Journal of Family Medicine and Primary Care

ORIGINAL ARTICLE
Year
: 2013  |  Volume : 2  |  Issue : 3  |  Page : 256--262

Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria


Gabriel Uche Pascal Iloh1, Abali Chuku2, Agwu Nkwa Amadi3, John Nnaemeka Ofoedu1 
1 Department of Family Medicine, Federal Medical Centre, Umuahia, Abia, Nigeria
2 Department of Ophthalmology, Federal Medical Centre, Umuahia, Abia, Nigeria
3 Department of Public Health Technology, Federal University of Technology, Owerri, Imo, Nigeria

Correspondence Address:
Gabriel Uche Pascal Iloh
Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state - 440 000
Nigeria

Background: Malaria threatens the life of under-five in rural Nigerian families. Although, factors that influence malaria in under-five are manifold. However, family biosocial factors may contribute to the variability of the clinical picture. Aim: To determine proximate family biosocial variable associated with severe malaria among under-five children in a resource-poor setting of a rural hospital in Eastern Nigeria. Materials and Methods: A cross-sectional study carried out on the families of under-five managed for malaria. Data extracted included family biosocial variables and diagnosis. An under-five child was defined to have malaria if the mother gave complaints of fever, vomiting, and other symptoms suggestive of malaria, had body temperature exceeding 37.5°C with the asexual forms of Plasmodium falciparum detected on the peripheral blood film. Severe malaria is the malaria that presents with life-threatening features like severe anemia and cerebral malaria. Results: The prevalence of severe malaria was 31.8% The family biosocial variables significantly associated with severe malaria were maternal low level of education (P = 0.031), family size >4 (P = 0.044), low social class of the family (P = 0.025), nonliving together of parents (P = 0.011), and poor access to health facilities (P = 0.038). The most significant predictor of severe malaria was nonliving together of parents (P = 0.000, odds ratio = 3.08, confidence interval = 1.64-5.10). Conclusion: This study has demonstrated that some family biosocial variables are associated with severe malaria. These families should constitute at risk families that could be targeted for malaria interventional programs.


How to cite this article:
Iloh GU, Chuku A, Amadi AN, Ofoedu JN. Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria.J Family Med Prim Care 2013;2:256-262


How to cite this URL:
Iloh GU, Chuku A, Amadi AN, Ofoedu JN. Proximate family biosocial variables associated with severe malaria disease among under-five children in resource-poor setting of a rural hospital in eastern Nigeria. J Family Med Prim Care [serial online] 2013 [cited 2020 Sep 26 ];2:256-262
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2013;volume=2;issue=3;spage=256;epage=262;aulast=Iloh;type=0