Incidence, prevalence and mortality rates of malaria in Ethiopia from 1990 to 2015: analysis of the global burden of diseases 2015

Abstract

BackgroundIn Ethiopia there is no complete registration system to measure disease burden and risk factors accurately. In this study, the 2015 global burden of diseases, injuries and risk factors (GBD) data were used to analyse the incidence, prevalence and mortality rates of malaria in Ethiopia over the last 25 years.MethodsGBD 2015 used verbal autopsy surveys, reports, and published scientific articles to estimate the burden of malaria in Ethiopia. Age and gender-specific causes of death for malaria were estimated using cause of death ensemble modelling.ResultsThe number of new cases of malaria declined from 2.8 million [95% uncertainty interval (UI) 1.4–4.5 million] in 1990 to 621,345 (95% UI 462,230–797,442) in 2015. Malaria caused an estimated 30,323 deaths (95% UI 11,533.3–61,215.3) in 1990 and 1561 deaths (95% UI 752.8–2660.5) in 2015, a 94.8% reduction over the 25 years. Age-standardized mortality rate of malaria has declined by 96.5% between 1990 and 2015 with an annual rate of change of 13.4%. Age-standardized malaria incidence rate among all ages and gender declined by 88.7% between 1990 and 2015. The number of disability-adjusted life years lost (DALY) due to malaria decreased from 2.2 million (95% UI 0.76–4.7 million) in 1990 to 0.18 million (95% UI 0.12–0.26 million) in 2015, with a total reduction 91.7%. Similarly, age-standardized DALY rate declined by 94.8% during the same period.ConclusionsEthiopia has achieved a 50% reduction target of malaria of the millennium development goals. The country should strengthen its malaria control and treatment strategies to achieve the sustainable development goals.

Determinant of malaria service readiness at health facility: Evidence from 2018 Service Availability and Readiness Assessment: Cross sectional study

“…The number of new cases of malaria declined from 2.8 million in 1990 and 621,345 in 2015 and malaria death also reduced from 30,323 in 1990 to 1,561in 2015. Age-standardized mortality rate declined by 96.5% between 1990 and 2015 and the number of disability-adjusted life years lost (DALY) due to malaria decreased from 2.2 million in 1990 to 0.18 million in 2015, with a total reduction of 91.7% (12). This was achieved by ensuring the availability of rapid diagnostic tests, antimalaria drugs, trained health care workers, diagnostic capacity at the health facility level and high coverage of ITNs distribution and spraying of households (13).…”

Geographical distribution of Anopheles stephensi in eastern Ethiopia

“…Malaria remains a leading global health concern with over 250 million cases reported yearly [1]. In Ethiopia, even though there has been steady progress in the reduction of malaria [2], 1.5 million cases were reported in 2018 [1]. Developing effective malaria control strategies in Ethiopia require knowledge of local mosquito vector species [3].…”

Malaria Incidence and Associated Risk Factors in and Around Anger Gute Town, Western Ethiopia

“…In Ethiopia, regardless of implementation of control interventions for a couple of decades and achievements of a 50% reduction target of malaria of the millennium development goals [6], malaria still remains a major public health problem [7].The country is planning to eliminate malaria in the upcoming decades. The current core malaria control and elimination interventions are prompt treatment of cases using artemisinin-based combination therapy (ACT) and massive operational deployment of long-lasting insecticidal nets (LLINs) and indoor residual spray (IRS) [5].…”