ArticleJournal of advanced research2020
Drinking water and sanitation conditions are associated with the risk of malaria among children under five years old in sub-Saharan Africa: A logistic regression model analysis of national survey data.
Article in Journal of advanced research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.
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Who cites it
51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.
- Social determinants of malaria in low- and middle-income countries: a mixed-methods systematic review.Malaria journal · 2025Pooled it
- Malaria among under-five children in Ethiopia: a systematic review and meta-analysis.Malaria journal · 2022Pooled it
- Determinants of malaria prevalence among children under 5 years of age in 17 sub-Saharan African countries: insights from Malaria Indicator Surveys.Global health action · 2026Article
- Spatial epidemiology of malaria by bed net utilization in 19 sub-Saharan African countries: a DHS-based study (2013-2023).Malaria journal · 2026Article
- Household characteristics, water, sanitation and hygiene (WASH) and malaria prevalence among children aged 6-59 months in Ghana: an analysis of the 2022 Ghana Demographic and Health Survey.Malaria journal · 2026Article
- Determinants of malaria infection across different districts of Khyber Pakhtunkhwa, Pakistan: a cross-sectional study.Malaria journal · 2026Article
- Global epidemiological trends, distribution of NTDs and malaria, and disease burden projections for the next 15 years.Frontiers in public health · 2026Article
- Artificial intelligence for precision malaria control: transforming surveillance, prediction, and intervention strategies.Frontiers in digital health · 2026Review
- Identifying age-common and age-specific factors of Plasmodium infection in Nigerian children under five: Application of a cluster-aware multistage selection framework to the 2018 Nigeria Demographic and Health Survey.PLOS global public health · 2026Article
- Mapping malaria risk in India between 2019 and 2023: a tool for the public to track malaria.Scientific reports · 2025Article
- Sociodemographic and ecological factors associated with malaria and malaria recurrence risk in children in Msambweni, Kwale County, Kenya.Malaria journal · 2025Article
- Global, regional, national burden, trends and health inequality of neglected tropical diseases and malaria from 1990 to 2021.BMC infectious diseases · 2025Article
- Determinants of malaria transmission in Indian districts in 2018: insights from ensemble models.Malaria journal · 2025Article
- Malaria prevalence and its determinants across 19 sub-Saharan African countries: a spatial and geographically weighted regression analysis.Malaria journal · 2025Article
- Integrating vulnerability and hazard in malaria risk mapping: the elimination context of Senegal.BMC infectious diseases · 2025Article
- The Well-Being of Slum Dwellers Are Associated With WaSH-Related Factors: A Cross-Sectional Study From India.Health science reports · 2025Article
- Global trends and burdens of neglected tropical diseases and malaria from 1990 to 2021: a systematic analysis of the Global Burden of Disease Study 2021.BMC public health · 2025Article
- Relationship between unimproved household sanitation facilities and malaria infection among under-five children in Nigeria: insights from Malaria Indicator Survey 2021.Malaria journal · 2025Article
- Economic empowerment and various preventive strategies play a role in reducing asymptomatic malaria towards the end of the rainy season.Open research Africa · 2025Article
- Spatial interpolation of health and demographic variables: Predicting malaria indicators with and without covariates.PloS one · 2025Article
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Authors and funding
9 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Current efforts for the prevention of malaria have resulted in notable reductions in the global malaria burden; however, they are not enough. Good hygiene is universally considered one of the most efficacious and straightforward measures to prevent disease transmission. This work analyzed whether improved drinking water and sanitation (WS) conditions were associated with a decreased risk of malaria infection. Data were acquired through surveys published between 2006 and 2018 from the Demographic and Health Program in sub-Saharan Africa (SSA). Multiple logistic regression was used for each national survey to identify the associations between WS conditions and malaria infection diagnosed by microscopy or a malaria rapid diagnostic test (RDT) among children (0-59 months), with adjustments for age, gender, indoor residual spraying (IRS), insecticide-treated net (ITN) use, house quality, and the mother's highest educational level. Individual nationally representative survey odds ratios (ORs) were combined to obtain a summary OR using a random-effects meta-analysis. Among the 247,440 included children, 18.8% and 24.2% were positive for malaria infection based on microscopy and RDT results, respectively. Across all surveys, both unprotected water and no facility users were associated with increased malaria risks (unprotected water: aOR 1.17, 95% CI 1.07-1.27,
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