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Title: Environmental Determinants of Malaria Prevalence and the Adaptation Strategies in Western Nepal
Authors: Paudel, Uttam
Pant, Krishna Prasad
Adhikari, Shiva Raj
Silwal, Sashi
Baral, Bimala
Ghimire, Ghimire
Adhikari, Sabitri Devi
Paudel, Sudip
Poudyal, Anil
Dhimal, Meghnath
Citation: PaudelU., Prasad PantK., Raj AdhikariS., SilwalS., BaralB., GhimireL., Devi AdhikariS., PaudelS., PoudyalA., & DhimalM. (2022). Environmental Determinants of Malaria Prevalence and the Adaptation Strategies in Western Nepal. Journal of Nepal Health Research Council, 19(04), 754-761.
Issue Date: 2021
Publisher: Nepal Health Research Council
Keywords: Adaptation strategy
environmental changes
probit/logistic model
Series/Report no.: Oct-Dec, 2021;2967
Abstract: Abstract Background: Current literatures seem devoted only on relating climate change with malaria. Overarching all possible environmental determinants of malaria prevalence addressed by scanty literature in Nepal is found apposite research at this moment. This study aims to explore the environmental determinants of malaria prevalence in western Nepal. Methods: Cross-sectional data collected from community people were used to identify the environmental determinants of malaria prevalence in western Nepal. Probit and logistic regressions are used for identifying determinants. Results: The results reveal that environmental variables: winter temperature (aOR: 2.14 [95% CI: 1.00-4.56]), flooding (aOR: 2.45 [CI: 1.28-4.69]), heat waves (aOR: 3.14 [CI: 1.16-8.46]) and decreasing river water level (aOR: 0.25 [CI: 0.13-0.47]) are found major factors to influence malaria prevalence in western Nepal. Besides, pipeline drinking water (aOR: 0.37 [0.17-0.81]), transportation facility (aOR: 1.18 [1.07-1.32]) and awareness programs (aOR: 2.62 [0.03-6.65]) are exigent social issues to influence malaria prevalence in Nepal. To be protected from disease induced by environmental problems, households have used extra season specific clothes, iron nets and mosquito nets, use of insecticide in cleaning toilet and so on. Conclusions: Adaptation mechanism against these environmental issues together with promoting pipeline drinking water, transportation facility and awareness programs are the important in malaria control in Nepal. Government initiation with incentivized adaptation mechanism for the protection of environment with caring household attributes possibly help control malaria in western Nepal. Keywords: Adaptation strategy; environmental changes; malaria; probit/logistic model; Nepal.
Description: Original Article
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol. 19 No. 04 (2021): Vol 19 No 4 Issue 53 Oct-Dec 2021

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