Factors contributing to preventing malaria in children aged 3 to 59 months after the first cycle of seasonal malaria chemoprevention in Tenkodogo Health District of Burkina Faso, July 2020: A prospective cohort study

Background: The incidence of malaria in children under 5 years in Burkina Faso was 163 per 1000 with a case fatality of 1.5% in 2018. Despite the implementation of several strategies, malaria incidence increased in Tenkodogo Health District after the seasonal malaria chemo prevention (SMC) in 2018....

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Main Authors: Yewayan Larba Berenger Kabore, Watton Rodrigue Diao, Dénis Yelbeogo, Arouna Koidima, Lassane Kafando, Fréderic Dianda, Noaga Sawadogo, Jean-Baptiste Ouedraogo, Yamregma Kabore, Fréderic Kambou, Kodo Albassa, Salfo Ouedraogo, Brahima Traore, Pedwinde Hamadou Seogo
Format: Article
Language:English
Published: African Field Epidemiology Network 2025-01-01
Series:Journal of Interventional Epidemiology and Public Health
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Online Access:https://www.afenet-journal.net/content/article/8/1/full/
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author Yewayan Larba Berenger Kabore
Watton Rodrigue Diao
Dénis Yelbeogo
Arouna Koidima
Lassane Kafando
Fréderic Dianda
Noaga Sawadogo
Jean-Baptiste Ouedraogo
Yamregma Kabore
Fréderic Kambou
Kodo Albassa
Salfo Ouedraogo
Brahima Traore
Pedwinde Hamadou Seogo
author_facet Yewayan Larba Berenger Kabore
Watton Rodrigue Diao
Dénis Yelbeogo
Arouna Koidima
Lassane Kafando
Fréderic Dianda
Noaga Sawadogo
Jean-Baptiste Ouedraogo
Yamregma Kabore
Fréderic Kambou
Kodo Albassa
Salfo Ouedraogo
Brahima Traore
Pedwinde Hamadou Seogo
author_sort Yewayan Larba Berenger Kabore
collection DOAJ
description Background: The incidence of malaria in children under 5 years in Burkina Faso was 163 per 1000 with a case fatality of 1.5% in 2018. Despite the implementation of several strategies, malaria incidence increased in Tenkodogo Health District after the seasonal malaria chemo prevention (SMC) in 2018. We conducted a study to identify the factors contributing to malaria prevention in children after the first cycle of the seasonal malaria chemoprevention of 2020 in Tenkodogo Health District. Methods: We conducted a prospective cohort study, from June 5 to September 5, 2020 in Tenkodogo Health District, among children aged 03 to 59 months. We employed cluster sampling and selected 847 eligible children. Sociodemographic characteristics of children and their mothers/caregivers, SMC adherence and malaria incidence in the 28 days SMC were collected. The presence of long-lasting insecticide-treated mosquito net (LLNs) in the household was noted when the mother or the babysitter reported having one. Data collectors were able to confirm cohabitation with animals either from their presence in the household or from the residues of their feces. A questionnaire was used, and implemented documents review for data collection. We used Epi info 7 for calculating averages and proportions and carried out multivariate logistic regression. Results: The overall level of SMC adherence was 90.02%. During the 4-week follow-up, malaria incidence was 99.76 cases per 1000 children, increasing from 15.43 to 34.44 cases per 1000 children from the first to the fourth week after the first cycle of SMC. Advice from community health workers was a protective factor against malaria in children (aRR= 0.41; 95% CI [0.22; 0.77]). Conclusion: There was a gradual increase in malaria incidence after the first SMC cycle. Recieving advice from community health workers was a protective factor against malaria after the first cycle of SMC. Measures to strengthen the advice by community health workers are needed to reduce this incidence of malaria in children after first cycle of SMC in Tenkodogo Health District.
