Seasonal Profile and Five-Year Trend Analysis of Malaria Prevalence in Maygaba Health Center, Welkait District, Northwest Ethiopia

Background. Malaria is a serious public health problem of most developing countries, including Ethiopia. The burden of malaria is severely affecting the economy and lives of people, particularly among the productive ages of rural society. Thus, this study was targeted to analyze the past five-year r...

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Main Authors: Fitsum Tigu, Tsegay Gebremaryam, Asnake Desalegn
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Parasitology Research
Online Access:http://dx.doi.org/10.1155/2021/6727843
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author Fitsum Tigu
Tsegay Gebremaryam
Asnake Desalegn
author_facet Fitsum Tigu
Tsegay Gebremaryam
Asnake Desalegn
author_sort Fitsum Tigu
collection DOAJ
description Background. Malaria is a serious public health problem of most developing countries, including Ethiopia. The burden of malaria is severely affecting the economy and lives of people, particularly among the productive ages of rural society. Thus, this study was targeted to analyze the past five-year retrospective malaria data among the rural setting of Maygaba town, Welkait district, northwest Ethiopia. Methods. The study was done on 36,219 outpatients attending for malaria diagnosis during January 2015 to 2019. Data was extracted from the outpatient medical database. Chi-square (χ2) test and binary logistic regression model were used to analyze the retrospective data. Statistical significance was defined at p<0.05. Results. Of 36,219 outpatients examined, 7,309 (20.2%) malaria-positive cases were reported during 2015-2019. There was a fluctuating trend in the number of malaria-suspected and -confirmed cases in each year. Male slide-confirmed (61.4%, N=4,485) were significantly higher than females (38.6%, N=2,824) (p<005). Plasmodium falciparum and Plasmodium vivax were the dominant parasites detected, which accounted for 66.1%; N=4832, 33.9%; N=2477, respectively. Despite the seasonal abundance of malaria cases, the highest prevalence was recorded in autumn (September to November) in the study area. Binary logistic regression analysis revealed that statistically significant associations were observed between sexes, interseasons, mean seasonal rainfall, and mean seasonal temperature with the prevalence of P. vivax. However, P. falciparum has shown a significant association with interseasons and mean seasonal temperature. Conclusions. Although the overall prevalence of malaria was continually declined from 2015-2019, malaria remains the major public health problem in the study area. The severe species of P. falciparum was found to be the dominant parasite reported in the study area. A collaborative action between the national malaria control program and its partners towards the transmission, prevention, and control of the two deadly species is highly recommended.
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spelling doaj-art-854202ad6ec94c2a9547423301a903d52025-02-03T07:23:57ZengWileyJournal of Parasitology Research2090-00232090-00312021-01-01202110.1155/2021/67278436727843Seasonal Profile and Five-Year Trend Analysis of Malaria Prevalence in Maygaba Health Center, Welkait District, Northwest EthiopiaFitsum Tigu0Tsegay Gebremaryam1Asnake Desalegn2Department of Microbial, Cellular and Molecular Biology, Division of Microbiology, College of Natural Sciences, Addis Ababa University, Addis Ababa, EthiopiaDepartment of Zoological Sciences, College of Natural Sciences, Addis Ababa University, Addis Ababa, EthiopiaDepartment of Microbial, Cellular and Molecular Biology, Division of Microbiology, College of Natural Sciences, Addis Ababa University, Addis Ababa, EthiopiaBackground. Malaria is a serious public health problem of most developing countries, including Ethiopia. The burden of malaria is severely affecting the economy and lives of people, particularly among the productive ages of rural society. Thus, this study was targeted to analyze the past five-year retrospective malaria data among the rural setting of Maygaba town, Welkait district, northwest Ethiopia. Methods. The study was done on 36,219 outpatients attending for malaria diagnosis during January 2015 to 2019. Data was extracted from the outpatient medical database. Chi-square (χ2) test and binary logistic regression model were used to analyze the retrospective data. Statistical significance was defined at p<0.05. Results. Of 36,219 outpatients examined, 7,309 (20.2%) malaria-positive cases were reported during 2015-2019. There was a fluctuating trend in the number of malaria-suspected and -confirmed cases in each year. Male slide-confirmed (61.4%, N=4,485) were significantly higher than females (38.6%, N=2,824) (p<005). Plasmodium falciparum and Plasmodium vivax were the dominant parasites detected, which accounted for 66.1%; N=4832, 33.9%; N=2477, respectively. Despite the seasonal abundance of malaria cases, the highest prevalence was recorded in autumn (September to November) in the study area. Binary logistic regression analysis revealed that statistically significant associations were observed between sexes, interseasons, mean seasonal rainfall, and mean seasonal temperature with the prevalence of P. vivax. However, P. falciparum has shown a significant association with interseasons and mean seasonal temperature. Conclusions. Although the overall prevalence of malaria was continually declined from 2015-2019, malaria remains the major public health problem in the study area. The severe species of P. falciparum was found to be the dominant parasite reported in the study area. A collaborative action between the national malaria control program and its partners towards the transmission, prevention, and control of the two deadly species is highly recommended.http://dx.doi.org/10.1155/2021/6727843
spellingShingle Fitsum Tigu
Tsegay Gebremaryam
Asnake Desalegn
Seasonal Profile and Five-Year Trend Analysis of Malaria Prevalence in Maygaba Health Center, Welkait District, Northwest Ethiopia
Journal of Parasitology Research
title Seasonal Profile and Five-Year Trend Analysis of Malaria Prevalence in Maygaba Health Center, Welkait District, Northwest Ethiopia
title_full Seasonal Profile and Five-Year Trend Analysis of Malaria Prevalence in Maygaba Health Center, Welkait District, Northwest Ethiopia
title_fullStr Seasonal Profile and Five-Year Trend Analysis of Malaria Prevalence in Maygaba Health Center, Welkait District, Northwest Ethiopia
title_full_unstemmed Seasonal Profile and Five-Year Trend Analysis of Malaria Prevalence in Maygaba Health Center, Welkait District, Northwest Ethiopia
title_short Seasonal Profile and Five-Year Trend Analysis of Malaria Prevalence in Maygaba Health Center, Welkait District, Northwest Ethiopia
title_sort seasonal profile and five year trend analysis of malaria prevalence in maygaba health center welkait district northwest ethiopia
url http://dx.doi.org/10.1155/2021/6727843
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AT tsegaygebremaryam seasonalprofileandfiveyeartrendanalysisofmalariaprevalenceinmaygabahealthcenterwelkaitdistrictnorthwestethiopia
AT asnakedesalegn seasonalprofileandfiveyeartrendanalysisofmalariaprevalenceinmaygabahealthcenterwelkaitdistrictnorthwestethiopia