Analysis of Risk Factors for Mortality Due to Malaria Infection: Case Study in Arsi Negele Health Centers, Ethiopia

Abstract

Background: Malaria epidemiology remains a major problem of health of the majority of the population of Ethiopia as particularly in Arsi Negelle woreda. Evidences from retrospective study of the magnitude of malaria admission and death review in Oromia revealed that out of total 302,035 admissions, 16,061 deaths were registered from 1995 to 2000. Accordingly, malaria accounted for 11.2% of all admissions and 14.26% of all deaths. The main objective of this study was to evaluate the risk factors for mortality of patients from human malaria disease in the study area. Methods: The data for this study were abstraction from the records of malaria positive patients card reviewed or visited in Arsi Negelle major health center and Meti health center from 2010/11(2003 E.C) to 2011/12 (2004 E.C) in Arsi Negelle Woreda (retrospective cohort study). The data were analyzed using multiple binary logistic regression. Results: The results of the study showed that 412(76.87%) of malaria positive patients were found to be discharged while the rest 124(23.13%) have died of malaria in the health centers. The odds of death for malaria positive patients at the clinic residing in rural area were 2.933 times that of one who resides in urban. Plasmodium vivax has a 92.1% less chance of experiencing death due to malaria in the health center than those patients with plasmodium falciparum. Conclusion: It can be concluded from the results of this study that the most contributing risk factors of malaria epidemic related mortality in health centers were: rural resident, longer time(days) of patients stay with disease before getting treatment, P.falciparum types of plasmodium species, shorter time(days) of stay in health centers, immigrant patients, and patients referred to health centers.

Keywords:  Malaria, Risk factors, Mortality in-health centers

DOI: 10.7176/JNSR/11-13-02

Publication date:July 31^st 2020