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Published in: European Journal of Medical Research 1/2023

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.
Appendix
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Literature
6.
go back to reference Tela IA, Adamu L, Taura M, Tela IA, Modibbo MH, Adamu LH, et al. Prevalence of malaria infection among ABO blood groups in Jama’are, Nigeria. Res Anal. 2015;1:255–4262. Tela IA, Adamu L, Taura M, Tela IA, Modibbo MH, Adamu LH, et al. Prevalence of malaria infection among ABO blood groups in Jama’are, Nigeria. Res Anal. 2015;1:255–4262.
7.
go back to reference Oladeinde BH, Omoregie R, Osakue EO, Onaiwu TO. Asymptomatic malaria among blood donors in Benin City Nigeria. Iran J Parasitol. 2014;9:415.PubMedPubMedCentral Oladeinde BH, Omoregie R, Osakue EO, Onaiwu TO. Asymptomatic malaria among blood donors in Benin City Nigeria. Iran J Parasitol. 2014;9:415.PubMedPubMedCentral
8.
go back to reference Owusu-Addo E, Decker A, Owusu-Addo SB. Effectiveness of health education in community-based malaria prevention and control interventions in sub-Saharan:a systematic review. J Biol Agric Healthc 2014;4:22-34 Owusu-Addo E, Decker A, Owusu-Addo SB. Effectiveness of health education in community-based malaria prevention and control interventions in sub-Saharan:a systematic review. J Biol Agric Healthc 2014;4:22-34
15.
go back to reference Crookston BT, Alder SC, Boakye I, Merrill RM, Amuasi JH, Porucznik CA, et al. Exploring the relationship between chronic undernutrition and asymptomatic malaria in Ghanaian children. Malar J. 2010;9:1–7.CrossRef Crookston BT, Alder SC, Boakye I, Merrill RM, Amuasi JH, Porucznik CA, et al. Exploring the relationship between chronic undernutrition and asymptomatic malaria in Ghanaian children. Malar J. 2010;9:1–7.CrossRef
17.
go back to reference Tobin-West Charles I, Babatunde S. Community perceptions and practices in management of malaria in under-five children in rivers State in Nigeria. Int J Health Res. 2011;4:127–33. Tobin-West Charles I, Babatunde S. Community perceptions and practices in management of malaria in under-five children in rivers State in Nigeria. Int J Health Res. 2011;4:127–33.
35.
go back to reference Drakeley C, Abdulla S, Agnandji ST, Fernandes JF, Kremsner P, Lell B, et al. Longitudinal estimation of Plasmodium falciparum prevalence in relation to malaria prevention measures in six sub-Saharan African countries NCT01190202 NCT. 2017. Malar J. https://doi.org/10.1186/s12936-017-2078-3. Drakeley C, Abdulla S, Agnandji ST, Fernandes JF, Kremsner P, Lell B, et al. Longitudinal estimation of Plasmodium falciparum prevalence in relation to malaria prevention measures in six sub-Saharan African countries NCT01190202 NCT. 2017. Malar J. https://​doi.​org/​10.​1186/​s12936-017-2078-3.
39.
go back to reference Wanzira H, Katamba H, Okullo AE, Agaba B, Kasule M, Rubahika D. Factors associated with malaria parasitaemia among children under 5 years in Uganda: a secondary data analysis of the 2014 Malaria Indicator Survey dataset. Malar J. 2017;16. https://doi.org/10.1186/s12936-017-1847-3. Wanzira H, Katamba H, Okullo AE, Agaba B, Kasule M, Rubahika D. Factors associated with malaria parasitaemia among children under 5 years in Uganda: a secondary data analysis of the 2014 Malaria Indicator Survey dataset. Malar J. 2017;16. https://​doi.​org/​10.​1186/​s12936-017-1847-3.
49.
go back to reference Iloh GUP, Nnorom OU, Amadi A. Malaria morbidity among under-five Nigerian children: a study of its prevalence and health practices of primary care givers (mothers) in a resource-poor setting of a rural hospital in Eastern Nigeria. Eur J Prevent Med. 2013;1:50.CrossRef Iloh GUP, Nnorom OU, Amadi A. Malaria morbidity among under-five Nigerian children: a study of its prevalence and health practices of primary care givers (mothers) in a resource-poor setting of a rural hospital in Eastern Nigeria. Eur J Prevent Med. 2013;1:50.CrossRef
52.
