ArticleMalaria journal2010
Trends in malaria morbidity among health care-seeking children under age five in Mopti and Sévaré, Mali between 1998 and 2006.
Article in Malaria journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 13 citations in OpenAlex.
- Patterns and Determinants of Imported Malaria near the Argentina-Bolivia Border, 1977-2009.Pathogens (Basel, Switzerland) · 2025Article
- Trends in malaria epidemiological factors following the implementation of current control strategies in Dangassa, Mali.Malaria journal · 2022Article
- Trend of Malaria Cases in Hana and Keyafer Health Centers, South Omo Zone, Southern Ethiopia.Ethiopian journal of health sciences · 2018Article
- Dynamics of Plasmodium falciparium and Plasmodium vivax in a micro-ecological setting, Southwest Ethiopia: effects of altitude and proximity to a dam.BMC infectious diseases · 2014Article
- Analysis of trend of malaria prevalence in south-west Ethiopia: a retrospective comparative study.Malaria journal · 2014Article
- Malaria indicator surveys demonstrate a markedly lower prevalence of malaria in large cities of sub-Saharan Africa.Malaria journal · 2013Article
- Article
- Treatment actions and treatment failure: case studies in the response to severe childhood febrile illness in Mali.BMC public health · 2012Article
- Lack of decline in childhood malaria, Malawi, 2001-2010.Emerging infectious diseases · 2012Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Mali, malaria is the leading cause of death and the primary cause of outpatient visits for children under five. The twin towns of Mopti and Sévaré have historically had high under-five mortality. This paper investigates the changing malaria burden in children under five in these two towns for the years 1998-2006, and the likely contribution of previous interventions aimed at reducing malaria.
methodsA retrospective analysis of daily outpatient consultation records from urban community health centres (CSCOMs) located in Mopti and Sévaré for the years 1998-2006 was conducted. Risk factors for a diagnosis of presumptive malaria, using logistic regression and trends in presumptive malaria diagnostic rates, were assessed using multilevel analysis.
resultsBetween 1998-2006, presumptive malaria accounted for 33.8% of all recorded consultation diagnoses (10,123 out of 29,915). The monthly presumptive malaria diagnostic rate for children under five decreased by 66% (average of 8 diagnoses per month per 1,000 children in 1998 to 2.7 diagnoses per month in 2006). The multi-level analysis related 37% of this decrease to the distribution of bed net treatment kits initiated in May of 2001. Children of the Fulani (Peuhl) ethnicity had significantly lower odds of a presumptive malaria diagnosis when compared to children of other ethnic groups.
conclusionsPresumptive malaria diagnostic rates have decreased between 1998-2006 among health care-seeking children under five in Mopti and Sévaré. A bed net treatment kit intervention conducted in 2001 is likely to have contributed to this decline. The results corroborate previous findings that suggest that the Fulani ethnicity is protective against malaria. The findings are useful to encourage dialogue around the urban malaria situation in Mali, particularly in the context of achieving the target of reducing malaria morbidity in children younger than five by 50% by 2011 as compared to levels in 2000.
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