Niyoyita Jean Claude, Nyirazinyoye Laetitia, Hakizayezu François, Ntaganira Joseph
Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Department of Community Health, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Rwanda J Med Health Sci. 2023 Mar 28;6(1):27-35. doi: 10.4314/rjmhs.v6i1.4. eCollection 2023 Mar.
Malaria remains a public health challenge among people aged five years and above. Despite the efforts made by the government of Rwanda in malaria control, the burden of malaria continues to be a health threat among humans aged five years and above.
To assess the prevalence and factors associated with malaria among febrile patients aged five and older in Ngoma District, Rwanda.
A facility based cross-sectional study was conducted among 420 participants using a systematic sampling technique. Blood smears were tested for malaria parasites and questionnaire used for other data collection. Analysis was done using STATA version 13.0. Multivariable logistic regression analyses were computed to determine factors associated with malaria infection at 95% confidence intervals and statistical significance at p< 0.05.
Among participants, 60.7% were females, 35.9% were of 35 years and older, Malaria parasites were identified in 257 cases (61.2%). Malaria positivity associated with age ≥35 years (AOR=3.6; CI=1.3-10.02; P=0.012) and living in Mutenderi Sector (AOR=3.15; CI: 1.2, 3.9; P=0.038).
Malaria prevalence was considerable and people living in Mutenderi Sector were more likely to suffer from it. Need of strengthening Malaria prevention in older people and in Muteneri Sector in particular.
疟疾仍然是5岁及以上人群面临的公共卫生挑战。尽管卢旺达政府在疟疾防控方面做出了努力，但疟疾负担仍然是5岁及以上人群的健康威胁。
评估卢旺达恩戈马区5岁及以上发热患者中疟疾的患病率及相关因素。
采用系统抽样技术，对420名参与者进行了一项基于机构的横断面研究。对血涂片进行疟原虫检测，并使用问卷收集其他数据。分析使用STATA 13.0版本。计算多变量逻辑回归分析，以确定在95%置信区间与疟疾感染相关的因素以及p<0.05时的统计学显著性。
参与者中，60.7%为女性，35.9%年龄在35岁及以上，257例（61.2%）检测出疟原虫。疟疾阳性与年龄≥35岁（调整后比值比[AOR]=3.6；可信区间[CI]=1.3 - 10.02；P=0.012）以及居住在穆滕代里分区（AOR=3.15；CI：1.2，3.9；P=0.038）相关。
疟疾患病率相当高，居住在穆滕代里分区的人更容易患疟疾。尤其需要加强老年人以及穆滕代里分区的疟疾预防工作。
