Five Year Trend Analysis of Malaria Cases in Adama, Boset and Lume Districts of East Shawa, Oromia, Ethiopia

Abstract BackgroundMalaria is an infectious disease caused by Plasmodium parasites. Of the five human malaria parasites Plasmodium falciparum and Plasmodium vivax are the two co-endemic predominant and widely distributed species in Ethiopia greatly affecting public health and socio-economic development. Even though enormous effort have been made countrywide to reduce the disease burden little has been reported about trends of malaria transmission in the several localities of malarious areas like East Shawa Zone of Oromia Regional State, Ethiopia. Thus, the present study was aimed at assessing five- year (2016-2020) trends of malaria transmission at Adama, Boset and Lume districts of East Shawa Zone of Oromia Regional State, Ethiopia. MethodsRetrospective data were collected from the central surveillance of East Shawa Zone Health Office. The data collected was analyzed from September 2020 to December 2020 to examine trends of malaria epidemiology in three malarious districts in the Zone. The result shows, although a remarkable decrease in slide positivity rate (SPR) from (47.8 to 7.9%) and prevalence rate (6 to 1%) in the area, a recent slight increase of malaria SPR and prevalence was observed. Male individuals, particularly the productive section of the society (fifteen years and above age group) were more infected (60%), where falciparum, vivax and mixed malaria cases accounted for (53%), (41%), and (6%) respectively. Conclusion and Recommendations: Although reduction of malaria incidence was recorded in the study area, and higher malaria prevalence compared to the report of the national malaria indicator survey and inconsistency of the reduction rate noted in the study area demands due attention in the sector.