{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T04:07:39Z","timestamp":1765512459460,"version":"3.48.0"},"reference-count":57,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Malaria in pregnancy remains a major public health concern in Ethiopia, particularly in high\u2010endemic regions like Gambella. Despite the high burden, no peer\u2010reviewed published study exists on its prevalence and associated risk factors among pregnant women in Jor District, Gambella region. This study aimed to determine the prevalence of malaria in pregnancy and its associated factors in Jor District, Gambella, Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A facility\u2010based cross\u2010sectional study was conducted from February 29 to April 10, 2024, among 446 pregnant women selected using systematic random sampling. Data were gathered through microscopy\u2010based blood film examination and face\u2010to\u2010face interviews using a structured questionnaire. Descriptive statistics were performed to obtain frequencies and percentages, whereas logistic regression analyses were performed to identify independent risk factors for malaria, with statistical significance set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05. All analyses were performed with SPSS version 24 (IBM, USA).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The prevalence of malaria was found to be 15.2% (95% CI: 11.4, 17.5).\n                      <jats:italic>Plasmodium falciparum<\/jats:italic>\n                      8.96% (40\/446) and\n                      <jats:italic>Plasmodium vivax<\/jats:italic>\n                      2.7% (12\/446) and 3.6% (16\/446) for comorbidity (\n                      <jats:italic>P. falciparum<\/jats:italic>\n                      and\n                      <jats:italic>P. vivax<\/jats:italic>\n                      ) are the two species identified in this study. The factors associated with malaria were no formal education (AOR\u2009=\u20091.32), lack of knowledge about malaria transmission (AOR\u2009=\u20092.7), presence of stagnant water near residence area (AOR\u2009=\u20093.61), non\u2010ownership of ITN (AOR\u2009=\u20095.74), and low altitude (AOR\u2009=\u20095.26). Due to smaller sample size in some of the categories of the independent variables such as non\u2010ownership of ITN and altitude the confidence intervals are wider.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The prevalence of malaria was high in the study area. Non\u2010ownership of ITNs, lack of formal education, lack of knowledge about malaria transmission, and residing at lower altitudes and presence of stagnant water near residence of pregnant women were significantly associated with malaria among pregnant women. Public health actions such as improving access of pregnant women's to formal education over the long term, increasing pregnant women' access to ITN along with health education on proper utilization of ITN, health information dissemination about transmission of malaria and environmental modification such as removal of stagnated water for the control of mosquito vectors were recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.71310","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T08:08:47Z","timestamp":1759478927000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Malaria in Pregnancy and Predisposing Factors in Jor District of Gambella Region, Southwest Ethiopia: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"8","author":[{"given":"Okwom","family":"Oguta","sequence":"first","affiliation":[{"name":"College of Health and Medical Sciences, School of Medical Laboratory Sciences Haramaya University Harar Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jemal","family":"Mohammed","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences, School of Medical Laboratory Sciences Haramaya University Harar Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ukash","family":"Umer","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences, School of Medical Laboratory Sciences Haramaya University Harar Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2035-436X","authenticated-orcid":false,"given":"Ephrem Tefera","family":"Solomon","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences, School of Medical Laboratory Sciences Haramaya University Harar Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"World Health Organization \u201cWorld Malaria Report [Online] \u201d accessed December 17 2024 https:\/\/www.who.int\/teams\/global-malaria-programme\/reports\/world-malaria-report-2024."},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(22)00431-4"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/8396091"},{"key":"e_1_2_12_5_1","unstructured":"\u201cEthiopian National Malaria Indicator Survey 2015 \u201d Federal Ministry of Health Ethiopian Public Health Institute Addis Ababa published 2016 https:\/\/www.malariasurveys.org\/documents\/Ethiopia_MIS_2015.pdf."},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12936-024-05041-7"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12936-024-05201-9"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2012.12.014"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30565-5"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12936-023-04460-2"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-020-05289-9"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/3925094"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/2049-9957-2-19"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0266477"},{"key":"e_1_2_12_15_1","unstructured":"\u201cDisease Outbreak News: Malaria\u2010Ethiopia \u201d WHO accessed March 15 2025 https:\/\/www.who.int\/emergencies\/disease-outbreak-news\/item\/2024-DON542."},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v2i0.2019"},{"key":"e_1_2_12_17_1","unstructured":"M.Tadesse B.Alemu G.Bekele T.Tebikew J.Chamberlin andT.benson \u201cAtlas of the Ethiopian Rural Economy \u201d International Food Policy Research Institute 2006."},{"key":"e_1_2_12_18_1","unstructured":"H.Adam \u201cSystematic Sampling: What Is It and How Is It Used in Research? 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