Role of malnutrition and parasite infections in the spatial variation in children’s anaemia risk in northern Angola

Soares Magalhães, Ricardo J., Langa, Antonio, Pedro, João Mário, Sousa-Figueiredo, José Carlos, Clements, Archie C. A. and Nery, Susana Vaz (2013) Role of malnutrition and parasite infections in the spatial variation in children’s anaemia risk in northern Angola. Geospatial Health, 7 2: 341-354. doi:10.4081/gh.2013.91

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Author Soares Magalhães, Ricardo J.
Langa, Antonio
Pedro, João Mário
Sousa-Figueiredo, José Carlos
Clements, Archie C. A.
Nery, Susana Vaz
Title Role of malnutrition and parasite infections in the spatial variation in children’s anaemia risk in northern Angola
Journal name Geospatial Health   Check publisher's open access policy
ISSN 1827-1987
1970-7096
Publication date 2013-05-01
Sub-type Article (original research)
DOI 10.4081/gh.2013.91
Open Access Status DOI
Volume 7
Issue 2
Start page 341
End page 354
Total pages 14
Place of publication Naples, NA, Italy
Publisher Universita degli Studi di Napoli "Federico II" * Facolta di Medicina Veterinaria
Language eng
Abstract Anaemia is known to have an impact on child development and mortality and is a severe public health problem in most countries in sub-Saharan Africa. We investigated the consistency between ecological and individual-level approaches to anaemia mapping by building spatial anaemia models for children aged ≤15 years using different modelling approaches. We aimed to (i) quantify the role of malnutrition*malaria*Schistosoma haematobium and soil-transmitted helminths (STHs) in anaemia endemicity; and (ii) develop a high resolution predictive risk map of anaemia for the municipality of Dande in northern Angola. We used parasitological survey data for children aged ≤15 years to build Bayesian geostatistical models of malaria (PfPR≤15)*S. haematobium*Ascaris lumbricoides and Trichuris trichiura and predict small-scale spatial variations in these infections. Malnutrition*PfPR≤15*and S. haematobium infections were significantly associated with anaemia risk. An estimated 12.5%*15.6% and 9.8% of anaemia cases could be averted by treating malnutrition*malaria and S. haematobium*respectively. Spatial clusters of high risk of anaemia (>86%) were identified. Using an individual-level approach to anaemia mapping at a small spatial scale*we found that anaemia in children aged ≤15 years is highly heterogeneous and that malnutrition and parasitic infections are important contributors to the spatial variation in anaemia risk. The results presented in this study can help inform the integration of the current provincial malaria control programme with ancillary micronutrient supplementation and control of neglected tropical diseases such as urogenital schistosomiasis and STH infections.
Keyword Anaemia
Angola
Helminth infections
Malaria
Malnutrition
Risk mapping
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
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Created: Sat, 22 Jun 2013, 02:22:19 EST by Dr Ricardo J. Soares Magalhães on behalf of School of Public Health