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RISS 인기검색어
- 검색키워드
- 저자 : Nelson Jacques Hirwanimana (검색결과 1 건)
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Nelson Jacques Hirwanimana Graduate School of Public Health, Yonsei Universit 2024 국내석사
ABSTRACT Background: Malaria, a persistent global health challenge, affects millions worldwide, with the African region bearing the most substantial burden. Rwanda has successfully implemented interventions, leading to a notable decline in malaria cases and deaths; however, the Eastern province remains a hotspot. This study explores the factors associated with the high prevalence of malaria in children aged 5 to 14 years in Eastern Province, Rwanda. Methods: A cross-sectional study using data from the 2017 Rwanda Malaria Indicator Survey (RMIS) involving 1,266 children from 7 districts of Eastern province has been used. Analytical methods include chi-square tests to compute the association between variables and logistic regression to assess the extent of risk factors associated with the high prevalence of malaria infection. Results: Children aged 5-8 years have a significantly higher malaria risk (OR=1.63) compared to those aged 12 -14 years. Households with 9 or more members show a highly significant association with malaria (OR=3.43). Rural residence is significantly linked to increased malaria likelihood (OR=1.78) compared to urban areas. Bugesera, Kirehe, Ngoma, and Nyagatare districts exhibit significant differences in malaria prevalence. Sleeping under an LLIN significantly lowers malaria risk (OR=1.47). Higher wealth levels (2 and 3) are associated with significantly lower malaria prevalence, while access to television (OR=2.57), fewer household rooms (OR=4.19), VIP latrine use (OR=3.83), and sand/earth flooring (OR=2.22) significantly increase malaria risk. Conclusion: This study reveals key insights such as children with younger ages (5-8 years), larger household sizes, and geographic variations to correlate with increased malaria risk consistently. The protective role of Long-Lasting Insecticidal Nets is indubitable. Unexpectedly, households with television access show higher malaria prevalence, prompting further investigation. Specific housing conditions also impact prevalence, emphasizing the need for targeted sanitation and construction materials improvements.
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