Severe falciparum malaria in young children of the Kassena-Nankana district of northern Ghana
2007

Severe Malaria in Young Children in Northern Ghana

Sample size: 868 publication 10 minutes Evidence: high

Author Information

Author(s): Oduro Abraham R, Koram Kwadwo A, Rogers William, Atuguba Frank, Ansah Patrick, Anyorigiya Thomas, Ansah Akosua, Anto Francis, Mensah Nathan, Hodgson Abraham, Nkrumah Francis

Primary Institution: Navrongo Health Research Centre

Hypothesis

What are the clinical characteristics and incidence of severe falciparum malaria in young children in the Kassena-Nankana district of northern Ghana?

Conclusion

Severe malaria is a frequent and seasonal childhood disease in northern Ghana and may be an adequate endpoint for future malaria vaccine trials.

Supporting Evidence

  • 45.2% of screened children had severe malaria.
  • The incidence of severe malaria was estimated at 3.4% per year.
  • Severe anaemia was the most common manifestation at 36.5%.
  • Cerebral malaria was a significant risk factor for death.

Takeaway

Many young children in northern Ghana get very sick from malaria, especially during the rainy season, and this can help researchers test new vaccines.

Methodology

Children aged 6–59 months with severe malaria were studied at Navrongo War Memorial Hospital, using WHO criteria for diagnosis.

Potential Biases

Potential bias in reporting symptoms and treatment adherence from parents.

Limitations

The study only included children admitted to the hospital, which may not represent all cases in the community.

Participant Demographics

Children aged 6–59 months, with 73.1% being male and 76% under 24 months old.

Statistical Information

P-Value

≤ 0.05

Confidence Interval

95% CI 3.1, 3.7

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2875-6-96

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