Factors Associated with Falciparum Malaria in Lembata, East Nusa Tenggara


Rafael Paun

School of Health Polytechnics, Ministry of Health, Kupang

ABSTRACT

Background: Lembata district, East Nusa Tenggara, is a malaria endemic area. In 2016, as many as 27,976 clinical suspect cases were reported. As many as 6,562 ma­laria cases were confirmed, of which 444 were Plasmodium falciparum cases, 6,116 were Plasmodium vivax cases, and 2 mixed cases. Annual Parasite Inci­dence (API) was 46.60 new cases per thousand populations. This study aimed to determine the factors associated with Falciparum malaria in Lembata, East Nusa Tenggara.

Subjects and Method: This was a case control study carried out in Lembata, East Nusa Tenggara. A sample of 226 people was selected for this study, con­sis­ting of 113 Falciparum malaria cases and 113 controls. The dependent variable was Falciparum malaria. The independent variables were age, fever, convulsion, and diarrhea. Malaria case was diagnosed by anamnesis, clinical and laboratory examinations. The other data were collected by questionnaire, interview, and obser­vation. The data were analyzed by a multiple logistic regression.

Results: Falciparum malaria was associated with younger age (OR= 2.88; 95% CI= 1.47 to 5.07; p< 0.001), high fever (OR= 5.88; 95% CI= 4.21 to 7.45; p= 0.001), convulsion (OR= 4.90; 95% CI= 2.09 to 7.63; p<0.001), and diarrhea (OR= 3.76; 95% CI= 1.16 to 8.75; p= 0.023).

Conclusion: Falciparum malaria is associated with younger age, high fever, con­­vulsion, and diarrhea.

Keywords: malaria, Falciparum, fever, convulsion, diarrhea

Correspondence: Rafael Paun. School of Health Polytechnics, Ministry of Health, Kupang, Jl. Piet A. Tallo, Kupang, East Nusa Tenggara. Email: rafpun012@gmail.com. Mobile: 081339334949

DOI: https://doi.org/10.26911/theicph.2018.01.61

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