Anemia among Schoolchildren with Malaria and Soil-Transmitted Helminth Coinfections after Repeated Rounds of Mass Drug Administration in Muheza District, Tanzania

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dc.contributor.authorMwaiswelo, Richard O.
dc.date.accessioned2020-03-05T10:40:45Z
dc.date.available2020-03-05T10:40:45Z
dc.date.issued2019
dc.description.abstractA coinfection with malaria and soil-transmitted helminths (STHs) has been common among school-aged children in Tanzania. However, after a countrywide scaling up of interventions for malaria and STHs, there are limited data on the prevalence of malaria–STH coinfections and its effect on anemia in schoolchildren in Tanzania. We assessed the distribution and risk factors for malaria, STHs, and malaria–STH coinfections, and its relation to anemia among 445 primary schoolchildren in Muheza district. A semi-structured questionnaire was used to collect demographic characteristics of the children. Malaria rapid diagnostic test (mRDT) was used to diagnose malaria infection. Soil-transmitted helminths were diagnosed using the Kato–Katz technique. Primary outcome was anemia, defined as hemoglobin concentration < 11 g/dL. Chisquare (χ2) or Fisher’s exact tests, Kruskal–Wallis or t-test, and logistic models were used as appropriate. Overall, the prevalence of malaria, STHs, malaria–STH coinfection, and anemia were 18.4%, 6.1%, 1.6%, and 19.8%, respectively. Anemic children were more likely to have malaria (adjusted odds ratio [aOR] = 4.538, 95% CI: 2.189–9.409), whereas frequent use of bed nets was associated with reduced risk of malaria (aOR = 0.234, 95% CI: 0.130–0.42). On the other hand, not always using latrines and eating raw uncooked food increased the risk of STH infection. The prevalence of anemia was high and was associated with both malaria and malaria– STH infections, therefore calling for more integrated malaria–STH control approaches to target school-aged children.en_US
dc.identifier.citationNgasala, B., Matata, F., Mwaiswelo, R. and Mmbando, B.P., 2019. Anemia among Schoolchildren with Malaria and Soil-Transmitted Helminth Coinfections after Repeated Rounds of Mass Drug Administration in Muheza District, Tanzania. The American journal of tropical medicine and hygiene, 101(5), pp.1148-1155.en_US
dc.identifier.otherDOI: https://doi.org/10.4269/ajtmh.19-0362
dc.identifier.urihttp://hdl.handle.net/123456789/300
dc.language.isoenen_US
dc.publisherThe American journal of tropical medicine and hygieneen_US
dc.subjectAnemiaen_US
dc.subjectSchoolchildren with Malariaen_US
dc.subjectMuheza District, Tanzaniaen_US
dc.titleAnemia among Schoolchildren with Malaria and Soil-Transmitted Helminth Coinfections after Repeated Rounds of Mass Drug Administration in Muheza District, Tanzaniaen_US
dc.typeArticleen_US

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