ArticleCase reports in infectious diseases2021
The Trend of Malaria Cases, Positivity Rate, and Determinant Factors in the Amhara Regional State, Ethiopia: A Mixed Method.
Article in Case reports in infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and associated risk factors of malaria in Amhara National Regional State: a systematic review and meta-analyses.Malaria journal · 2026Pooled it
- Prevalence of malaria and associated factors among febrile patients visiting Gissa Health Center, Awi Zone, Northwest Ethiopia.Malaria journal · 2026Article
- Impact of the 2023-armed conflict on routine malaria imapact indicators in Sudan (January 2020-March 2025): a mixed-methods analysis of surveillance data.Malaria journal · 2026Article
- Resurgence of malaria in the Amhara Region, Ethiopia (2014-2024): trends, spatial expansion, and control challenges.Malaria journal · 2025Article
- Retrospective analysis of malaria surveillance data in the former Southern Nations, Nationalities, and peoples' region, Ethiopia (2017-2021).BMC public health · 2025Article
- Prevalence and Association of Malaria With the Blood Group on Febrile Patients at Woldia Comprehensive Specialized Hospital, Northeast Ethiopia.Journal of parasitology research · 2024Article
- Spatio-temporal modelling of routine health facility data for malaria risk micro-stratification in mainland Tanzania.Scientific reports · 2023Article
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3 authors.
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Abstract
objectivesThe objectives of this study were to evaluate the trend of malaria cases and test positivity rate and explore determinant factors in the Amhara Regional State, Ethiopia.
methodsA mixed study design (retrospective record data review and case study) was employed among 67 malaria officers from all zones in the region by using proportional allocation and the 1995 to 2020 malaria document review. 1995 to 2020 trend analysis was conducted using RStudio-1.2.5033. Vignette Focus Group Discussions (FGDs) were used to dig the possible factors for malaria case buildup using the purposive sampling technique, and a qualitative content analysis was used.
resultsThe overall mean test positivity rate (TPR) was 21.9%, and about 80% of the land of the region was malarious, and 68% of the population was at risk of malaria in the study area from the data records of 1995 to 2020. The year 2012 to 2016 had the peak confirmed malaria cases, while the year 2016 to 2018 dramatically reduced followed by an increase in 2019/2020. The vignette FGDs identified that poor performance on Larval Source Management (LSM) and net utilization, no stock of some antimalarial medicine and supply, quality of malaria diagnosis services, the low commitment of leaders, and climatic anomalies facilitated surge of the disease in 2019/2020. No real accountability at all levels, low coverage of targeted vector control interventions, resource constraint, data quality and use for informed decision making, security issues and Internally Displaced Population (IDP) in various parts of the country, and the COVID-19 pandemic were the possible causes for case buildup.
conclusionsThis result revealed that the malaria incidence rate showed a remarkable decline. However, the average TPR was 21.9%. Hence, it provided the ongoing feedback, mass fever test and treatment, training to health professionals, and ongoing supportive supervision (SS) and mentorship, improved net utilization and indoor residual spraying (IRS) operation and close follow-up and conducted sensitization workshop, spot messages were transferred through mass media, and temporary case treatment and prevention centers at farm sites established may surpass the threshold of malaria.
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