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spelling doaj-art-bb9c1679dda5437b961bf90cb038fd902025-08-20T02:33:11ZengAfrican Field Epidemiology NetworkJournal of Interventional Epidemiology and Public Health2664-28242025-01-018110.37432/jieph.2025.8.1.149Factors contributing to preventing malaria in children aged 3 to 59 months after the first cycle of seasonal malaria chemoprevention in Tenkodogo Health District of Burkina Faso, July 2020: A prospective cohort studyYewayan Larba Berenger Kabore0Watton Rodrigue Diao1Dénis Yelbeogo2Arouna Koidima3Lassane Kafando4Fréderic Dianda5Noaga Sawadogo6Jean-Baptiste Ouedraogo7Yamregma Kabore8Fréderic Kambou9Kodo Albassa10Salfo Ouedraogo11Brahima Traore12Pedwinde Hamadou Seogo13AFENET Burkina Faso, training program in field epidemiology intermediate and frontline, Ouagadougou, Burkina FasoMinistry of Health and Public Hygiene, Ouagadougou, Burkina FasoAFENET Burkina Faso, training program in field epidemiology intermediate and frontline, Ouagadougou, Burkina FasoONG LVIA, Ouagadougou, Burkina FasoMinistry of Health and Public Hygiene, Ouagadougou, Burkina FasoMinistry of Health and Public Hygiene, Ouagadougou, Burkina FasoMinistry of Health and Public Hygiene, Ouagadougou, Burkina FasoMinistry of Health and Public Hygiene, Ouagadougou, Burkina FasoMinistry of Health and Public Hygiene, Ouagadougou, Burkina FasoMinistry of Health and Public Hygiene, Ouagadougou, Burkina FasoMinistry of Health and Public Hygiene, Ouagadougou, Burkina FasoMinistry of Health and Public Hygiene, Ouagadougou, Burkina FasoMinistry of Health and Public Hygiene, Ouagadougou, Burkina FasoAFENET Burkina Faso, training program in field epidemiology intermediate and frontline, Ouagadougou, Burkina FasoBackground: The incidence of malaria in children under 5 years in Burkina Faso was 163 per 1000 with a case fatality of 1.5% in 2018. Despite the implementation of several strategies, malaria incidence increased in Tenkodogo Health District after the seasonal malaria chemo prevention (SMC) in 2018. We conducted a study to identify the factors contributing to malaria prevention in children after the first cycle of the seasonal malaria chemoprevention of 2020 in Tenkodogo Health District. Methods: We conducted a prospective cohort study, from June 5 to September 5, 2020 in Tenkodogo Health District, among children aged 03 to 59 months. We employed cluster sampling and selected 847 eligible children. Sociodemographic characteristics of children and their mothers/caregivers, SMC adherence and malaria incidence in the 28 days SMC were collected. The presence of long-lasting insecticide-treated mosquito net (LLNs) in the household was noted when the mother or the babysitter reported having one. Data collectors were able to confirm cohabitation with animals either from their presence in the household or from the residues of their feces. A questionnaire was used, and implemented documents review for data collection. We used Epi info 7 for calculating averages and proportions and carried out multivariate logistic regression. Results: The overall level of SMC adherence was 90.02%. During the 4-week follow-up, malaria incidence was 99.76 cases per 1000 children, increasing from 15.43 to 34.44 cases per 1000 children from the first to the fourth week after the first cycle of SMC. Advice from community health workers was a protective factor against malaria in children (aRR= 0.41; 95% CI [0.22; 0.77]). Conclusion: There was a gradual increase in malaria incidence after the first SMC cycle. Recieving advice from community health workers was a protective factor against malaria after the first cycle of SMC. Measures to strengthen the advice by community health workers are needed to reduce this incidence of malaria in children after first cycle of SMC in Tenkodogo Health District.https://www.afenet-journal.net/content/article/8/1/full/chemopreventionadherenceincidencemalariatenkodogoburkina faso
spellingShingle Yewayan Larba Berenger Kabore
Watton Rodrigue Diao
Dénis Yelbeogo
Arouna Koidima
Lassane Kafando
Fréderic Dianda
Noaga Sawadogo
Jean-Baptiste Ouedraogo
Yamregma Kabore
Fréderic Kambou
Kodo Albassa
Salfo Ouedraogo
Brahima Traore
Pedwinde Hamadou Seogo
Factors contributing to preventing malaria in children aged 3 to 59 months after the first cycle of seasonal malaria chemoprevention in Tenkodogo Health District of Burkina Faso, July 2020: A prospective cohort study
Journal of Interventional Epidemiology and Public Health
chemoprevention
adherence
incidence
malaria
tenkodogo
burkina faso
title Factors contributing to preventing malaria in children aged 3 to 59 months after the first cycle of seasonal malaria chemoprevention in Tenkodogo Health District of Burkina Faso, July 2020: A prospective cohort study
title_full Factors contributing to preventing malaria in children aged 3 to 59 months after the first cycle of seasonal malaria chemoprevention in Tenkodogo Health District of Burkina Faso, July 2020: A prospective cohort study
title_fullStr Factors contributing to preventing malaria in children aged 3 to 59 months after the first cycle of seasonal malaria chemoprevention in Tenkodogo Health District of Burkina Faso, July 2020: A prospective cohort study
title_full_unstemmed Factors contributing to preventing malaria in children aged 3 to 59 months after the first cycle of seasonal malaria chemoprevention in Tenkodogo Health District of Burkina Faso, July 2020: A prospective cohort study
title_short Factors contributing to preventing malaria in children aged 3 to 59 months after the first cycle of seasonal malaria chemoprevention in Tenkodogo Health District of Burkina Faso, July 2020: A prospective cohort study
title_sort factors contributing to preventing malaria in children aged 3 to 59 months after the first cycle of seasonal malaria chemoprevention in tenkodogo health district of burkina faso july 2020 a prospective cohort study
topic chemoprevention
adherence
incidence
malaria
tenkodogo
burkina faso
url https://www.afenet-journal.net/content/article/8/1/full/
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