Prevalence of Plasmodium Parasites Among Clinically Malaria Suspected Febrile Patients in Katsina State

Authors

  • Yusuf Ado National Obstetric Fistula Center, Katsina. Nigeria.
  • Shunom Gandu
  • Ibraheem Oluwasina Akeem
  • Usman lawal
  • Mahmoud Inusa Yandutse
  • Mohammed Jarmai Mustapha
  • Mba Chinedu
  • Ibrahim Hamza Kankia
  • Khalid Usman Hamza National Obstetric Fistula Centre, Katsina
  • Joshua Babalola Balogun Federal University Dutse, Jigawa State
  • Abdulhamid Ahmed
  • Sadiya Nasir

DOI:

https://doi.org/10.33003/fjs-2026-1011-5425

Keywords:

Katsina, Malaria, Microscopy, Parasites, Prevalence

Abstract

Malaria is the leading parasitic disease in terms of human morbidity and mortality, imposing substantial medical, psychological, and economic burden in Nigeria. This cross-sectional study evaluated the prevalence of Plasmodium parasites among patients with clinically suspected malaria and identified symptomatic and demographic factors associated with the disease across four hospitals in Katsina State. A total of 353 blood samples were examined using microscopy. The results revealed an overall malaria prevalence of 32%. Daura FMC had the highest prevalence (35%), followed by Katsina GH (34%), Funtua GH (28.9%), and TUY MCH (28%). No significant association was found between hospital location and malaria prevalence (χ² = 1.362, p = 0.714). The highest infection rate was observed in patients aged 21–30 years (13.6%), the lowest was in those aged ≥41 years (0.28%). This association was not statistically significant (χ²=3.837, p=0.428). Patients with secondary-level education showed the highest infection rate (28.9%), and those with no formal education had the lowest (9.3%). No significant correlation was found (χ²=7.779, p=0.051). Urban residents exhibited slightly higher prevalence (19.5%) than rural dwellers (12.5%); the difference was not significant (χ²=0.633, p=0.426). Infections between females (18.4%) and males (13.6%) were, however, statistically significant (χ²=5.64, p=0.018). Fever (99%) and headache (90%) were the most common symptoms among positive patients, with strong statistical associations (p<0.001). Seasonal analysis showed higher prevalence during October–November (39.9%) compared to July–September (26.0%), with nearly twice the odds of infection (OR=1.86: 1.15–2.55, p=0.016). The findings highlight demographic and symptomatic influences on malaria prevalence, requiring targeted interventions.

References

Ado, Y., Yandutse, M.M., Chinedu, M., Lawal, U., Jarmai, M.M., Hamza, K.U., … Abdulkarim, B.B., (2021). Comparative performance evaluation of symptomology, point-of-care test and microscopy in the diagnosis of malaria on suspected malaria cases in Katsina, Nigeria. Sokoto Journal of Medical Laboratory Science. 6(3), 37-44. https://doi.org/10.4314/sokjmls.v6i3.6

Ahmed, S. K. (2024). How to Choose a Sampling Technique and Determine Sample Size for Research: A Simplified Guide for Researchers. Oral Oncology Reports. 12,100662. https://doi.org/10.1016/j.oor.2024.100662

Arora, G., Chuang, Y. M., Sinnis, P., Dimopoulos, G., & Fikrig, E. (2023). Malaria: influence of Anopheles mosquito saliva on Plasmodium infection. Trends in immunology, 44(4), 256–265. https://doi.org/10.1016/j.it.2023.02.005

Awosolu, O. B., Yahaya, Z. S., Farah Haziqah, M. T., Simon-Oke, I. A., Olanipekun, I. T., & Oniya, M. O. (2021). Epidemiology of falciparum malaria among residents of some rural and periurban communities in Ekiti State, Southwestern Nigeria. Tropical biomedicine, 38(1), 14–21. https://doi.org/10.47665/tb.38.1.003

Birhanie, M., Tessema, B., Ferede, G., Endris, M., & Enawgaw, B. (2014). Malaria, Typhoid Fever, and Their Coinfection among Febrile Patients at a Rural Health Center in Northwest Ethiopia: A Cross-Sectional Study. Advances in medicine, 2014, 531074. https://doi.org/10.1155/2014/531074

