1. Prevalence and determinants of malaria among children in Zambézia Province, Mozambique
- Author
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James G. Carlucci, Ann F. Green, Lazaro González-Calvo, Melanie Lopez, Charlotte Buehler Cherry, Troy D. Moon, and Meridith Blevins Peratikos
- Subjects
Male ,Rural Population ,medicine.medical_specialty ,Pediatrics ,Fever ,030231 tropical medicine ,Logistic regression ,03 medical and health sciences ,0302 clinical medicine ,Health facility ,parasitic diseases ,Prevalence ,medicine ,Humans ,030212 general & internal medicine ,Child ,Mozambique ,Cause of death ,2. Zero hunger ,Bed nets ,Rapid diagnostic test ,Geography ,Diagnostic Tests, Routine ,business.industry ,Research ,Public health ,Health services accessibility ,1. No poverty ,Infant ,medicine.disease ,Malaria ,3. Good health ,Cross-Sectional Studies ,Infectious Diseases ,Risk factors ,Socioeconomic Factors ,Child, Preschool ,Tropical medicine ,Female ,Parasitology ,business ,Demography - Abstract
Background Malaria is the leading cause of death among children in Mozambique. Prevalence and factors associated with malaria are not well studied among children in rural Zambézia Province. Whether prevalence of malaria varies across diverse districts within the province is unknown. Methods A cross-sectional survey of female heads of household was conducted during April and May 2014, a period of peak malaria transmission. Data were collected on up to two randomly selected children aged 6–59 months per household. The outcome of interest was self-report of symptomatic malaria confirmed by diagnostic test in the past 30 days. Analyses accounted for the two-stage cluster sample design. Prevalence of symptomatic malaria was calculated for the province and three over-sampled focus districts—Alto Molócuè, Morrumbala, and Namacurra. Multivariable logistic regression of symptomatic malaria diagnosis included: district, age, sex, education, bed net use, urban setting, distance to health facility, income, roofing material, and pig farming. Results Data were collected on 2540 children. Fifty percent were female, and the median age was 24 months. Sixty percent of children slept under bed nets the night prior to the survey, but utilization varied between districts (range 49–89%; p
- Published
- 2017