Abstract
Background: The latest WHO report shows a decline in the performances achieved concerning the fight against malaria since 2017. This research work aimed to investigate the progression of frequency and lethality due to severe malaria from 2017 to 2020 in the pediatric unit of the Borgou University Teaching Hospital in Parakou (CHUD-Parakou). Patients and Methods: This research work is a descriptive and analytical case-control study focused on all the children aged 1 month and more, hospitalized in the pediatric unit of CHUD-Parakou from January 1, 2017, to December 31, 2020. Recruitment criteria were the following: be admitted to hospital during the period specified above; have a usable medical record containing the diagnosis and type of discharge, and the findings of thick smear examination and/or of a rapid diagnostic test. Sampling was complete and takes into account all the medical records of children meeting the inclusion criteria. Epi Info 7.2.2 was the software used to perform data processing. Results: The frequencies of severe malaria in the unit were estimated at 19.89%, 22.65%, 29.65% and 27.51% respectively in 2017, 2018, 2019 and 2020. Lethality rates varied from 7.76% to 8.68 from 2017 through 2020. The death risk associated with severe malaria was 3.08 times higher in children suffering from severe acute undernutrition. Conclusion: Despite all the efforts made by the health authorities and the technical and financial partners, the frequency and lethality of severe malaria are increasing in the pediatric unit of the B/A Regional University Teaching Hospital (CHUD-B/A). It is therefore worth investigating the determinants of this situation.
Highlights
Malaria is the leading cause of morbidity and mortality among children in Sub-Saharan Africa in the post-neonatal period
Despite all the efforts made by the health authorities and the technical and financial partners, the frequency and lethality of severe malaria are increasing in the pediatric unit of the B/A Regional University Teaching Hospital (CHUD-B/A)
The purpose of this research work was to investigate the progression of frequency and lethality due to children’s severe malaria in the pediatric unit of CHUD-Parakou from 2017 to 2020
Summary
Malaria is the leading cause of morbidity and mortality among children in Sub-Saharan Africa in the post-neonatal period. The purpose of this research work was to investigate the progression of frequency and lethality due to children’s severe malaria in the pediatric unit of CHUD-Parakou from 2017 to 2020. This research work aimed to investigate the progression of frequency and lethality due to severe malaria from 2017 to 2020 in the pediatric unit of the Borgou University Teaching Hospital in Parakou (CHUD-Parakou). Conclusion: Despite all the efforts made by the health authorities and the technical and financial partners, the frequency and lethality of severe malaria are increasing in the pediatric unit of the B/A Regional University Teaching Hospital (CHUD-B/A). It is worth investigating the determinants of this situation
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