• Login
    View Item 
    •   UMB Digital Archive
    • UMB Open Access Articles
    • UMB Open Access Articles
    • View Item
    •   UMB Digital Archive
    • UMB Open Access Articles
    • UMB Open Access Articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Incidence of clinical malaria, acute respiratory illness, and diarrhoea in children in southern Malawi: a prospective cohort study.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Author
    Tizifa, Tinashe A
    Kabaghe, Alinune N
    McCann, Robert S
    Nkhono, William
    Mtengula, Spencer
    Takken, Willem
    Phiri, Kamija S
    van Vugt, Michele
    Date
    2021-12-20
    Journal
    Malaria Journal
    Publisher
    Springer Nature
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1186/s12936-021-04013-5
    Abstract
    Background: Malaria, acute respiratory infections (ARIs) and diarrhoea are the leading causes of morbidity and mortality among children under 5 years old. Estimates of the malaria incidence are available from a previous study conducted in southern Malawi in the absence of community-led malaria control strategies; however, the incidence of the other diseases is lacking, owing to understudying and competing disease priorities. Extensive malaria control measures through a community participation strategy were implemented in Chikwawa, southern Malawi from May 2016 to reduce parasite prevalence and incidence. This study assessed the incidence of clinical malaria, ARIs and acute diarrhoea among under-five children in a rural community involved in malaria control through community participation. Methods: A prospective cohort study was conducted from September 2017 to May 2019 in Chikwawa district, southern Malawi. Children aged 6–48 months were recruited from a series of repeated cross-sectional household surveys. Recruited children were followed up two-monthly for 1 year to record details of any clinic visits to designated health facilities. Incidence of clinical malaria, ARIs and diarrhoea per child-years at risk was estimated, compared between age groups, area of residence and time. Results: A total of 274 out of 281 children recruited children had complete results and contributed 235.7 child-years. Malaria incidence was 0.5 (95% CI (0.4, 0.5)) cases per child-years at risk, (0.04 in 6.0–11.9 month-olds, 0.5 in 12.0–23.9 month-olds, 0.6 in 24.0–59.9 month-olds). Incidences of ARIs and diarrhoea were 0.3 (95% CI (0.2, 0.3)), (0.1 in 6.0–11.9 month-olds, 0.4 in 12.0–23.9 month-olds, 0.3 in 24.0–59.9 month-olds), and 0.2 (95% CI (0.2, 0.3)), (0.1 in 6.0–11.9 month-olds, 0.3 in 12.0–23.9 month-olds, 0.2 in 24.0–59.9 month-olds) cases per child-years at risk, respectively. There were temporal variations of malaria and ARI incidence and an overall decrease over time. Conclusion: In comparison to previous studies, there was a lower incidence of clinical malaria in Chikwawa. The incidence of ARIs and diarrhoea were also low and decreased over time. The results are promising because they highlight the importance of community participation and the integration of malaria prevention strategies in contributing to disease burden reduction. © 2021, The Author(s).
    Rights/Terms
    © 2021. The Author(s).
    Keyword
    Acute respiratory infections
    Community engagement
    Diarrhoea
    Incidence
    Malaria
    Malawi
    Under-five children
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/17565
    ae974a485f413a2113503eed53cd6c53
    10.1186/s12936-021-04013-5
    Scopus Count
    Collections
    UMB Open Access Articles

    entitlement

    Related articles

    • A one-year community study of under-fives in rural Ethiopia: patterns of morbidity and public health risk factors.
    • Authors: Muhe L, Byass P, Freij L, Sandström A, Wall S
    • Issue date: 1995 Mar
    • The impact of short stature on child morbidity in a rural African community.
    • Authors: Ibrahim MM, Wall S, Persson LA
    • Issue date: 1998 Jun
    • Housing and child health in sub-Saharan Africa: A cross-sectional analysis.
    • Authors: Tusting LS, Gething PW, Gibson HS, Greenwood B, Knudsen J, Lindsay SW, Bhatt S
    • Issue date: 2020 Mar
    • Short-Term Changes in Anemia and Malaria Parasite Prevalence in Children under 5 Years during One Year of Repeated Cross-Sectional Surveys in Rural Malawi.
    • Authors: Kabaghe AN, Chipeta MG, Terlouw DJ, McCann RS, van Vugt M, Grobusch MP, Takken W, Phiri KS
    • Issue date: 2017 Nov
    • Adaptive geostatistical sampling enables efficient identification of malaria hotspots in repeated cross-sectional surveys in rural Malawi.
    • Authors: Kabaghe AN, Chipeta MG, McCann RS, Phiri KS, van Vugt M, Takken W, Diggle P, Terlouw AD
    • Issue date: 2017
    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.