Sociodemographic and ecological factors associated with malaria and malaria recurrence risk in children in Msambweni, Kwale County, Kenya
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Summary
This summary is machine-generated.Malaria risk in Kenyan children is linked to age and socioeconomic factors like maternal education and housing quality. Improving housing and WASH infrastructure can enhance malaria control efforts.
Area Of Science
- Epidemiology
- Public Health
- Vector-borne Diseases
Background
- Malaria is a significant public health challenge, particularly in impoverished areas with limited healthcare.
- This study investigated sociodemographic and ecological factors associated with malaria risk in Msambweni, Kenya.
Purpose Of The Study
- To assess the influence of sociodemographic and ecological factors on malaria risk in children.
- To identify risk and protective factors for malaria and recurrent malaria in the study population.
Main Methods
- A cohort of children (1-18 years) with acute febrile illness was studied from 2014-2018.
- Malaria diagnosis was confirmed via light microscopy; recurrent malaria was defined as >=2 infections.
- Data collected through caregiver interviews and household observations.
Main Results
- 40.6% of febrile illness visits were positive for malaria parasitaemia; 41.8% of children experienced malaria.
- Older age (2-5 and >=5 years) increased malaria risk.
- Higher maternal education, piped/well water, and electricity/solar lighting were protective.
- Recurrent malaria was associated with poor housing (dirt floors) and proximity to rice fields; poor ventilation also increased risk.
Conclusions
- Targeted vector control near rice fields and insecticide-treated nets are essential.
- Housing improvements (window screening, better roofing) can reduce mosquito-human contact.
- Increased malaria incidence in school-aged children necessitates tailored interventions for this group.

