dc.description.abstract |
Malaria is an acute febrile illness caused by plasmodium parasite and transmitted by the bite of
the female anopheles mosquitoes. It has continued to be one of the major public health problems
in Amhara regional state. The objective of this study was to determine malaria prevalence and
associated risk factors among febrile patients who were attending at Kidist Hana Health Center,
Fogera District, Amhara Regional State, Ethiopia, from December, 2022 to February, 2023G.C.
In this cross-sectional study a total of 422 randomly selected individuals were participated in
study Socio-demographic and clinical information of the study subjects was collected using
questionnaire. Blood samples examined using Giemsa microscopy and Rapid Diagnostic Test
(RDT). The data entered into, cleaned and analyzed using SPSS version 20. Association between
malaria prevalence and socio-demographic characteristics and potential risk factors was tested
with the chi-square and logistic regression. The differences were considered to be statistically
significant if the value was less than 0.05. In present study, the microscopy results of blood
smears indicated a positivity rate of 40.5%, while the RDT results indicated a positivity rate of
38.9%. By considering microscope diagnostic techniques as the standard since they are the most
accurate diagnostic techniques for diagnosing malaria, the overall prevalence of malaria among
feverish patients attending the sampled health center was 40.5%.Of these, Plasmodium
falciparum and Plasmodium vivax, and mixed malaria infection accounted for 78.4%, 12.3% and
9.4% of the cases, respectively. The microscopy method was more sensitive (100%) than RDT
although the RDT was more specific (100%) than microscopy (97.28%). In the current study
area, age group less than 5 years (AOR =1.3: 95% CI=1.05, 1.64), marital status widowed group
(AOR=4.46: 95%CI=1.19, 18.41), monthly income per household [AOR=1.39: 95%CI=1.05,
1.83) and number of ITNs per household (AOR= 7.2: 95% CI= 1.84, 28.86), were associated
with malaria parasite infection. The findings demonstrated that malaria is still a significant public
health issue in the study area. Thus, further efforts are required for monitoring and evaluating the
effectiveness of control methods in order to completely eliminate malaria in the study area.
Key word: Anopheles, Kidist Hana health center, Malaria, Plasmodium, Prevalence, |
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