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dc.contributor.authorZgambo, M.
dc.contributor.authorMbakaya, B.
dc.contributor.authorKalembo, Fatch
dc.date.accessioned2018-12-13T09:13:20Z
dc.date.available2018-12-13T09:13:20Z
dc.date.created2018-12-12T02:46:59Z
dc.date.issued2017
dc.identifier.citationZgambo, M. and Mbakaya, B. and Kalembo, F. 2017. Prevalence and factors associated with malaria parasitaemia in children under the age of five years in Malawi: A comparison study of the 2012 and 2014 Malaria Indicator Surveys (MISs). PLoS ONE. 12 (4): e0175537.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/72427
dc.identifier.doi10.1371/journal.pone.0175537
dc.description.abstract

© 2017 Zgambo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Background Malaria is the main cause of morbidity and mortality among children under the age of five years in Malawi. The aim of this study was to compare the prevalence and factors associated with malaria parasitaemia among children under the age of five years in Malawi between the 2014 and 2012 Malaria Indicator Surveys (MISs). Methodology Data on demographic factors, vector control interventions, and blood for malaria test were collected from a representative sample of children under the age of five years in Malawi through multistage cluster sampling method. Data were analysed by chi-square test and logistic regression using complex samples analysis of the Statistical Package for the Social Sciences (SPSS) version 22.Results The prevalence of malaria parasitaemia among children under the age of five years increased from 28% in 2012 to 33% in 2014 (p > 0.05). Likewise, the proportion of children using long-lasting insecticide-treated net (LLIN) increased significantly from 54% in 2012 to 65% in 2014 MIS (p < 0.05). The proportion of households that had used indoor residual spraying (IRS) was 9% for both surveys. In multivariate analysis, use of LLIN significantly predicted for malaria parasitaemia in the 2012 MIS but not in the 2014 MIS. Older children and those coming from the poorest families were significantly associated with having malaria parasites in both surveys. Conclusion The increase in the use of LLIN among children in 2014, did not result in the reduction of malaria parasitaemia in children. The use of LLIN significantly predicted for malaria parasitaemia among children in the 2012 MIS but not in the 2014 MIS. The results of this study underscore the need to increase the coverage of IRS, mosquito repellents and larvicide alongside LLINs in order to reduce the burden of malaria among children in Malawi.

dc.publisherPublic Library of Science
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.titlePrevalence and factors associated with malaria parasitaemia in children under the age of five years in Malawi: A comparison study of the 2012 and 2014 Malaria Indicator Surveys (MISs)
dc.typeJournal Article
dcterms.source.volume12
dcterms.source.number4
dcterms.source.issn1932-6203
dcterms.source.titlePLoS ONE
curtin.departmentSchool of Nursing, Midwifery and Paramedicine
curtin.accessStatusOpen access


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