Page 110 - Invited Paper Session (IPS) - Volume 2

IPS186 Fagbamigbe, A. F.
Results
Among the 7,011 children included in the survey, only 6,025 and 5,753
children were tested for malaria parasite using the microscopy and the RDT
methods respectively. The distribution of the results of the tests by selected
children characteristics is presented in Table 1. For the two test procedures,
malaria prevalence increased with the children ages and was insignificantly
higher among male children than among female children. In all, children
residing in the rural areas, Northern geopolitical zones, who came from homes
in the poorer wealth quintiles and who slept under treated nets recently and
who had fever within the two weeks preceding the survey had a higher
significant prevalence of malaria for both the RDT and microscopy malaria
tests.
In addition, the level of anaemia was significantly associated with the
presence of malaria parasite as evidenced by both the RDT and microscopic
tests. Children with severe anaemia had higher malaria prevalence (RDT+=
88%; microscopy+=67%) compared with others that were not anaemic (RDT+
=25%; microscopy+=13%). Although not stated in the tables, Plasmodium
falciparum was the main (94%) type of malaria parasite found through the
blood film microscopy among the U5 children, followed by the Plasmodium
ovale and Plasmodium malaria at 5% and 1% respectively.

Table 1: Distribution of the results of the malaria tests using RDT and microscopy
and their association with selected children characteristics in the Nigeria 2015 MIS
Children Number % Malaria Test Results
Characteristic (n=7011) RDT+ x p- Micro+ x p-
2
2
(%) value (%) value
Child’s age (months)
0-6 755 10.8 21.6 *<0.001 10.0 *<0.001

7-23 1 914 27.3 36.2 20.3
24-59 4 342 61.9 49.5 30.9
Sex
Male 3 574 51.0 46.2 0.063 27.8 0.276
Female 3 437 49.0 44.0 26.9
Location
Urban 2 350 33.5 24.1 *<0.001 11.4 *<0.001
Rural 4 661 66.5 55.7 35.6
Zone
North Central 1 309 18.7 50.7 *<0.001 32.1 *<0.001

North East 983 14.0 42.9 26.5
North West 2 286 32.6 58.2 37.1
South East 601 8.6 31.7 13.9

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