjusted Odd Ratio with 95% credible interval in the multivariable model was used to select variables that have a significant association with malaria. Results In this study, sleeping under the insecticide-treated bed nets during bed time (ITN) [AOR 0.58,95% CI, 0.31–0.97)], having 2 and more ITN for the household [AOR 0.43, (95% CI, 0.17–0.88)], have radio [AOR 0.41, (95% CI, 0.19–0.78)], have television [AOR 0.19, (95% CI, 0.01–0.89)] and altitude [AOR 0.05, (95% CI, 0.01–0.13)] were the predictors of malaria among under-five children. Conclusions The study revealed that sleeping under ITN, having two and more ITN for the household, altitude, availability of radio, and television were the predictors of malaria among under-five children in Ethiopia. Thus, the government should strengthen the availability and utilization of ITN to halt under-five mortality due to malaria.http://link.springer.com/article/10.1186/s12889-020-09560-1Malaria microscopy testBayesian multilevel logistic regressionEthiopia |
| spellingShingle | Setognal Birara Aychiluhm Kassahun Alemu Gelaye Dessie Abebaw Angaw Getachew Asfaw Dagne Abay Woday Tadesse Adugna Abera Dereje Dillu Determinants of malaria among under-five children in Ethiopia: Bayesian multilevel analysis BMC Public Health Malaria microscopy test Bayesian multilevel logistic regression Ethiopia |
| title | Determinants of malaria among under-five children in Ethiopia: Bayesian multilevel analysis |
| title_full | Determinants of malaria among under-five children in Ethiopia: Bayesian multilevel analysis |
| title_fullStr | Determinants of malaria among under-five children in Ethiopia: Bayesian multilevel analysis |
| title_full_unstemmed | Determinants of malaria among under-five children in Ethiopia: Bayesian multilevel analysis |
| title_short | Determinants of malaria among under-five children in Ethiopia: Bayesian multilevel analysis |
| title_sort | determinants of malaria among under five children in ethiopia bayesian multilevel analysis |
| topic | Malaria microscopy test Bayesian multilevel logistic regression Ethiopia |
| url | http://link.springer.com/article/10.1186/s12889-020-09560-1 |
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