Magnitude of Malaria and Associated Factors Among Febrile Adults in Siraro District Public Health Facilities, Oromia Regional State, South West Ethiopia 2022

Background: Despite significant efforts made to control malaria in Ethiopia the disease remains one of the top public health problems in the country. Baseline malaria prevalence and associated factor at high malaria area is important guide malaria control interventions, there was Paucity of information regarding study area. Therefor the aim of this study was to determine prevalence of malaria and associated factors among febrile adults in Siraro district health facilities, Oromia regional state, South West Ethiopia. Methods Institution based cross sectional study was conducted among 317 febrile adult patients at Siraro district health facilities. Structured pre tested questioners were used to collect data. Epi-data version 3.1 and SPSS version 23 were used for data entry and analysis respectively. In order to identify factors associated with malaria infection bivariable and multivariable binary logistic regression analysis was employed, The Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) and p-value of < 0.05 was computed to show the strength of the association. Result The overall prevalence of malaria at the study area was 130(41.0%).Being farmer (AOR = 6.05; 95% CI: 1.38, 26.49), having poor knowledge on malaria transmission (AOR = 2.95; 95% CI: 1.48, 5.88), Housing condition of wall wood (AOR = 2.71; 95% CI: 1.34–5.49) and houses with three and above windows (AOR = 6.82; 95% CI: 1.05–44.40) were found to be significantly associated with prevalence of malaria. Conclusion The prevalence of malaria at the study area was high as compared with the national wide figures. Being farmer, having poor knowledge on malaria transmission, Housing condition of wall wood and houses with three and above window were identified as the major factors. Therefore, the district malaria program officer, health workers in health facility and health extension workers should have to improve the knowledge of community on the way of malaria prevention.