Malaria prevalence in Bata district, Equatorial Guinea: a cross-sectional study

BACKGROUND: Malaria has traditionally been a leading public health problem in Equatorial Guinea. After completion, in September 2011, of the integrated set of interventions against malaria launched by the Global Fund Malaria Programme in the mainland area, the epidemiological situation of malaria re...

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Autores: Ncogo, Policarpo, Herrador, Zaida, Romay-Barja, Maria, García-Carrasco, Emely, Nseng, Gloria, Berzosa, Pedro, Santana-Morales, Maria A, Riloha, Matilde, Aparicio, Pilar, Valladares, Basilio, Benito, Agustin
Formato: artículo
Fecha de publicación:2015
País:España
Recursos:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/4829
Acesso em linha:http://hdl.handle.net/20.500.12105/4829
Access Level:acceso abierto
Palavra-chave:Malaria
Prevalence
Rapid diagnosis test
Anaemia
Equatorial Guinea
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spelling Malaria prevalence in Bata district, Equatorial Guinea: a cross-sectional studyNcogo, PolicarpoHerrador, ZaidaRomay-Barja, MariaGarcía-Carrasco, EmelyNseng, GloriaBerzosa, PedroSantana-Morales, Maria ARiloha, MatildeAparicio, PilarValladares, BasilioBenito, AgustinMalariaPrevalenceRapid diagnosis testAnaemiaEquatorial GuineaBACKGROUND: Malaria has traditionally been a leading public health problem in Equatorial Guinea. After completion, in September 2011, of the integrated set of interventions against malaria launched by the Global Fund Malaria Programme in the mainland area, the epidemiological situation of malaria remains unknown. The aim of this study was to investigate the prevalence rate of malaria and associated factors based on the rapid diagnosis test (RDT) in Bata district, in order to provide evidence that will reinforce the National Malaria Control Programme. METHODS: From June to August 2013, a representative cross sectional survey using a multistage, stratified, cluster-selected sample was carried out in urban zones and rural villages from Bata district. Data on socio-demographic, health status and malaria-related behaviours was collected. Malaria diagnosis was performed by RDT. Bivariate and multivariable statistical methods were employed to assess malaria prevalence and its association with different factors. RESULTS: Prevalence of malaria was higher in rural settings (58.9 %; CI 95 % 55.2-62.5 %) than in the sampled urban communities (33.9 %; CI 95 % 31.1-36.9 %). Presence of anaemia was also high, especially in rural sites (89.6 vs. 82.8 %, p < 0.001). The analyses show that a positive RDT result was significantly associated with age group, the most affected age range being 13 months-14 years old. Other significant covariates were ethnic group (only in urban sites), number of adults living in the house (only in rural villages) previous history of fever, anaemia (only in urban sites) and sleeping under a bed net. Moreover, those who never slept under a bed net were two times more likely to have malaria. CONCLUSION: The prevalence of malaria was high in Bata district, especially in rural villages. The National Programme to fight malaria in Equatorial Guinea should take into account the differences found between rural and urban communities and age groups to target appropriately those worst affected. The findings of this study will assist in planning and undertaking regional policy and other preventive initiatives.BioMed Central (BMC)Centro de Referencia para el Control de Endemias (Guinea Ecuatorial)Instituto de Salud Carlos IIIMinisterio de Sanidad y Bienestar Social (Guinea Ecuatorial)Agencia Española de Cooperación Internacional para el DesarrolloRETICS-Investigación colaborativa en Enfermedades Tropicales (RICET-ISCIII) (España)20172017-09-0420152015-11-1620152015-11-16research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/20.500.12105/4829reponame:Repisaludinstname:Instituto de Salud Carlos III (ISCIII)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repisalud.isciii.es:20.500.12105/48292026-06-12T12:43:37Z
dc.title.none.fl_str_mv Malaria prevalence in Bata district, Equatorial Guinea: a cross-sectional study
title Malaria prevalence in Bata district, Equatorial Guinea: a cross-sectional study
spellingShingle Malaria prevalence in Bata district, Equatorial Guinea: a cross-sectional study
Ncogo, Policarpo
Malaria
Prevalence
Rapid diagnosis test
Anaemia
Equatorial Guinea
title_short Malaria prevalence in Bata district, Equatorial Guinea: a cross-sectional study
title_full Malaria prevalence in Bata district, Equatorial Guinea: a cross-sectional study
title_fullStr Malaria prevalence in Bata district, Equatorial Guinea: a cross-sectional study
title_full_unstemmed Malaria prevalence in Bata district, Equatorial Guinea: a cross-sectional study
title_sort Malaria prevalence in Bata district, Equatorial Guinea: a cross-sectional study
dc.creator.none.fl_str_mv Ncogo, Policarpo
Herrador, Zaida
Romay-Barja, Maria
García-Carrasco, Emely
Nseng, Gloria
Berzosa, Pedro
Santana-Morales, Maria A
Riloha, Matilde
Aparicio, Pilar
Valladares, Basilio
Benito, Agustin
author Ncogo, Policarpo
author_facet Ncogo, Policarpo
Herrador, Zaida
Romay-Barja, Maria
García-Carrasco, Emely
Nseng, Gloria
Berzosa, Pedro
Santana-Morales, Maria A
Riloha, Matilde
Aparicio, Pilar
Valladares, Basilio
Benito, Agustin
author_role author
author2 Herrador, Zaida
Romay-Barja, Maria
García-Carrasco, Emely
Nseng, Gloria
Berzosa, Pedro
Santana-Morales, Maria A
Riloha, Matilde
Aparicio, Pilar
Valladares, Basilio
Benito, Agustin
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Centro de Referencia para el Control de Endemias (Guinea Ecuatorial)
Instituto de Salud Carlos III
Ministerio de Sanidad y Bienestar Social (Guinea Ecuatorial)
Agencia Española de Cooperación Internacional para el Desarrollo
RETICS-Investigación colaborativa en Enfermedades Tropicales (RICET-ISCIII) (España)

