dc.description.abstract |
Malaria is a serious health threat in the World, mostly in Africa, where it has been estimated
that 94% of the world's cases occur. It is the major cause of health problems in Ethiopia,
accounting for more than thousands of cases and deaths occurring annually. The risks of
morbidity and mortality associated with malaria case are characterized by spatial variations
across the county. The objective of this study was to analyze spatial patterns of malaria
distribution in Ethiopia. About weighted sample 15239 of RDTs individual in Malaria rapid
diagnosis data for Ethiopian Malaria Indicator Survey (2015) from all regions obtained from
Central Statistical Agency and Ethiopia malaria indicator survey. The statistical methods used in
this study include global and local measures of spatial autocorrelation and Autologistics spatial
binary regression model. Global Moran’s I, and Moran scatter plot were used in determining
distribution of malaria cases whereas the local Moran’s I statistic were used in identifying areas
of hot spot and cold spot for giving strong care to monitor and reduce malaria distribution. The
results of the study indicated that malaria rapid diagnosis test varies according to geographic
allocation, with socio-economic, demographic and risk variables and showed significant positive
spatial autocorrelation. Significant local clustering of malaria transmission occurred between
pairs of neighboring regions. The values for Global Moran’s I 0.366475 showed that the
presence of significant malaria transmission clustering in Ethiopia and the cluster outlier in
show that seven regions and two city was significant malaria transmission clustering of
similar values were observed by using cluster map while only two regions significant malaria
incidence clustering of dissimilar values was observed. Malaria incidence was higher in the
western part of the regions and lower in the southern part of the regions. The finding of
Autologistics spatial model indicated that there were a statistically significant effect between
malaria rapid test and socio-economic, demographic and risk variables such as gender, age,
region, altitude, main source of drinking water, time taken to collect water, toilet facilities,
availability of radio and television, main material of the room's wall, main material of the
room's roof, main material of the room's floor, use of mosquito nets, place residence, spatial
auto-covariate variable. Concerned body should be facilitated in highly clustered malaria
transmission (hot spot) areas by giving special attention in affecting intervention and health
services to the highly risk exposed regions and neighboring regions. |
en_US |