Biteghe-Bi-Essone, J. C., Imboumy-Limoukou, R. K., Ontoua, S. S., Atiga, N., Mbani-Mpega, N., Kouna, L. C., … Oyegue-Liabagui, L. S. (2024). Microscopic Malaria Infection and Its Determinants in Urban and Rural Populations Living in South-East Gabon. Journal of Parasitology Research, 2024, 8263358. https://doi.org/10.1155/japr/8263358

CDC (2020). Malaria Diagnostic Tests. https://www.cdc.gov/malaria/hcp/diagnosis-testing/malaria-diagnostic-tests.html Accessed: 2025-04-28

CDC (2024). Malaria's Impact Worldwide. https://www.cdc.gov/malaria/php/impact/index.html

CDC.(2023). Life cycle of anopheles mosquitoes: https://www.cdc.gov/mosquitoes/about/life-cycles/anopheles.html

Charan, J. and Biswas, T. (2021). How to Calculate Sample Size for Different Study Designs in Medical Research? Indian Journal of Psychological Medicine. 35(2), 121-126. doi:10.4103/0253-7176.116232

Chiziba, C., Mercer, L. D., Diallo, O., Bertozzi-Villa, A., Weiss, D. J., Gerardin, J., & Ozodiegwu, I. D. (2024). Socioeconomic, Demographic, and Environmental Factors May Inform Malaria Intervention Prioritisation in Urban Nigeria. International journal of environmental research and public health, 21(1), 78. https://doi.org/10.3390/ijerph21010078

Declaration of Helsinki (2008). The World Medical Association. https://www.wma.net/what-we-do/medical-ethics/declaration-of-helsinki/doh-oct2008/ Accessed: 2025-04-28

Deressa, W. (2007). Treatment-seeking behaviour for febrile illness in an area of seasonal malaria transmission in rural Ethiopia. Malaria Journal. 6, 49. https://doi.org/10.1186/1475-2875-6-49

Dike, N., Onwujekwe, O., Ojukwu, J., Ikeme, A., Uzochukwu, B., & Shu, E. (2006). Influence of education and knowledge on perceptions and practices to control malaria in Southeast Nigeria. Social science & medicine (1982), 63(1), 103–106. https://doi.org/10.1016/j.socscimed.2005.11.061

Ehidiamhen, F., Ibegbulem, R., Nweke, I., Akujobi, C., Nwandibia, A., Afam, A., … Chukwu, C. (2024) Prevalence of Malaria Parasites among Febrile Patients in a Teaching Hospital in South East Nigeria. Advances in Infectious Diseases, 14, 873-887. doi: 10.4236/aid.2024.144065.

Fatima, S. H., Zaidi, F., Rafiq, J., Bhandari, D., Ali, A., & Bi, P. (2025). Impact of temperatures on malaria incidence in vulnerable regions of Pakistan: empirical evidence and future projections. Epidemiology and infection, 153, e33. https://doi.org/10.1017/S0950268825000111

Fikadu, M., & Ashenafi, E. (2023). Malaria: An Overview. Infection and drug resistance, 16, 3339–3347. https://doi.org/10.2147/IDR.S405668

Fungfuang, W., Udom, C., Tongthainan, D., Kadir, K. A., & Singh, B. (2020). Malaria parasites in macaques in Thailand: stump-tailed macaques (Macaca arctoides) are new natural hosts for Plasmodium knowlesi, Plasmodium inui, Plasmodium coatneyi and Plasmodium fieldi. Malaria journal, 19(1), 350. https://doi.org/10.1186/s12936-020-03424-0

Gozalo, A. S., Robinson, C. K., Holdridge, J., Mahecha, O. F. L., & Elkins, W. R. (2024). Overview of Plasmodium spp. and Animal Models in Malaria Research. Comparative medicine, 74(4), 205–230. https://doi.org/10.30802/AALAS-CM-24-000019

Kolekang, A. S., Afrane, Y., Apanga, S., Zurovac, D., Kwarteng, A., Afari-Asiedu, S., … Danso-Appiah, A. (2022). Challenges with adherence to the 'test, treat, and track' malaria case management guideline among prescribers in Ghana. Malaria journal, 21(1), 332. https://doi.org/10.1186/s12936-022-04365-6

Kozycki, C. T., Umulisa, N., Rulisa, S., Mwikarago, E. I., Musabyimana, J. P., Habimana, J. P., … Krogstad, D. J. (2017). False-negative malaria rapid diagnostic tests in Rwanda: impact of Plasmodium falciparum isolates lacking hrp2 and declining malaria transmission. Malaria journal, 16(1), 123. https://doi.org/10.1186/s12936-017-1768-1

