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. 2017 Jul 17;18(1):25.
doi: 10.1186/s12889-017-4577-0.

Prevalence and associated risk factors of malaria among adults in East Shewa Zone of Oromia Regional State, Ethiopia: a cross-sectional study

Frew Tadesse  1 , Andrew W Fogarty  2 , Wakgari Deressa  3
Affiliations

Prevalence and associated risk factors of malaria among adults in East Shewa Zone of Oromia Regional State, Ethiopia: a cross-sectional study

Frew Tadesse et al. BMC Public Health. .

Erratum in

  • Erratum to: BMC Public Health, Vol. 18.
    [No authors listed] [No authors listed] BMC Public Health. 2017 Sep 22;17(1):736. doi: 10.1186/s12889-017-4709-6. BMC Public Health. 2017. PMID: 28938882 Free PMC article. No abstract available.

Abstract

Background: Malaria is one of the most important causes of morbidity and mortality in sub-Saharan Africa. The disease is prevalent in over 75% of the country's area making it the leading public health problems in the country. Information on the prevalence of malaria and its associated factors is vital to focus and improve malaria interventions.

Methods: A cross-sectional study was carried out from October to November 2012 in East Shewa zone of Oromia Regional State, Ethiopia. Adults aged 16 or more years with suspected malaria attending five health centers were eligible for the study. Logistic regression models were used to examine the effect of each independent variable on risk of subsequent diagnosis of malaria.

Results: Of 810 suspected adult malaria patients who participated in the study, 204 (25%) had microscopically confirmed malaria parasites. The dominant Plasmodium species were P. vivax (54%) and P. falciparum (45%), with mixed infection of both species in one patient. A positive microscopic result was significantly associated with being in the age group of 16 to 24 years [Adjusted Odds Ratio aOR 6.7; 95% CI: 2.3 to 19.5], 25 to 34 years [aOR 4.2; 95% CI: 1.4 to 12.4], and 35 to 44 years [aOR 3.7; 95% CI: 1.2-11.4] compared to 45 years or older; being treated at Meki health center [aOR 4.1; 95% CI: 2.4 to 7.1], being in Shashemene health center [aOR = 2.3; 95% CI: 1.5 to 4.5], and living in a rural area compared to an urban area [aOR 1.7; 95% CI: 1.1 to 2.6)].

Conclusion: Malaria is an important public health problem among adults in the study area with a predominance of P. vivax and P. falciparum infection. Thus, appropriate health interventions should be implemented to prevent and control the disease.

Keywords: Diagnosis; Ethiopia; Malaria; Oromia; Prevalence.

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Conflict of interest statement

Ethics approval and consent to participate

The study protocol was reviewed and approved by the Research and Ethics Committee of the School of Public Health at the College of Health Sciences of Addis Ababa University and University of Nottingham. Written informed consent was obtained from each participant and confidentiality was maintained. Lastly, information and education was given to the study participants with regard to malaria signs and symptoms, early diagnosis and adequate treatment, and its prevention methods.

Consent for publication

Not applicable.

Competing interests

The authors have declared that there are no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. Gebreyesus AT, Deressa W, Witten KH, Getachew A, Seboxa T. Malaria. In: Berhane Y, Hailemariam D, Kloos H, editors. Epidemiology and ecology of health and disease in Ethiopia. Addis Ababa: Shama Books; 2006. pp. 556–576.
    1. Federal Ministry of Health (FMOH). Malaria and Other Vector-borne Diseases Control Unit. Addis Ababa, Ethiopia: Federal Ministry of Health of Ethiopia; 1999.
    1. Federal Ministry of Health (FMOH): Ethiopia National Malaria Indicator Survey 2011: Technical Summary Ethiopia: Ministry of Health of Ethiopia; 2012.
    1. Federal Ministry of Health (FMOH): Health and health-related indicators, 2009/2010 Addis Ababa, Ethiopia: Ministry of Health of Ethiopia, 2011.
    1. C-Change, FHI 360. Essential Malaria Actions: Ethiopia December 2012; 1–7.

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