ArticlePloS one2025
Individual and community level factors of malaria among under-five children in Kenya: Based on the Kenya Demographic and Health Survey.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Spatial distribution of full immunization and associated factors among children aged 12-23 months in Madagascar: a spatial and multilevel analysis.Scientific reports · 2026Article
- 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
- Prevalence and Type Distribution of Malaria Among Children in Ethiopia: A Systematic Review and Meta-Analysis.Journal of parasitology research · 2026Review
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6 authors.
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Abstract
backgroundMalaria remains a significant global public health challenge. In Kenya, it is a leading cause of illness and death among children under five in malaria-endemic areas. Understanding its prevalence and the factors influencing it is essential for informed public health decisions and targeted interventions.
objectiveAssess prevalence and associated factors of malaria in under-five children using the 2022 Kenya Demographic and Health Survey data.
methodA total of 3146 children were included in this study. A multilevel logistic regression model was fitted to assess factors associated with malaria, with significance reported at p-value < 0.05 and a 95% confidence interval.
resultsThe prevalence of malaria among under-five children in Kenya was 22.72% (95% CI: 21.29, 24.22). Maternal age between 25-34 (AOR:0.75,95% CI:0.57,0.99) years, richest wealth of family (AOR 0.48, 95% CI 0.26-0.89), treated mosquito bed net (AOR = 0.39; 95% CI: 0.17, 0.89), no bed net (AOR = 0.49; 95% CI: 0.31, 0.77), mothers who are breast feeding (AOR = 0.66; 95% CI: 0.52, 0.85) and community level poverty(AOR = 1.82; 95% CI: 1.19, 2.77) were the associated factors of malaria among underfive children in Kenya.
conclusionMalaria prevalence among under-five children in Kenya was 22.72%, with risk factors including poverty and lack of bed net use, while maternal age (25-34 years), higher wealth, treated bed nets, and breastfeeding were protective. To reduce malaria, promoting the use of insecticide-treated bed nets, supporting low-income families, and strengthening maternal health education are essential. Additionally, poverty alleviation programs and enhanced malaria surveillance can help mitigate risks. Strengthening community-based interventions and improving healthcare access are crucial for long-term malaria control.
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