尼日利亚五岁以下儿童疟疾传播的决定因素：2021 年尼日利亚疟疾指标横断面调查结果。

Determinants of malaria spread among under-five children in Nigeria: results from a 2021 Nigerian malaria indicator cross-sectional survey.

机构信息

School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.

Department of Community Medicine, Axel Pries Institute of Public Health and Biomedical Sciences, Nims University, Jaipur, Rajasthan State, India.

出版信息

BMC Pediatr. 2024 Oct 10;24(1):646. doi: 10.1186/s12887-024-05135-w.

DOI:10.1186/s12887-024-05135-w

PMID:39390568

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11465570/

Abstract

BACKGROUND

Malaria is a global disease burden, especially in Africa, with Nigeria having the highest prevalence of malaria, with approximately 50% affecting children. Children under five years of age are vulnerable to the risk of malaria spread. This research aimed to identify the determinants of malaria spread among children under the age of 5 in Nigeria.

METHODS

This study used national malaria indicator survey data from 2021 (2021NMIS). The NMIS was implemented by the National Malaria Elimination Programme (NMEP), and data were collected between 12 October and 4 December 2021. This study included 3678 children, and data cleaning and analysis were performed via STATA version 17 software.

RESULTS

There was a positive association between Child's age in months of 13-23 (AOR = 2.97; 95% CI = 1.62-5.45), 24-35 months (AOR = 2.64; 95% CI = 1.43-4.88),36-47 months (AOR = 2.18; 95% CI = 1.17-4.08) and months of 48-59(AOR = 2.82; 95% CI = 1.53-5.23), households headed by females (AOR = 0.71; 95% CI = 0.54-0.95),households with all children slept in mosquito nets last night (AOR = 2.43; 95% CI = 1.39-4.21), some children slept in the mosquito bed net (AOR = 2.83; 95% CI = 1.50-5.35) and households with no mosquito bed nets (AOR = 2.18; 95% CI = 1.22-3.88),mothers who agreed to have heard or seen malaria messages in the last 6 months (AOR = 1.32; 95% CI = 1.62-1.74),respondents with medium level of awareness of malaria prevention messages had (AOR = 2.35; 95% CI = 1.62-3.4), Children from North East (AOR = 0.7; 95% CI = 0.54-0.9), South-South (AOR = 0.65; 95% CI = 0.5-0.85) and South West (AOR = 0.52; 95% CI = 0.37-0.73) and malaria status of children under five years of age in Nigeria.

CONCLUSION

The government and other concerned malaria prevention organizations should emphasize maternal education programs that are vital for malaria prevention, early symptom recognition, and timely treatment, empowering families to take proactive measures. Collaboration among health, education, and community organizations is also crucial for integrated malaria control and prevention.

摘要

背景

疟疾是全球疾病负担，尤其是在非洲，尼日利亚的疟疾发病率最高，约有 50%的疟疾影响儿童。5 岁以下儿童易受疟疾传播的风险影响。本研究旨在确定尼日利亚 5 岁以下儿童疟疾传播的决定因素。

方法

本研究使用了 2021 年全国疟疾指标调查数据（2021NMIS）。NMIS 由国家消除疟疾计划（NMEP）实施，数据收集于 2021 年 10 月 12 日至 12 月 4 日。本研究包括 3678 名儿童，通过 STATA 版本 17 软件进行数据清理和分析。

结果

儿童年龄在 13-23 个月（AOR=2.97；95%CI=1.62-5.45）、24-35 个月（AOR=2.64；95%CI=1.43-4.88）、36-47 个月（AOR=2.18；95%CI=1.17-4.08）和 48-59 个月（AOR=2.82；95%CI=1.53-5.23）之间存在正相关，由女性担任户主（AOR=0.71；95%CI=0.54-0.95）、所有儿童昨晚都在蚊帐中睡觉（AOR=2.43；95%CI=1.39-4.21）、一些儿童睡在蚊帐中（AOR=2.83；95%CI=1.50-5.35）和没有蚊帐的家庭（AOR=2.18；95%CI=1.22-3.88），母亲同意在过去 6 个月内听到或看到疟疾信息（AOR=1.32；95%CI=1.62-1.74）、对疟疾预防信息有中等程度认识的受访者（AOR=2.35；95%CI=1.62-3.4），来自东北部（AOR=0.7；95%CI=0.54-0.9）、南南（AOR=0.65；95%CI=0.5-0.85）和西南部（AOR=0.52；95%CI=0.37-0.73）的儿童五岁以下儿童疟疾发病率较高。