dc.subject.none.fl_str_mv Malaria
Prevalence
Rapid diagnosis test
Anaemia
Equatorial Guinea
topic Malaria
Prevalence
Rapid diagnosis test
Anaemia
Equatorial Guinea
description BACKGROUND: Malaria has traditionally been a leading public health problem in Equatorial Guinea. After completion, in September 2011, of the integrated set of interventions against malaria launched by the Global Fund Malaria Programme in the mainland area, the epidemiological situation of malaria remains unknown. The aim of this study was to investigate the prevalence rate of malaria and associated factors based on the rapid diagnosis test (RDT) in Bata district, in order to provide evidence that will reinforce the National Malaria Control Programme. METHODS: From June to August 2013, a representative cross sectional survey using a multistage, stratified, cluster-selected sample was carried out in urban zones and rural villages from Bata district. Data on socio-demographic, health status and malaria-related behaviours was collected. Malaria diagnosis was performed by RDT. Bivariate and multivariable statistical methods were employed to assess malaria prevalence and its association with different factors. RESULTS: Prevalence of malaria was higher in rural settings (58.9 %; CI 95 % 55.2-62.5 %) than in the sampled urban communities (33.9 %; CI 95 % 31.1-36.9 %). Presence of anaemia was also high, especially in rural sites (89.6 vs. 82.8 %, p < 0.001). The analyses show that a positive RDT result was significantly associated with age group, the most affected age range being 13 months-14 years old. Other significant covariates were ethnic group (only in urban sites), number of adults living in the house (only in rural villages) previous history of fever, anaemia (only in urban sites) and sleeping under a bed net. Moreover, those who never slept under a bed net were two times more likely to have malaria. CONCLUSION: The prevalence of malaria was high in Bata district, especially in rural villages. The National Programme to fight malaria in Equatorial Guinea should take into account the differences found between rural and urban communities and age groups to target appropriately those worst affected. The findings of this study will assist in planning and undertaking regional policy and other preventive initiatives.
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-11-16
2015
2015-11-16
2017
2017-09-04
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12105/4829
url http://hdl.handle.net/20.500.12105/4829
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central (BMC)
publisher.none.fl_str_mv BioMed Central (BMC)
dc.source.none.fl_str_mv reponame:Repisalud
instname:Instituto de Salud Carlos III (ISCIII)
instname_str Instituto de Salud Carlos III (ISCIII)
reponame_str Repisalud
collection Repisalud
repository.name.fl_str_mv
repository.mail.fl_str_mv
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