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Determinants of malaria infections among children in refugee settlements in Uganda during 2018–2019

Infectious Diseases of Poverty 2023年第2期12卷 128-128页

作者： Henry Musoke Semakula Song Liang Paul Isolo Mukwaya Frank Mugagga Monica Swahn Denis Nseka Hannington Wasswa patrick kayima Department of Geography Geo-informatics and Climatic Sciences Makerere University Kampala Uganda Department of Environmental and Global Health College of Public Health and Health Professions University of Florida Gainesville USA Emerging Pathogens Institute University of Florida Gainesville USA Wellstar College of Health and Human Services Kennesaw State University Kennesaw USA

Background While 5%of 247 million global malaria cases are reported in Uganda,it is also a top refugee hosting country in Africa,with over 1.36 million *** malaria being an emerging challenge for humanitarian response in refugee settlements,little is known about its risk *** study aimed to investigate the risk factors for malaria infections among children under 5 years of age in refugee settlements in *** We utilized data from Uganda’s Malaria Indicator Survey which was conducted between December 2018 and February 2019 at the peak of malaria *** this national survey,household level information was obtained using standardized questionnaires and a total of 7787 children under 5 years of age were tested for malaria using mainly the rapid diagnostic *** focused on 675 malaria tested children under five in refugee settlements located in Yumbe,Arua,Adjumani,Moyo,Lamwo,Kiryadongo,Kyegegwa,Kamwenge and Isingiro *** extracted variables included prevalence of malaria,demographic,social-economic and environmental *** logistic regression was used to identify and define the malaria associated risk *** Overall,malaria prevalence in all refugee settlements across the nine hosting districts was 36.6%.Malaria infections were higher in refugee settlements located in Isingiro(98.7%),Kyegegwa(58.6%)and Arua(57.4%)*** risk factors were significantly associated with acquisition of malaria including fetching water from open water sources[adjusted odds ratio(aOR)=1.22,95%CI:0.08–0.59,P=0.002],boreholes(aOR=2.11,95%CI:0.91–4.89,P=0.018)and water tanks(aOR=4.47,95%CI:1.67–11.9,P=0.002).Other factors included pit-latrines(aOR=1.48,95%CI:1.03–2.13,P=0.033),open defecation(aOR=3.29,95%CI:1.54–7.05,P=0.002),lack of insecticide treated bed nets(aOR=1.15,95%CI:0.43–3.13,P=0.003)and knowledge on the causes of malaria(aOR=1.09,95%CI:0.79–1.51,P=0.005).Conclusions The persistence of the malaria infect

关键词： Malaria Children Household Risk factor Refugee Settlement Uganda

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