Malaria incidence and prevalence: An ecological analysis through Six Sigma approach

Md. Al-Amin, Kesava Chandran Vijaya Bhaskar, Walaa Enab, Reza Kamali Miab, Jennifer Slavin, Nigar Sultana
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Abstract

Malaria is the leading cause of death globally, especially in sub-Saharan African countries claiming over 400,000 deaths globally each year, underscoring the critical need for continued efforts to combat this preventable and treatable disease. The objective of this study is to provide statistical guidance on the optimal preventive and control measures against malaria. Data have been collected from reliable sources, such as World Health Organization, UNICEF, Our World in Data, and STATcompiler. Data were categorized according to the factors and sub-factors related to deaths caused by malaria. These factors and sub-factors were determined based on root cause analysis and data sources. Using JMP 16 Pro software, both linear and multiple linear regression were conducted to analyze the data. The analyses aimed to establish a linear relationship between the dependent variable (malaria deaths in the overall population) and independent variables, such as life expectancy, malaria prevalence in children, net usage, indoor residual spraying usage, literate population, and population with inadequate sanitation in each selected sample country. The statistical analysis revealed that using insecticide treated nets (ITNs) by children and individuals significantly decreased the death count, as 1,000 individuals sleeping under ITNs could reduce the death count by eight. Based on the statistical analysis, this study suggests more rigorous research on the usage of ITNs.
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疟疾发病率和流行率:通过六西格玛方法进行生态分析
疟疾是导致全球死亡的主要原因,尤其是在撒哈拉以南非洲国家,每年全球有 40 多万人死于疟疾,这凸显了继续努力防治这种可预防、可治疗疾病的迫切需要。本研究的目的是为疟疾的最佳预防和控制措施提供统计指导。数据收集自可靠来源,如世界卫生组织、联合国儿童基金会、数据中的我们的世界和 STATcompiler。数据按照与疟疾导致的死亡有关的因素和子因素进行了分类。使用 JMP 16 Pro 软件对数据进行了线性回归和多元线性回归分析。这些分析旨在建立因变量(总人口中的疟疾死亡人数)与自变量之间的线性关系,自变量包括每个选定样本国家的预期寿命、儿童疟疾发病率、蚊帐使用率、室内滞留喷洒使用率、识字人口和卫生条件不足的人口。统计分析显示,儿童和个人使用驱虫蚊帐可显著减少死亡人数,因为 1,000 人睡在驱虫蚊帐内可减少 8 人死亡。
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