Taffese Hiwot S, Zuma Sibusiso M
Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa.
S Afr J Infect Dis. 2024 Nov 13;39(1):623. doi: 10.4102/sajid.v39i1.623. eCollection 2024.
In tropical and subtropical areas of the world, malaria is still a serious public health concern. Activities related to agricultural development that involve irrigation schemes likely increase the risk of malaria in tropical and sub-Saharan African regions. Ethiopia is a sub-Saharan country where malaria is endemic.
The aim of the study was to investigate the determinants related to the persistence of malaria transmission in the Arjo-Didessa sugarcane farm area in southwest Ethiopia.
The study employed a quantitative survey design. Quantitative data were collected from 397 households using structured questionnaires. SPSS Statistics version 26 was used to analyse the data. Z- and Chi-square tests were applied, and the data were analysed using logistic regression.
The determinants that were identified included variation in land use, water management practices, socioeconomic status and knowledge about the use of anti-malaria treatment. These were shown to contribute to increased malaria transmission and the rise in malaria cases in agricultural areas.
The effectiveness of malaria control in agricultural settings can be improved through free access to malaria testing and treatment as well as knowledge about anti-malaria treatment among the residents in agricultural areas.
The study revealed key determinants, including the promotion of free access to anti-malaria treatment, which should be considered for the effective management of malaria in agricultural areas.
在世界热带和亚热带地区，疟疾仍然是一个严重的公共卫生问题。在热带和撒哈拉以南非洲地区，与涉及灌溉计划的农业发展相关的活动可能会增加疟疾风险。埃塞俄比亚是撒哈拉以南的一个疟疾流行国家。
本研究的目的是调查埃塞俄比亚西南部阿尔乔 - 迪德萨甘蔗农场地区疟疾传播持续存在的相关决定因素。
本研究采用定量调查设计。使用结构化问卷从397户家庭收集定量数据。使用SPSS Statistics 26版分析数据。应用Z检验和卡方检验，并使用逻辑回归分析数据。
确定的决定因素包括土地利用变化、水管理实践、社会经济地位以及关于使用抗疟疾治疗的知识。这些因素被证明会导致农业地区疟疾传播增加和疟疾病例上升。
通过在农业地区居民中免费提供疟疾检测和治疗以及关于抗疟疾治疗的知识，可以提高农业环境中疟疾控制的有效性。
该研究揭示了关键决定因素，包括促进免费获得抗疟疾治疗，这在农业地区疟疾的有效管理中应予以考虑。
