Severe malaria among children in Gambella, western Ethiopia

Gebre, Betemariam; Negash, Yayeh

doi:10.4314/ejhd.v16i1.9827

Cited by 13 publications

(13 citation statements)

References 6 publications

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“… 10 Another study conducted in the Arbaminch Zuria district came up with 58.8% where at least one ITN, with a higher proportion in rural (73.7%) than urban (43.3%) and 82.7% using at least one ITN. 4 Another comparative study conducted in Southwest Ethiopia reported 66.3% with ownership of at least one ITN. 18 A study conducted in Southeastern Benin reported 88.96% owned at least one ITN and 84% used at least one ITN.…”

Section: Discussionmentioning

confidence: 99%

“…2 Malaria continues to be an overwhelming public health problem in Africa, especially the sub-Saharan countries, with 90% of annual world malaria cases in the region. 2 , 4 Transmission of malaria in this region is the highest in the world, and children, pregnant women, and poor families are the most vulnerable groups. 4 , 5…”

Section: Introductionmentioning

confidence: 99%

“…2 , 4 Transmission of malaria in this region is the highest in the world, and children, pregnant women, and poor families are the most vulnerable groups. 4 , 5…”

Section: Introductionmentioning

confidence: 99%

“…Different studies conducted in the country and parts of the world have shown that there were improvements on ITN ownership, whereas regarding utilization at HH level, there are a lot of ups and downs. 3 , 4 , 7 – 10 , 13 – 27 Evidence extracted from different studies showed the utilization status of ITNs was affected by different factors – geographical, individual, HH, and environmental – among ITN owners: the HH residence, 16 literacy level of the HH, 3 , 17 awareness of ITNs, 17 geographical settlement of the HH, 3 , 10 number of sleeping rooms in the HH, individual ITN-color preference, presence of children aged under 5 years in the HH, IRS status of the HH, awareness of malaria prevention, 10 HH-head sex, HH-head income, availability of radio, 3 duration of ITNs received by the HH, family size of the HH, and occupational status of the HH head. 15 …”

Section: Introductionmentioning

confidence: 99%

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Insecticide-treated net ownership and utilization and factors that influence their use in Itang, Gambella region, Ethiopia: cross-sectional study

Watiro¹,

Awoke

2016

RMHP

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BackgroundMalaria remains a major public health problem in Ethiopia. Consequently, Ethiopia designed the 2011–2015, Malaria Prevention and Control Strategic Plan to fight the vector. It was discovered that most of the studies conducted on the use of insecticide-treated nets (ITNs) were not in line with the strategic plan of the country. This study aimed to assess ITN ownership and utilization, and includes barriers related to its use among the target-area population at household (HH) level.Materials and methodsA cross-sectional design was employed in Itang for this study. Data were collected by trained nurses through face-to-face interview and observation. A total of 845 participants were selected through multistage sampling, and the size was determined by using a single-population proportion formula. EPI Info and SPSS was used for analysis, and all necessary statistical association was computed in order to explain the outcome variable through explanatory variables of this study.ResultsAmong 845 HHs interviewed, 81.7% (690) had at least one ITN, while 52.3% (361) had used the ITN the night preceding the data-collection day. HH awareness of malaria prevention, number of ITNs, family size, number of family members sharing sleeping area/beds, sleeping patterns of adolescents, HH-head age, and inconvenience of using ITNs were found to be barriers to the use of ITNs in this study.Conclusion and recommendationThe study concluded that very few HHs owned ITNs and there was very low usage of ITNs. In recommendation, the regional health bureau and district health office should consider bigger nets that can accommodate family members who share the same sleeping area/bed in the area.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…2 , 4 Transmission of malaria in this region is the highest in the world, and children, pregnant women, and poor families are the most vulnerable groups. 4 , 5…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Insecticide-treated net ownership and utilization and factors that influence their use in Itang, Gambella region, Ethiopia: cross-sectional study

Watiro¹,

Awoke

2016

RMHP

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“…Malaria transmission in Ethiopia occurs mainly at altitudes < 2000 m, although endemic regions > 2000 m have been reported [ 3 – 5 ]. The levels of malaria risk and transmission intensity, however, show marked seasonal, inter-annual and spatial variability, with the exception of the southwestern international border low land area where transmission is year-around [ 6 – 8 ]. In most regions of the country, the major transmission season is from September to December, following the main rainy season from June to September [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Malaria epidemiology and interventions in Ethiopia from 2001 to 2016

et al. 2018

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BackgroundEthiopia is one of the African countries where Plasmodium falciparum and P. vivax co-exist. Monitoring and evaluation of current malaria transmission status is an important component of malaria control as it is a measure of the success of ongoing interventions and guides the planning of future control and elimination efforts.Main textWe evaluated changes in malaria control policy in Ethiopia, and reviewed dynamics of country-wide confirmed and clinical malaria cases by Plasmodium species and reported deaths for all ages and less than five years from 2001 to 2016. Districts level annual parasite incidence was analysed to characterize the malaria transmission stratification as implemented by the Ministry of Health. We found that Ethiopia has experienced major changes from 2003 to 2005 and subsequent adjustment in malaria diagnosis, treatment and vector control policy. Malaria interventions have been intensified represented by the increased insecticide treated net (ITN) and indoor residual spraying (IRS) coverage, improved health services and improved malaria diagnosis. However, countrywide ITN and IRS coverages were low, with 64% ITN coverage in 2016 and IRS coverage of 92.5% in 2016 and only implemented in epidemic-prone areas of > 2500 m elevation. Clinical malaria incidence rate dropped from an average of 43.1 cases per 1000 population annually between 2001 and 2010 to 29.0 cases per 1000 population annually between 2011 and 2016. Malaria deaths decreased from 2.1 deaths per 100 000 people annually between 2001 and 2010 to 1.1 deaths per 100 000 people annually between 2011 to 2016. There was shrinkage in the malaria transmission map and high transmission is limited mainly to the western international border area. Proportion of P. falciparum malaria remained nearly unchanged from 2000 to 2016 indicating further efforts are needed to suppress transmission.ConclusionsMalaria morbidity and mortality have been significantly reduced in Ethiopia since 2001, however, malaria case incidence is still high, and there were major gaps between ITN ownership and compliance in malarious areas. Additional efforts are needed to target the high transmission area of western Ethiopia to sustain the achievements made to date.Electronic supplementary materialThe online version of this article (10.1186/s40249-018-0487-3) contains supplementary material, which is available to authorized users.

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