Malaria amongst children under five in sub-Saharan Africa: a scoping review of prevalence, risk factors and preventive interventions

被引:36
作者
Sarfo, Jacob Owusu [1 ]
Amoadu, Mustapha [1 ]
Kordorwu, Peace Yaa [1 ]
Adams, Abdul Karim [1 ]
Gyan, Thomas Boateng [1 ]
Osman, Abdul-Ganiyu [1 ]
Asiedu, Immanuel [1 ]
Ansah, Edward Wilson [1 ]
机构
[1] Univ Cape Coast, Cape Coast, Ghana
关键词
Malaria; Children under five; Risk factors; Sub-Saharan Africa; Scoping review;
D O I
10.1186/s40001-023-01046-1
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
IntroductionAfrica 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.MethodFour 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.ResultsLow 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.ConclusionWell-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.
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