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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/13475

Title: Urban malaria and anaemia in children: a cross-sectional survey in two cities of Ghana
Authors: Klinkenberg, Eveline
McCall, P. J.
Wilson, Michael D.
Osei Akoto, Alex
Amerasinghe, Felix P.
Bates, Imelda
Verhoeff, Francine H.
Barnish, Guy
Donnelly, Martin J.
Keywords: malaria
anaemia
Ghana
urbanization
health
vulnerability
Issue Date: 2006
Publisher: Tropical Medicine and International Health
Citation: Tropical Medicine and International Health, volume 11 no 5 pp 578–588
Abstract: objective To describe the epidemiology of urban malaria, an emerging problem in sub-Saharan Africa. method Cross-sectional surveys of communities in Accra and Kumasi, Ghana, determining risk factors for malaria infection and anaemia in children aged 6–60 months. results Malaria prevalence rates ranged from 2% to 33% between urban communities. 47.1% of children were anaemic (Hb < 11.0 g/dl). Factors associated with malaria prevalence were low socioeconomic status, age and anaemia. The attributable risks of anaemia and severe anaemia (Hb < 8.0 g/dl) caused by malaria were 5% and 23% respectively. conclusions Malaria in urban areas displayed a heterogeneity and complexity that differed from the rural environment, which has important implications for malaria control. Marked intra-city variation indicates the importance of targeting specific areas or districts. The most vulnerable group, the urban poor, should be prioritized when designing control measures. This would require careful assessment of the malaria risk pattern in any city to guide an integrated control program.
Description: This article is published in Tropical Medicine and International Health and also available at doi:10.1111/j.1365-3156.2006.01609.x
URI: http://hdl.handle.net/123456789/13475
ISSN: doi:10.1111/j.1365-3156.2006.01609.x
Appears in Collections:College of Agric and Natural Resources

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