Sociodemographic Determinants of Malaria among Under-Five Children in Ghana

Nyarko, Samuel H.; Cobblah, Anastasia

doi:10.1155/2014/304361

Cited by 61 publications

(70 citation statements)

References 10 publications

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“…The crude parasite rates are found to range from 10 to 70%, with Plasmodium falciparum accounting for 90-98%, Plasmodium malariae 2-9% and Plasmodium ovale 1% of all infections, respectively (Afudego, 2011). In their study, Nyarko and Cobblah (2014) found that the highest proportion (22.7%) of malaria under-five was reported among children whose mothers had primary school education, while mothers with higher education reported the lowest (17.4%) malaria cases among such children. The study further found the highest proportion of cases was reported among children whose mothers were from poor households, pointing to the fact that solving the malaria problem even among children might better be done through social and economic interventions rather than scientific-based interventions alone.…”

Section: Review Of Related Literaturementioning

confidence: 93%

“…Empirical studies in Ghana (including Afudego, 2011;Nyarko & Cobblah, 2014) point to the fact that the group affected most by malaria are children under-five (accounting for 20% of the population) and pregnant women (accounting for 4% of the population). The crude parasite rates are found to range from 10 to 70%, with Plasmodium falciparum accounting for 90-98%, Plasmodium malariae 2-9% and Plasmodium ovale 1% of all infections, respectively (Afudego, 2011).…”

Section: Review Of Related Literaturementioning

confidence: 99%

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Poverty and malaria morbidity in the Jirapa District of Ghana: A count regression approach

Nkegbe

Kuunibe

Sekyi

2017

Cogent Economics & Finance

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Malaria potentially affects everyone in the tropics and sub-tropics, however, the poor and vulnerable are worse affected mainly due to the socio-economic constraints that confront them. In Ghana, the Upper West Region, which is the poorest, is one of the worse affected in terms of malaria burden. Given social and economic factors directly relate to malaria morbidity, global malaria control strategy unfortunately has not particularly targeted the effects of socio-economic deprivation on the disease morbidity and control. This study investigates the linkages between poverty and malaria morbidity using count data models, with Jirapa District in the Upper West Region of Ghana as the study area. Empirical results confirm the presence of poverty in the study area as more than half of households depend on heads whose incomes are below the poverty line of US$1 per day and that significant relationships exist between poverty and education on the one hand and malaria morbidity on the other, since gender and level of education of household head, and household poverty situation are significant determinants of malaria morbidity. The study thus recommends that policies aimed at reducing and/or eradicating malaria should include measures to increase income earning capacity of households in the study area.

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Section: Review Of Related Literaturementioning

confidence: 93%

Section: Review Of Related Literaturementioning

confidence: 99%

Poverty and malaria morbidity in the Jirapa District of Ghana: A count regression approach

Nkegbe

Kuunibe

Sekyi

2017

Cogent Economics & Finance

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“…Plasmodium falciparum is the main species causing malaria infections in children around sub-Saharan Africa. It is estimated that 90% of the mortality is caused by Plasmodium falciparum (Anstey et al, 2002;Nyarko and Cobblah, 2014;Walldorf et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and socio-demographic factors associated with malaria infection among children under five years in Tanzania

Paul¹,

Amina²

2018

J. Public Health Epidemiol.

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Malaria is one among four main infectious diseases leading in death for the under-five children in Africa. This study aim to determine prevalence of malaria and social demographic factors related with children under-five in Tanzania. The study used cross section data extracted from Tanzania demographic health survey collected from 2015 to 2016. A sample of 9,322 under five children with malaria rapid diagnostic test results was obtained from 10,899 households. Complimentary log-log model was used to determine factors associated with malaria among children under five years. The study reveals that malaria prevalence increases with increase in age, varies with place and zone of residence, being highest to the rural areas compared to urban. Complementary log-log model estimates has also indicated that Western zone was having a highest mean occurrence of children with malaria compared to all other zones whereas Zanzibar (Adjusted Parameter estimates =-4.521, CI:-5.92,-3.13) was having a lowest mean occurrence compared to Western zone and all other zones. The risk of malaria among under-five children was positively related with family wealth index. The results show that malaria decreases with an increase in wealth. Other explanatory variables which include; child sex, mother's age, marital status and education level, as well as mosquito net ownership were not statistically significant associated with malaria at 5% level. Therefore children's age, place of residence, zone of residence and wealth index are significant predictors of malaria in Tanzania. Particular emphasis on education and interventions across the groups need to be prioritized for continued improvements in targeting high prevalent areas to reduce malaria risks, especially to the children under-five years.

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“…Younger children (5-9 years) have higher risk of gametocyte carriage when infected with P. falciparum. A study in Tanzania has also reported similar association of age with increased gametocyte prevalence [36].…”

Section: Discussionmentioning

confidence: 63%

Assessment of the relationship between gametocyte density, multiplicity of infection and mosquito infectivity in Plasmodium falciparum infections

Touray¹,

Mobegi

Wamunyokoli

et al. 2020

Preprint

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Background: Malaria is a major public health threat in sub-Saharan Africa. Asymptomatic P. falciparum gametocyte carriers are potential infectious reservoirs for sustaining transmission in many malaria endemic regions. The aim of the study was to assess the prevalence of gametocyte carriage and some of its associated risk factors among asymptomatic schoolchildren (age 5-15 years) in Mbita, western Kenya and further analyse the association between gametocyte density, multiplicity of infection (MOI) and mosquito infectivity. Methods: Rapid diagnostic test (RDT) was used to screen for P. falciparum parasite infection among asymptomatic schoolchildren (5-15 years old) residing in Mbita, Western Kenya and the results were further verified using microscopy. Participants positive for P. falciparum infection were further screened for gametocyte carriage and those positive were used to feed laboratory reared An. gambiae s.s. mosquitoes using membrane feeding method. Genomic DNA was extracted from dry blood spots (DBS) samples and P. falciparum populations were genotyped using 10 polymorphic microsatellite markers. Assessment of the association between MOI and gametocyte density and mosquito infection rates was conducted. Results: The prevalence of Plasmodium falciparum infection among the study population was 29.1%. A significantly higher P. falciparum infection was found among the male gender (n=764, p -value < 0.05) compared to the females (n=657). Gametocyte prevalence among the study population was 2%. Children (5-9 years) have a higher risk of gametocyte carriage (Odd Ratios = 2.1 [95% CI = 1.3–3.4], P = 0.002). Our results indicate a significant and positive combined effect of gametocyte density and MOI on mosquito infection rate (R = 0.825, p < 0.0001). Conclusion: The study reports a relatively stable year-round gametocyte carriage among the study population. This pattern of gametocyte carriage signals the role of schoolchildren in maintaining malaria transmission in the study area. A strong positive correlation was found between gametocyte density, multiplicity of infection and mosquito infectivity.

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Sociodemographic Determinants of Malaria among Under-Five Children in Ghana

Cited by 61 publications

References 10 publications

Poverty and malaria morbidity in the Jirapa District of Ghana: A count regression approach

Poverty and malaria morbidity in the Jirapa District of Ghana: A count regression approach

Prevalence and socio-demographic factors associated with malaria infection among children under five years in Tanzania

Assessment of the relationship between gametocyte density, multiplicity of infection and mosquito infectivity in Plasmodium falciparum infections

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