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Background. Malaria is a serious public health problem of most developing countries, including Ethiopia. The burden of malaria is severely affecting the economy and lives of people, particularly among the productive ages of rural society. Thus, this study was targeted to analyze the past five-year retrospective malaria data among the rural setting of Maygaba town, Welkait district, northwest Ethiopia. Methods. The study was done on 36,219 outpatients attending for malaria diagnosis during January 2015 to 2019. Data was extracted from the outpatient medical database. Chi-square ( χ 2 ) test and binary logistic regression model were used to analyze the retrospective data. Statistical significance was defined at p < 0.05 . Results. Of 36,219 outpatients examined, 7,309 (20.2%) malaria-positive cases were reported during 2015-2019. There was a fluctuating trend in the number of malaria-suspected and -confirmed cases in each year. Male slide-confirmed (61.4%, N = 4,485 ) were significantly higher than females (38.6%, N = 2,824 ) ( p < 005 ). Plasmodium falciparum and Plasmodium vivax were the dominant parasites detected, which accounted for 66.1%; N = 4832 , 33.9%; N = 2477 , respectively. Despite the seasonal abundance of malaria cases, the highest prevalence was recorded in autumn (September to November) in the study area. Binary logistic regression analysis revealed that statistically significant associations were observed between sexes, interseasons, mean seasonal rainfall, and mean seasonal temperature with the prevalence of P. vivax. However, P. falciparum has shown a significant association with interseasons and mean seasonal temperature. Conclusions. Although the overall prevalence of malaria was continually declined from 2015-2019, malaria remains the major public health problem in the study area. The severe species of P. falciparum was found to be the dominant parasite reported in the study area. A collaborative action between the national malaria control program and its partners towards the transmission, prevention, and control of the two deadly species is highly recommended.

Malaria remains a leading public health issue in Ethiopia, despite wide use of insecticide-treated mosquito nets (ITNs). Consistent use of ITNs reduces malaria transmission by 90%. However, coverage and proper use of ITNs are the major challenge for most rural settings of Ethiopia. We assessed the prevalence of malaria, ITNs use and associated factors among household heads in Maygaba town, northwest Ethiopia. A cross-sectional study was carried out among 403 households using a structured questionnaire. Blood samples were collected from household heads and examined for malaria parasites by microscopy. Chi-square test and logistic regression were used to check the association between the dependent and independent variables. Of the 403 blood samples, 19 (4.7%) had malaria parasites (12 cases of Plasmodium falciparum and 7 cases of Plasmodium vivax). Majority of the respondents were aware of the cause, communicability, preventability and curability of the disease. ITNs use was identified as the main malaria prevention method. About 64% (257) of the respondents owned ITNs, of which, 66.9% (172) consistently slept under the nets during the peak malaria season. Majority of the respondents (83.6%) had positive attitude towards the benefit of sleeping under ITNs. Educational status and livelihood of the respondents had statistically significant (p < 0.05) association with malaria knowledge. Malaria infection was significantly (p < 0.05) higher among household heads aged 18–30 years (AOR = 5.982; 95% CI = 1.715–20.863). Moderate prevalence rate and acceptable ITNs ownership was detected among the community of Maygaba town. However, a considerable proportion had misconceptions about the use of ITNs. A comprehensive malaria control measures and health education about the use of ITNs should be in place for effective prevention and control of malaria in the locality.

Improper solid waste management in urban and semi-urban cities of developing countries is the source of environmental pollution and public health concern. This study aimed to assess the households’ knowledge, attitudes and practices of solid waste management and associated factors in Gelemso town. A community-based cross-sectional study design was used to assess the households’ KAP of SWM in Gelemso town. A systematic random sampling technique was used to recruit 390 households from Gelemso town and data was collected using a structured questionnaire. Data analysis was carried out using SPSS version 22.0 software. Bivariate and multivariate analyses were used to predict the improper SWM practices. From 390 households included in the study, 61.3% of them were females. Generally, most households had correct knowledge and positive attitudes towards SWM but poor practice was observed in the study area. About 96% of the households considered solid waste as a source of environmental pollution and close to 92% of them replied that solid waste can be used for compost preparation. Majority (87.4%) of the households “strongly agreed” about the potential risk associated with improper solid waste disposal and nearly 80% of them also “strongly agreed” that proper SWM is crucial to create a healthy environment in the community. Nearly 80% had practiced improper SWM. Logistic regression analyses indicated that lack of experience in sorting solid waste, ways of removal, knowledge about reduce, reuse and recycle, absence of adequate solid waste landfills, and lack of door-to-door waste collections services were identified as the major contributing factors for the improper SWM practice in Gelemso town. In conclusion, the majority of the households had practiced improper SWM, such as disposing of solid waste in the backyard, along the roadsides, in gully and burned. These malpractices can significantly affect the environment and public health of the residents.

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