Journal article
Multilevel modelling of the risk of malaria among children aged under five years in Nigeria
Royal Society of Tropical Medicine and Hygiene. Transactions, Vol.115(5), pp.482-494
2021
PMID: 32945885
Abstract
Background
Malaria is still a major cause of morbidity and mortality among children aged <5 y (U5s). This study assessed individual, household and community risk factors for malaria in Nigerian U5s.
Methods
Data from the Nigerian Malaria Health Indicator Survey 2015 were pooled for analyses. This comprised a national survey of 329 clusters. Children aged 6–59 mo who were tested for malaria using microscopy were retained. Multilevel logit model accounting for sampling design was used to assess individual, household and community factors associated with malaria parasitaemia.
Results
A total of 5742 children were assessed for malaria parasitaemia with an overall prevalence of 27% (95% CI 26 to 28%). Plasmodium falciparum constituted 98% of the Plasmodium species. There was no significant difference in parasitaemia between older children and those aged ≤12 mo. In adjusted analyses, rural living, northwest region, a household size of >7, dependence on river and rainwater as primary water source were associated with higher odds of parasitaemia, while higher wealth index, all U5s who slept under a bed net and dependence on packaged water were associated with lower odds of parasitaemia.
Conclusion
Despite sustained investment in malaria control and prevention, a quarter of the overall study population of U5s have malaria. Across the six geopolitical zones, the highest burden was in children living in the poorest rural households.
Details
- Title
- Multilevel modelling of the risk of malaria among children aged under five years in Nigeria
- Authors
- Victor M Oguoma (Corresponding Author) - University of CanberraAnayochukwu E Anyasodor - Charles Sturt UniversityAdeniyi O Adeleye - Central Queensland UniversityObiora A Eneanya - Washington University in St. LouisEvaristus C Mbanefo - Biomedical Research Institute
- Publication details
- Royal Society of Tropical Medicine and Hygiene. Transactions, Vol.115(5), pp.482-494
- Publisher
- Oxford University Press
- Date published
- 2021
- DOI
- 10.1093/trstmh/traa092
- ISSN
- 1878-3503
- PMID
- 32945885
- Data Availability
- The data analysed in this study is publicly available and accessible by application to Measure DHS, ICF International, Rockville, Maryland, USA at https://dhsprogram.com/.
- Organisation Unit
- Thompson Institute
- Language
- English
- Record Identifier
- 991121852502621
- Output Type
- Journal article
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