Regional heterogeneity of malaria prevalence and associated risk factors among children under five in Togo: evidence from a national malaria indicators survey
Abstract Background Malaria remains a major cause of morbidity and death among children less than 5 years of age. In Togo, despite intensification of malaria control interventions, malaria remained highly prevalent, with significant heterogeneity from one region to another. The aim of this study is...
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ftdoajarticles:oai:doaj.org/article:e53c1cb5082544b7bb18e1c7fa3596e6 2023-05-15T15:12:39+02:00 Regional heterogeneity of malaria prevalence and associated risk factors among children under five in Togo: evidence from a national malaria indicators survey Gountante Kombate Wakpaouyare Gmakouba Susana Scott Komi Ameko Azianu Didier Koumavi Ekouevi Marianne A. B. van der Sande 2022-06-01T00:00:00Z https://doi.org/10.1186/s12936-022-04195-6 https://doaj.org/article/e53c1cb5082544b7bb18e1c7fa3596e6 EN eng BMC https://doi.org/10.1186/s12936-022-04195-6 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-022-04195-6 1475-2875 https://doaj.org/article/e53c1cb5082544b7bb18e1c7fa3596e6 Malaria Journal, Vol 21, Iss 1, Pp 1-11 (2022) Regional heterogeneity Malaria prevalence Children under 5 years Togo Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2022 ftdoajarticles https://doi.org/10.1186/s12936-022-04195-6 2022-12-31T02:30:15Z Abstract Background Malaria remains a major cause of morbidity and death among children less than 5 years of age. In Togo, despite intensification of malaria control interventions, malaria remained highly prevalent, with significant heterogeneity from one region to another. The aim of this study is to explore further such regional differences in malaria prevalence and to determine associated risk factors. Methods Data from a 2017 cross-sectional nationally representative malaria indicator survey was used. Children aged 6–59 months in selected households were tested for malaria using a rapid diagnostic test (RDT), confirmed by microscopy. Univariate and multivariate logistic regression analysis were performed using Generalized Linear Models. Results A total of 2131 children aged 6–59 months (1983 in rural areas, 989 in urban areas) were enrolled. Overall 28% of children tested positive for malaria, ranging from 7.0% in the Lomé Commune region to 4% 7.1 in the Plateaux region. In multivariate analysis, statistically significant differences between regions persisted. Independent risk factors identified were higher children aged (aOR = 1.46, 95% CI [1.13–1.88]) for those above 24 months compared to those below; households wealth quintile (aOR = 0.22, 95% CI [0.11–0.41]) for those richest compared to those poorest quintiles; residence in rural areas (aOR = 2.02, 95% CI [1.32–3.13]). Conclusion Interventions that target use of combined prevention measures should prioritise on older children living in poorest households in rural areas, particularly in the regions of high malaria prevalence. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 21 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
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English |
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Regional heterogeneity Malaria prevalence Children under 5 years Togo Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Regional heterogeneity Malaria prevalence Children under 5 years Togo Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Gountante Kombate Wakpaouyare Gmakouba Susana Scott Komi Ameko Azianu Didier Koumavi Ekouevi Marianne A. B. van der Sande Regional heterogeneity of malaria prevalence and associated risk factors among children under five in Togo: evidence from a national malaria indicators survey |
topic_facet |
Regional heterogeneity Malaria prevalence Children under 5 years Togo Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Malaria remains a major cause of morbidity and death among children less than 5 years of age. In Togo, despite intensification of malaria control interventions, malaria remained highly prevalent, with significant heterogeneity from one region to another. The aim of this study is to explore further such regional differences in malaria prevalence and to determine associated risk factors. Methods Data from a 2017 cross-sectional nationally representative malaria indicator survey was used. Children aged 6–59 months in selected households were tested for malaria using a rapid diagnostic test (RDT), confirmed by microscopy. Univariate and multivariate logistic regression analysis were performed using Generalized Linear Models. Results A total of 2131 children aged 6–59 months (1983 in rural areas, 989 in urban areas) were enrolled. Overall 28% of children tested positive for malaria, ranging from 7.0% in the Lomé Commune region to 4% 7.1 in the Plateaux region. In multivariate analysis, statistically significant differences between regions persisted. Independent risk factors identified were higher children aged (aOR = 1.46, 95% CI [1.13–1.88]) for those above 24 months compared to those below; households wealth quintile (aOR = 0.22, 95% CI [0.11–0.41]) for those richest compared to those poorest quintiles; residence in rural areas (aOR = 2.02, 95% CI [1.32–3.13]). Conclusion Interventions that target use of combined prevention measures should prioritise on older children living in poorest households in rural areas, particularly in the regions of high malaria prevalence. |
format |
Article in Journal/Newspaper |
author |
Gountante Kombate Wakpaouyare Gmakouba Susana Scott Komi Ameko Azianu Didier Koumavi Ekouevi Marianne A. B. van der Sande |
author_facet |
Gountante Kombate Wakpaouyare Gmakouba Susana Scott Komi Ameko Azianu Didier Koumavi Ekouevi Marianne A. B. van der Sande |
author_sort |
Gountante Kombate |
title |
Regional heterogeneity of malaria prevalence and associated risk factors among children under five in Togo: evidence from a national malaria indicators survey |
title_short |
Regional heterogeneity of malaria prevalence and associated risk factors among children under five in Togo: evidence from a national malaria indicators survey |
title_full |
Regional heterogeneity of malaria prevalence and associated risk factors among children under five in Togo: evidence from a national malaria indicators survey |
title_fullStr |
Regional heterogeneity of malaria prevalence and associated risk factors among children under five in Togo: evidence from a national malaria indicators survey |
title_full_unstemmed |
Regional heterogeneity of malaria prevalence and associated risk factors among children under five in Togo: evidence from a national malaria indicators survey |
title_sort |
regional heterogeneity of malaria prevalence and associated risk factors among children under five in togo: evidence from a national malaria indicators survey |
publisher |
BMC |
publishDate |
2022 |
url |
https://doi.org/10.1186/s12936-022-04195-6 https://doaj.org/article/e53c1cb5082544b7bb18e1c7fa3596e6 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 21, Iss 1, Pp 1-11 (2022) |
op_relation |
https://doi.org/10.1186/s12936-022-04195-6 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-022-04195-6 1475-2875 https://doaj.org/article/e53c1cb5082544b7bb18e1c7fa3596e6 |
op_doi |
https://doi.org/10.1186/s12936-022-04195-6 |
container_title |
Malaria Journal |
container_volume |
21 |
container_issue |
1 |
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1766343310359658496 |