go back to reference Elechi H, Rabasa A, Muhammad F, Garba M, Abubakar G, Umoru M. Prevalence and pattern of malaria parasitaemia among under-five febrile children attending paediatric out-patient clinic at university of Maiduguri Teaching Hospital, Maiduguri. Niger J Paediatr. 2015;42:319. https://doi.org/10.4314/njp.v42i4.7.CrossRef Elechi H, Rabasa A, Muhammad F, Garba M, Abubakar G, Umoru M. Prevalence and pattern of malaria parasitaemia among under-five febrile children attending paediatric out-patient clinic at university of Maiduguri Teaching Hospital, Maiduguri. Niger J Paediatr. 2015;42:319. https://​doi.​org/​10.​4314/​njp.​v42i4.​7.CrossRef
54.
go back to reference Mawili-Mboumba DP, Bouyou Akotet MK, Kendjo E, Nzamba J, Owono Medang M, Mourou Mbina J-R, et al. Increase in malaria prevalence and age of at risk population in different areas of Gabon. Malar J. 2013;12:1–7.CrossRef Mawili-Mboumba DP, Bouyou Akotet MK, Kendjo E, Nzamba J, Owono Medang M, Mourou Mbina J-R, et al. Increase in malaria prevalence and age of at risk population in different areas of Gabon. Malar J. 2013;12:1–7.CrossRef
73.
go back to reference Kweku M, Takramah W, Axame WK, Owusu R, Takase M, Adjuik M, et al. Prevalence and risk factors of malaria among children under five years in High and Low altitude rural communities in the Hohoe Municipality of Ghana. J Clin Immunol Res. 2017;1:1–8.CrossRef Kweku M, Takramah W, Axame WK, Owusu R, Takase M, Adjuik M, et al. Prevalence and risk factors of malaria among children under five years in High and Low altitude rural communities in the Hohoe Municipality of Ghana. J Clin Immunol Res. 2017;1:1–8.CrossRef
74.
go back to reference Kweku M, Ofori M, Appiah E, Dinko B, Takramah W, Agboli E, et al. Seasonal prevalence of malaria, fever, anaemia and factors associated with malaria prevalence among children less than five in an area with prolonged malaria transmission in Ghana. Int J Trop Dis Health. 2017;22:1–11. https://doi.org/10.9734/ijtdh/2017/31371.CrossRef Kweku M, Ofori M, Appiah E, Dinko B, Takramah W, Agboli E, et al. Seasonal prevalence of malaria, fever, anaemia and factors associated with malaria prevalence among children less than five in an area with prolonged malaria transmission in Ghana. Int J Trop Dis Health. 2017;22:1–11. https://​doi.​org/​10.​9734/​ijtdh/​2017/​31371.CrossRef
83.
go back to reference Bah MS. The relationship between malaria status in under-five children and some household demographic, socioeconomic and environmental factors associated with the disease in Sierra Leone. Georgia State University, 2020. https://doi.org/10.57709/17625877. Bah MS. The relationship between malaria status in under-five children and some household demographic, socioeconomic and environmental factors associated with the disease in Sierra Leone. Georgia State University, 2020. https://​doi.​org/​10.​57709/​17625877.
93.
go back to reference Silweya D, Baboo KS. Barriers to prompt malaria treatment among under five children in Mpika District. Med J Zambia 2013;40:121–125 Silweya D, Baboo KS. Barriers to prompt malaria treatment among under five children in Mpika District. Med J Zambia 2013;40:121–125
100.
go back to reference Owoeye DO, Akinyemi JO, Yusuf OB. Decomposition of changes in malaria prevalence amongst under-five children in Nigeria. Malar World J 2018;9:1–6 Owoeye DO, Akinyemi JO, Yusuf OB. Decomposition of changes in malaria prevalence amongst under-five children in Nigeria. Malar World J 2018;9:1–6
103.
110.
go back to reference Tamgnoa DE, Nguefack-Tsaguec G, Tiotsa TA, E ZM, O E, M SS. Insecticide-treated net use in sub-Saharan Africa: systematic review and meta-analysis. Igiene e Sanita Pubblica 2021;78:564–582. Tamgnoa DE, Nguefack-Tsaguec G, Tiotsa TA, E ZM, O E, M SS. Insecticide-treated net use in sub-Saharan Africa: systematic review and meta-analysis. Igiene e Sanita Pubblica 2021;78:564–582.
Metadata
Title
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
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Malaria
Published in
European Journal of Medical Research / Issue 1/2023
Electronic ISSN: 2047-783X
DOI
https://doi.org/10.1186/s40001-023-01046-1

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