Prevalence of malaria parasitaemia in school children from two districts of Ghana earmarked for indoor residual spraying: a cross-sectional study

TY - JOUR

T1 - Prevalence of malaria parasitaemia in school children from two districts of Ghana earmarked for indoor residual spraying: a cross-sectional study

AU - Sarpong, Nimako

AU - Owusu-Dabo, Ellis

AU - Kreuels, Benno

AU - Fobil, Julius N

AU - Segbaya, Sylvester

AU - Amoyaw, Frank

AU - Hahn, Andreas

AU - Kruppa, Thomas

AU - May, Jürgen

PY - 2015/6/25

Y1 - 2015/6/25

N2 - BACKGROUND: Indoor residual spraying (IRS) is considered a valuable transmission control measure against malaria but exact efficacy data are not available for many epidemiological settings. This study was conducted to determine indicators for malaria epidemiology and transmission among school children as baseline assessment before IRS implementation in Ghana.METHODS: A cross-sectional study was conducted in Adansi South District of the Ashanti Region and Wa West District of the Upper West Region of Ghana. Malarial parasitaemia and anaemia were determined in pupils between the ages of 2 and 14 years from Early Childhood Development Centres and primary schools. Plasmodium falciparum parasitaemia was detected by light microscopy.RESULTS: Out of 1,649 pupils who were enrolled at participating schools, 684 were positive for plasmodia resulting in a baseline parasitaemia prevalence of 41.5%. Parasite rate was similar in the two districts (42.0% in Adansi South and 40.7% in Wa West), but differed across the nine sentinel schools ranging from 21 to 63% (p < 0.001). The mean haemoglobin concentration was 11.3 g/dl [standard deviation (SD) ±2.1]. Pupils who had moderate to mild anaemia (7.0-10.9 g/dl) constituted 41.7% of the study sample.CONCLUSION: The burden of parasitaemia, malaria and anaemia is a major public health problem among school children in rural Ghana with extensive heterogeneity between schools and warrants further investment in intervention measures.

AB - BACKGROUND: Indoor residual spraying (IRS) is considered a valuable transmission control measure against malaria but exact efficacy data are not available for many epidemiological settings. This study was conducted to determine indicators for malaria epidemiology and transmission among school children as baseline assessment before IRS implementation in Ghana.METHODS: A cross-sectional study was conducted in Adansi South District of the Ashanti Region and Wa West District of the Upper West Region of Ghana. Malarial parasitaemia and anaemia were determined in pupils between the ages of 2 and 14 years from Early Childhood Development Centres and primary schools. Plasmodium falciparum parasitaemia was detected by light microscopy.RESULTS: Out of 1,649 pupils who were enrolled at participating schools, 684 were positive for plasmodia resulting in a baseline parasitaemia prevalence of 41.5%. Parasite rate was similar in the two districts (42.0% in Adansi South and 40.7% in Wa West), but differed across the nine sentinel schools ranging from 21 to 63% (p < 0.001). The mean haemoglobin concentration was 11.3 g/dl [standard deviation (SD) ±2.1]. Pupils who had moderate to mild anaemia (7.0-10.9 g/dl) constituted 41.7% of the study sample.CONCLUSION: The burden of parasitaemia, malaria and anaemia is a major public health problem among school children in rural Ghana with extensive heterogeneity between schools and warrants further investment in intervention measures.

KW - Adolescent

KW - Anemia

KW - Child

KW - Child, Preschool

KW - Cross-Sectional Studies

KW - Female

KW - Ghana

KW - Humans

KW - Malaria

KW - Male

KW - Parasitemia

KW - Plasmodium

KW - Prevalence

KW - Rural Population

KW - Students

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1186/s12936-015-0772-6

DO - 10.1186/s12936-015-0772-6

M3 - SCORING: Journal article

C2 - 26109461

VL - 14

SP - 260

JO - MALARIA J

JF - MALARIA J

SN - 1475-2875

ER -