Estimating the burden of severe malarial anaemia and access to hospital care in East Africa

Peter Winskill (), Aggrey Dhabangi, Titus K. Kwambai, Amani Thomas Mori, Andria Mousa and Lucy C. Okell
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Peter Winskill: Imperial College
Aggrey Dhabangi: Makerere University College of Health Sciences
Titus K. Kwambai: Centers for Disease Control and Prevention
Amani Thomas Mori: University of Bergen
Andria Mousa: London School of Hygiene and Tropical Medicine
Lucy C. Okell: Imperial College

Nature Communications, 2023, vol. 14, issue 1, 1-7

Abstract: Abstract Severe malarial anaemia can be fatal if not promptly treated. Hospital studies may under-represent the true burden because cases often occur in settings with poor access to healthcare. We estimate the relationship of community prevalence of malaria infection and severe malarial anaemia with the incidence of severe malarial anaemia cases in hospital, using survey data from 21 countries and hospital data from Kenya, Tanzania and Uganda. The estimated percentage of severe malarial anaemia cases that were hospitalised is low and consistent for Kenya (21% (95% CrI: 7%, 47%)), Tanzania (18% (95% CrI: 5%, 52%)) and Uganda (23% (95% CrI: 9%, 48%)). The majority of severe malarial anaemia cases remain in the community, with the consequent public health burden being contingent upon the severity of these cases. Alongside health system strengthening, research to better understand the spectrum of disease associated with severe malarial anaemia cases in the community is a priority.

Date: 2023
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DOI: 10.1038/s41467-023-41275-w

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