Kripa, P. K.,Thanzeen, P. S., Jaganathasamy, Nagaraj., Ravishankaran, Sangamithra., Anvikar, Anupkumar R.Eapen, Alex .(2024). Impact of climate change on temperature variations and extrinsic incubation period of malaria parasites in Chennai, India: implications for its disease transmission potential. Parasites Vectors. 17, 134 (2024). https://doi.org/10.1186/s13071-024-06165-0

Li, G., Zhang, D., Chen, Z., Feng, D., Cai, X., Chen, X., … Feng, Z. (2022). Risk factors for the accuracy of the initial diagnosis of malaria cases in China: a decision-tree modelling approach. Malaria journal, 21(1), 11. https://doi.org/10.1186/s12936-021-04006-4

Mboera, L.E.G., Kamugisha, M.L. Rumisha, S.F., Msangeni, H.A., Barongo, V., Molteni, F. and Kitua, A.Y.(2006). The relationship between malaria parasitaemia and availability of healthcare facilities in Mpwapwa District, central Tanzania. Tanzania Health Research Bulletin. Vol. 8, No. 1 22

Menkin-Smith, L. and Winders, W.T. (2023). Plasmodium vivax Malaria. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538333/

Nas, F.S., Yahaya, A., and Ali, M. (2017). Prevalence of Malaria with Respect to Age, Gender and Socio-Economic Status of Fever Related Patients in Kano City, Nigeria. Greener Journal of Epidemiology and Public Health, 5(5): 044-049, http://doi.org/10.15580/GJEPH.2017.5.091017126

Njotto, Lembris Laanyuni., Senyoni, Wilfred., Cronie, Ottma., Stensgaard, Anna-Sofie.(2025). Bayesian spatio-temporal modeling and prediction of malaria cases in Tanzania mainland (2016-2023): unveiling associations with climate and intervention factors. International Journal of Health Geographics.24, 20 (2025). https://doi.org/10.1186/s12942-025-00408-8

Noland, G.S., Graves, P.M., Sallau, A., Eigege, A., Emukah, E., Patterson, A.E., … Richards, F.O. (2014). Malaria Prevalence, Anemia and Baseline Intervention Coverage Prior to Mass Net Distributions in Abia & Plateau States, Nigeria. BioMed Central Infectious Diseases, 14, 168. https://doi.org/10.1186/1471-2334-14-168

Okereke, P. U., Ayodeji, B. M., Bolarinwa, R. T., Ayodeji, O. D., Popoola, I. O., Okereke, W. O., … Tola, O. S. (2025). Assessing the influence of rapid diagnostic test (RDT) accuracy on malaria misdiagnosis and antimalarial resistance in Nigeria. Annals of medicine and surgery (2012), 87(2), 658–662. https://doi.org/10.1097/MS9.0000000000002925

Okiring, J., Epstein, A., Namuganga, J.F. Kamya, V,E., Nabende, I., Nassali, M., … Dorsey, G. (2022). Gender difference in the incidence of malaria diagnosed at public health facilities in Uganda. Malaria Journal. 21, 22. https://doi.org/10.1186/s12936-022-04046-4

Olasehinde, G.I., Ojurongbe, D.O., Akinjogunla, O.J., Egwari, L.O. and Adeyeba, A.O. (2015). Prevalence of Malaria and Predisposing Factors to Antimalarial Drug Resistance in Southwestern Nigeria. Research Journal of Parasitology, 10: 92-101. https://scialert.net/abstract/?doi=jp.2015.92.101

Oluwafemi, R. O., Afolabi, O. J., & Oniya, M. O. (2024). Prevalence of Malaria among Under-5 Children in a Secondary Care Level, Ondo State, Nigeria. European Journal of Clinical Medicine, 5(2), 8–13. https://doi.org/10.24018/clinicmed.2024.5.2.328

Onwujekwe, O., Uzochukwu, B., Eze, S., Obikeze, E., Okoli, C., & Ochonma, O. (2008). Improving equity in malaria treatment: relationship of socio-economic status with health seeking as well as with perceptions of ease of using the services of different providers for the treatment of malaria in Nigeria. Malaria journal. 7, 5. https://doi.org/10.1186/1475-2875-7-5

