Factors associated with malaria infection in under-5 children in Papua Province, Indonesia: an observational study.

Autor: Roosihermiatie B; Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor Regency, Indonesia., Putro G; Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor Regency, Indonesia., Adji AS; Health Administration and Policy Department, Faculty of Public Health, Universitas Airlangga, Indonesia., Yuana WT; Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor Regency, Indonesia., Siahaan SAS; Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor Regency, Indonesia., Rukmini R; Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor Regency, Indonesia., Rustika R; Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Bogor Regency, Indonesia.
Jazyk: angličtina
Zdroj: Osong public health and research perspectives [Osong Public Health Res Perspect] 2024 Dec; Vol. 15 (6), pp. 508-520. Date of Electronic Publication: 2024 Nov 28.
DOI: 10.24171/j.phrp.2024.0152
Abstrakt: Background: Malaria remains a serious public health challenge in tropical and subtropical regions, including Indonesia. Children under 5 years old face particular risk of contracting malaria due to low immunity. We examined potential factors associated with malaria infection among under-5 children in Papua Province, Indonesia.
Methods: The study utilized secondary data from Indonesia Basic Health Research 2018. Multistage random sampling was employed, from the province level to census blocks (CBs). In Papua Province, interviews were conducted in 928 CBs. All 2,745 under-5 children were selected. The dependent variable was laboratory-confirmed malaria positivity; independent factors included residential area, socioeconomic characteristics, and behaviors such as sleeping under an insecticide net impregnated ≤3 years ago and the use of ventilation barriers. We also examined the conditions of the bedroom, kitchen, and living room according to the frequency of window-opening, proportion of ventilation area to the floor, and radiance.
Results: Not sleeping under an insecticide net impregnated within the last 3 years (adjusted odds ratio [aOR], 0.518; 95% confidence interval [CI], 0.391-0.685; p<0.001); having a kitchen without windows (aOR, 0.491; 95% CI, 0.285-0.844; p=0.01); rarely opening the living room window (aOR, 2.804; 95% CI, 1.232-6.383; p=0.01), and having a windowless living room (aOR, 3.027; 95% CI, 1.369-6.696; p=0.01) displayed significant relationships with malaria infection among under-5 children.
Conclusion: Not using an insecticide-treated net impregnated ≤3 years ago, along with opening the living room window daily and having a kitchen without windows, appear preventive of malaria infection among under-5 children.
Databáze: MEDLINE