Department of Nursing, Pharma College Hawassa Campus, P.O. Box 67, Hawassa, Ethiopia.
Departement of Public Health, Pharma College Hawassa Campus, P.O. Box 67, Hawassa, Ethiopia.
Malar J. 2023 Sep 6;22(1):259. doi: 10.1186/s12936-023-04697-x.
Despite significant efforts made to control malaria in Ethiopia, the disease remains one of the top public health problems in the country. Baseline malaria prevalence and associated factor at high malaria area is important to guide malaria control interventions, there was paucity of information regarding the study area. Therefore, the aim of this study was to determine prevalence of malaria and associated factors among febrile adults in Siraro district health facilities, West Arsi Zone, Oromia, Ethiopia.
Institution-based cross-sectional study was conducted among 317 febrile adult patients at Siraro district health facilities. Structured pre-tested questionnaires were used to collect data. Epi-data version 3.1 and SPSS version 23 were used for data entry and analysis respectively. In order to identify factors associated with malaria infection bivariable and multivariable binary logistic regression analysis was employed, The Adjusted Odds Ratio (AOR) with a 95% confidence interval (CI) and p-value of < 0.05 was computed to show the strength of the association.
The overall prevalence of malaria at the study area was 130 (41.0%) [(95% CI 35.3-46.7)]. Occupation (being farmer) [(AOR = 6.05; 95% CI 1.38, 26.49)], having poor knowledge on malaria transmission [(AOR = 2.95 95%; CI 1.48-5.88)], house with wood wall [(AOR = 2.71; 95% CI 1.34-5.49)], and number of windows (≥ 3) in the house [(AOR = 6.82; 95% CI 1.05, 44.40)] were identified to be significantly associated with magnitude of malaria in the study area.
The prevalence of malaria at the study area was high as compared with the national wide figures. Being farmer, having poor knowledge on malaria transmission, and housing condition (house with wood wall and houses with three and above windows) were found to be significantly associated with malaria infection in the study area. Therefore, there has to be an emphasis on addressing the factors by providing sustainable health education for the communities to improve their housing condition and knowledge of community on the way of malaria prevention.
尽管埃塞俄比亚在控制疟疾方面做出了巨大努力，但该疾病仍是该国面临的主要公共卫生问题之一。在疟疾高发地区，了解疟疾的基线流行情况及其相关因素对于指导疟疾控制干预措施至关重要，但关于该研究区域的信息却很少。因此，本研究旨在确定西阿尔西地区 Siraro 区卫生机构发热成年人群中疟疾的流行情况及其相关因素，西阿尔西地区是奥罗米亚州的一个区。
在 Siraro 区卫生机构对 317 名发热成年患者进行了基于机构的横断面研究。使用结构化的预测试问卷收集数据。Epi-data 版本 3.1 和 SPSS 版本 23 分别用于数据录入和分析。为了确定与疟疾感染相关的因素，采用了单变量和多变量二元逻辑回归分析，具有统计学意义的关联采用调整后的优势比（AOR）和 95%置信区间（CI）及 p 值<0.05 来表示。
该研究区域的疟疾总流行率为 130 例（41.0%）[（95%CI 35.3-46.7）]。职业（农民）[（AOR=6.05；95%CI 1.38-26.49）]、对疟疾传播知识的了解较差[（AOR=2.95；95%CI 1.48-5.88）]、木墙房屋[（AOR=2.71；95%CI 1.34-5.49）]和房屋窗户数量（≥3 个）[（AOR=6.82；95%CI 1.05-44.40）]与该研究区域的疟疾严重程度显著相关。
与全国范围的数据相比，该研究区域的疟疾流行率较高。农民、对疟疾传播知识的了解较差以及住房条件（木墙房屋和有三个及以上窗户的房屋）与该研究区域的疟疾感染显著相关。因此，必须通过为社区提供可持续的健康教育来解决这些因素，以改善其住房条件和社区对疟疾预防的认识。
