Prevalence and factors associated with malaria during pregnancy in the health district of Dioïla, Mali, 2022

Abstract

Introduction: Malaria is one of the main causes of morbidity and death in pregnant women. The aim of this was conducted to determine the prevalence of malaria, and the factors associated with it during pregnancy. Material and methods: The study was carried out in the Dioila health district from July to December 2022. All participants received a rapid malaria diagnostic test for malaria. Data on the determinants of malaria were collected in a questionnaire during the prenatal consultation. Multiple component analysis was used to determine socio-economic and cultural profiles. For the identification of associated factors, a logistic regression model was performed, and the odds ratio was the measure of association used. Results: The study involved 829 pregnant women with an average age of 25.5 years ± 6.22 years. Malaria prevalence was 23.7% (confidence interval: 95% CI: 21%-27%). Classification yielded three (3) profiles based on socio-economic and cultural factors. Factors associated with malaria transmission were young age (less than 19 years) OR: 2.61 (95% CI: 1.31-5.23). Women living in mud houses and who are illiterate (Profile 1) are at greater risk of malaria than those in Profile 2 (average socioeconomic and cultural level) OR: 0.68 (95% CI: 0.47-0.98) and Profile 3 (good socioeconomic and cultural level) OR: 0.68 (95% CI: 0.47-0.98). Conclusion: The prevalence of malaria among pregnant women remains very high in the Dioïla health district. These results suggest that malaria prevention strategies during pregnancy should be strengthened. Key words: Pregnant women, malar