Oyegoke, O. O., Maharaj, L., Akoniyon, O. P., Kwoji, I., Roux, A. T., Adewumi, T. S., Maharaj, R., Oyebola, B. T., Adeleke, M. A., & Okpeku, M. (2022). Malaria diagnostic methods with the elimination goal in view. Parasitology research, 121(7), 1867–1885. https://doi.org/10.1007/s00436-022-07512-9

Oyerogba, O. P., Adedapo, A., Awokson, T., Odukogbe, A. T., & Aderinto, N. (2023). Prevalence of malaria parasitaemia among pregnant women at booking in Nigeria. Health science reports, 6(6), e1337. https://doi.org/10.1002/hsr2.1337

Quaresima, V., Agbenyega, T., Oppong, B., Awunyo, J. A. D. A., Adu Adomah, P., Enty, E., … Castelli, F. (2021). Are Malaria Risk Factors Based on Gender? A Mixed-Methods Survey in an Urban Setting in Ghana. Tropical medicine and infectious disease, 6(3), 161. https://doi.org/10.3390/tropicalmed6030161

Shahbodaghi, S. D., & Rathjen, N. A. (2022). Malaria: Prevention, Diagnosis, and Treatment. American family physician, 106(3), 270–278.

SMO (2024) Malaria in Nigeria: Statistics & Facts. https://www.severemalaria.org/countries/nigeria Accessed: 2025-04-29

Sparkle,T.(2015). Popular Diseases and Sickness In Nigeria ;Causes, Symptoms And Prevention. Retrieved from https://informationparlour.com/article-health-common- diseases-nigeria-causes-symptoms-and-prevention

Stopard, I. J. (2023). The importance of the extrinsic incubation period for malaria transmission, surveillance and control (Doctoral dissertation, Imperial College London).

Tigu Fitsum , Tsegay Gebremaryam, and Asnake Desalegn. (2021). Seasonal Profile and Five-Year Trend Analysis of Malaria Prevalence in Maygaba Health Center, Welkait District, Northwest Ethiopia. Hindawi Journal of Parasitology Research. Volume 2021, Article ID 6727843.https://doi.org/10.1155/2021/6727843

Touré, M., Sanogo, D., Dembele, S., Diawara, S. I., Oppfeldt, K., Schiøler, K. L., Haidara, D. B., Traoré, S. F., Alifrangis, M., Konradsen, F., & Doumbia, S. (2016). Seasonality and shift in age-specific malaria prevalence and incidence in Binko and Carrière villages close to the lake in Selingué, Mali. Malaria journal, 15, 219. https://doi.org/10.1186/s12936-016-1251-4

Traore, O., Ouedraogo, A., Compaore, M., Nikiema, K., Zombre, A., Kiendrebeogo, M., … Duez, P. (2021). Social perceptions of malaria and diagnostic-driven malaria treatment in Burkina Faso. Heliyon, 7(1), e05553. https://doi.org/10.1016/j.heliyon.2020.e05553

WHO (2016). Microscopy examination of thick and thin blood films for identification of malaria parasites. https://www.who.int/publications/i/item/HTM-GMP-MM-SOP-08. Accessed: 2025-04-28

WMA (2024). Declaration of Helsinki (2008). The World Medical Association. https://www.wma.net/what-we-do/medical-ethics/declaration-of-helsinki/doh-oct2008/ Accessed: 2025-04-28

Zhao Xing, Z. X., Chen Fei, C. F., Feng Zi Jian, F. Z., Li Xiao Song, L. X., & Zhou XiaoHua, Z. X. (2014). Characterizing the effect of temperature fluctuation on the incidence of malaria: an epidemiological study in south-west China using the varying coefficient distributed lag non-linear model. Malaria journal, 13(1), 192.

Giemsa-Stained Thick Film, Showing Plasmodium falciparum

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Published

16-07-2026

How to Cite

Ado, Y., Gandu, S., Akeem, I. . O., lawal, U., Inusa Yandutse, M., Mustapha, M. J., Chinedu, M., Hamza Kankia, I., Hamza, K. U., Babalola Balogun, J., Ahmed, A., & Nasir, S. (2026). Prevalence of Plasmodium Parasites Among Clinically Malaria Suspected Febrile Patients in Katsina State. FUDMA JOURNAL OF SCIENCES, 10(11), 242-250. https://doi.org/10.33003/fjs-2026-1011-5425