Evidence map›Paper›PMID 35658969›Full record

ArticleMalaria journal2022

Regional heterogeneity of malaria prevalence and associated risk factors among children under five in Togo: evidence from a national malaria indicators survey.

Gountante Kombate, Wakpaouyare Gmakouba, Susana Scott, Komi Ameko Azianu, Didier Koumavi Ekouevi, Marianne A B van der Sande

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 5 countries.

Gountante KombateSociety for Study and Research in Public Health, Ouagadougou, Burkina Faso. gountanto@gmail.com.ORCID http://orcid.org/0000-0003-0014-5528
Wakpaouyare GmakoubaMinistry of Health, Public Hygiene and Universal Access to Care, Lomé, Togo.
Susana ScottDepartment of Infectious Diseases Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Komi Ameko AzianuMinistry of Health, Public Hygiene and Universal Access to Care, Lomé, Togo.
Didier Koumavi EkoueviDepartment of Public Health, University of Lomé, Lomé, Togo.
Marianne A B van der SandeDepartment of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Togolese Ministry of Health · TGInstitut de Recherche en Sciences de la Santé · BFLondon School of Hygiene & Tropical Medicine · GBUniversity Medical Center Utrecht · NLUniversity of Lomé · TG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalaria remains a major cause of morbidity and death among children less than 5 years of age. In Togo, despite intensification of malaria control interventions, malaria remained highly prevalent, with significant heterogeneity from one region to another. The aim of this study is to explore further such regional differences in malaria prevalence and to determine associated risk factors.

methodsData from a 2017 cross-sectional nationally representative malaria indicator survey was used. Children aged 6-59 months in selected households were tested for malaria using a rapid diagnostic test (RDT), confirmed by microscopy. Univariate and multivariate logistic regression analysis were performed using Generalized Linear Models.

resultsA total of 2131 children aged 6-59 months (1983 in rural areas, 989 in urban areas) were enrolled. Overall 28% of children tested positive for malaria, ranging from 7.0% in the Lomé Commune region to 4% 7.1 in the Plateaux region. In multivariate analysis, statistically significant differences between regions persisted. Independent risk factors identified were higher children aged (aOR = 1.46, 95% CI [1.13-1.88]) for those above 24 months compared to those below; households wealth quintile (aOR = 0.22, 95% CI [0.11-0.41]) for those richest compared to those poorest quintiles; residence in rural areas (aOR = 2.02, 95% CI [1.32-3.13]).

conclusionInterventions that target use of combined prevention measures should prioritise on older children living in poorest households in rural areas, particularly in the regions of high malaria prevalence.

Indexed as

MalariaAdolescentChildChild, PreschoolCross-Sectional StudiesHumansInfantPrevalenceRisk FactorsTogoChildren under 5 yearsMalaria prevalenceRegional heterogeneityTogo

Identifiers

PMID35658969
PMCPMC9166409
OpenAlexW4281635769

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.