Published in:
Open Access
01-12-2023 | Malaria | Review
Malaria amongst children under five in sub-Saharan Africa: a scoping review of prevalence, risk factors and preventive interventions
Authors:
Jacob Owusu Sarfo, Mustapha Amoadu, Peace Yaa Kordorwu, Abdul Karim Adams, Thomas Boateng Gyan, Abdul-Ganiyu Osman, Immanuel Asiedu, Edward Wilson Ansah
Published in:
European Journal of Medical Research
|
Issue 1/2023
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Abstract
Introduction
Africa has a higher burden of malaria-related cases and deaths globally. Children under five accounted for over two-thirds of all malaria deaths in sub-Saharan Africa (SSA). This scoping review aims to map evidence of the prevalence, contextual factors and health education interventions of malaria amongst children under 5 years (UN5) in SSA.
Method
Four main databases (PubMed, Central, Dimensions and JSTOR) produced 27,841 records of literature. Additional searches in Google, Google Scholar and institutional repositories produced 37 records. Finally, 255 full-text records were further screened, and 100 records were used for this review.
Results
Low or no formal education, poverty or low income and rural areas are risk factors for malaria amongst UN5. Evidence on age and malnutrition as risk factors for malaria in UN5 is inconsistent and inconclusive. Furthermore, the poor housing system in SSA and the unavailability of electricity in rural areas and unclean water make UN5 more susceptible to malaria. Health education and promotion interventions have significantly reduced the malaria burden on UN5 in SSA.
Conclusion
Well-planned and resourced health education and promotion interventions that focus on prevention, testing and treatment of malaria could reduce malaria burden amongst UN5 in SSA.