Background
Malaria is a serious global public health challenge which causes great morbidity and mortality worldwide particularly in sub-Saharan Africa. This study was designed to determine the prevalence, parasite density and risk factors associated with malaria infection transmission among residents of two urban communities of Ibadan, southwestern Nigeria.
Methods
A cross-sectional hospital-based study was carried out on 300 participants. Blood samples were obtained. Thick and thin blood films were prepared and viewed using the standard parasitological technique of microscopy. Moreover, data on sociodemographic and environmental variables were obtained using standard questionnaire.
Results
Of the 300 participants examined, a total of 165 (55.0%) were found positive for Plasmodium falciparum with a mean (S.D) parasite density of 1814.70 (1829.117) parasite/µL of blood. The prevalence and parasite density of malaria infection was statistically significant (P < 0.05) in relation to age group. Obviously, malaria infection decreases as age increasing with ≤ 5 years having the highest prevalence and mean parasite density. Similarly, in relation to gender, males significantly (P < 0.05) had higher prevalence (60.2%) and mean (S.D) parasite density of malaria infection [2157.73 (1659.570) parasite/µL of blood] compared to females. Additionally, those without formal education had the highest prevalence (73.0%) and mean (S.D) parasite density of infection [2626.96 (2442.195) parasite/µL of blood]. The binary logistic regression analysis showed that age group 6–10 (COR 0.066, 95% CI: 0.007–0.635), presence of streams (COR 0.225, 95% CI: 0.103–0.492), distance from streams within ≤ 1 Km (COR 0.283, 95% CI: 0.122–0.654) and travel to rural area (COR 4.689, 95% CI: 2.430–9.049) were the major risk factors.
Conclusions
Malaria infection is apparently endemic in the study area and greatly influenced by rural-urban movement. Multifaceted and integrated control strategy should be adopted. Health education on mosquito prevention and use of chemoprophylaxis before and during travel to rural areas are important.