{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:41:10Z","timestamp":1785422470815,"version":"3.56.0"},"reference-count":40,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T00:00:00Z","timestamp":1759708800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0In Western Africa, the causal relationship between hydropower project implementation and malaria transmission, remains understudied.\nAim:\u00a0This study assesses whether a causal correlation exists between hydropower development and malaria transmission outcomes across locally affected communities, using malaria incidence and prevalence as key indicators. Malaria incidence is measured as the number of clinical\u00a0Plasmodium falciparum\u00a0cases per person, while prevalence is the parasite rate of\u00a0P. falciparum\u00a0in children aged 2\u201310 years. The analysis focuses on\u00a0P. falciparum\u00a0given its severity across West Africa, along with the availability of consistent geospatial data.\nSetting:\u00a0The study was conducted in Ghana, C\u00f4te d\u2019Ivoire, and Gabon.\nMethods:\u00a0Utilising multivariate Difference-in-Differences (DiD) regression models and geospatial analysis across pre- and post-dam periods, this study evaluates malaria outcomes within 15 km of hydropower sites.\nResults:\u00a0The DiD estimator (Treatment_Post variable) suggests<\/jats:p>","DOI":"10.4102\/jphia.v16i1.1397","type":"journal-article","created":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T14:00:33Z","timestamp":1759413633000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Hydropower development and malaria transmission: A geospatial econometric study"],"prefix":"10.4102","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5857-2415","authenticated-orcid":false,"given":"Callum J.","family":"Thomas","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02v51f717","id-type":"ROR","asserted-by":"publisher"}],"name":"Peking University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,10,6]]},"reference":[{"key":"ref0","unstructured":"International Energy Agency (IEA). World energy outlook 2022 [homepage on the Internet]. Paris: IEA; 2022 [cited 2023 Jul 01]. Available from: https:\/\/www.iea.org\/reports\/world-energy-outlook2022."},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Han X, Webber W. From Chinese dam building in Africa to the belt and road initiative: Assembling infrastructure projects and their linkages. Polit Geogr. 2020;77:102102. https:\/\/doi.org\/10.1016\/j.polgeo.2019.102102","DOI":"10.1016\/j.polgeo.2019.102102"},{"key":"ref2","unstructured":"Hook L. Sinohydro becomes face of China expansion [homepage on the Internet]. Financial Times. 2012 [cited 2023 Jul 05]. Available from: https:\/\/www.ft.com\/content\/5cc5f18a-0916-11e1-8e86-00144feabdc0."},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Cantonati M, Poikane S, Pringle CM, et al. Characteristics, main impacts, and stewardship of natural and artificial freshwater environments: Consequences for biodiversity conservation. Water. 2020;12(1):260. https:\/\/doi.org\/10.3390\/w12010260","DOI":"10.3390\/w12010260"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Lerer LB, Scudder T. Health impacts of large dams. Environ Impact Assess Rev. 1999;19(2):113\u2013123. https:\/\/doi.org\/10.1016\/S0195-9255(98)00041-9","DOI":"10.1016\/S0195-9255(98)00041-9"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"South J, Brown L, Maavara T. The surge in hydroelectric dams is driving massive biodiversity loss [homepage on the Internet]. The Conversation. 2024 [cited 2025 Feb 20]. Available from: https:\/\/theconversation.com\/the-surge-in-hydroelectric-dams-is-driving-massive-biodiversity-loss-230895.","DOI":"10.64628\/AB.kpkdan3uu"},{"key":"ref6","unstructured":"Internal Displacement Monitoring Centre. Case study series: Dam displacement [homepage on the Internet]. IDMC; n.d. [cited 2024 Jul 15]. Available from: https:\/\/www.internal-displacement.org\/publications\/case-study-series-dam-displacement."},{"key":"ref7","unstructured":"Earth Journalism. Chinese silk road project suspended over threats to Lake Baikal [homepage on the Internet]. Earth Journalism; 2016 [cited 2023 Jul 20]. Available from: https:\/\/earthjournalism.net\/stories\/chinese-silk-road-project-suspended-over-threats-to-lake-baikal."},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Keiser J, Castro MC, Maltese MF, et al. Effect of irrigation and large dams on the burden of malaria on a global and regional scale. Am J Trop Med Hyg. 2005;72:392\u2013406. https:\/\/doi.org\/10.4269\/ajtmh.2005.72.392","DOI":"10.4269\/ajtmh.2005.72.392"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Kibret S, Wilson G, Ryder D, et al. Environmental and meteorological factors linked to malaria transmission around large dams at three ecological settings in Ethiopia. Malar J. 2019;18:54. https:\/\/doi.org\/10.1186\/s12936-019-2689-y","DOI":"10.1186\/s12936-019-2689-y"},{"key":"ref10","unstructured":"Sadoff C. Dams are a breeding ground for mosquitoes \u2013 To eradicate malaria, we must rethink their design [homepage on the Internet]. The Telegraph; 2018 [cited 2023 Aug 01]. Available from: https:\/\/www.telegraph.co.uk\/global-health\/science-and-disease\/dams-perfect-breeding-ground-mosquitoes-eradicate-malaria\/."},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Steinmann P, Keiser J, Bos R, Tanner M, Utzinger J. Schistosomiasis and water resources development: Systematic review, meta-analysis, and estimates of people at risk. Lancet Infect Dis. 2006;6(7):411\u2013425. https:\/\/doi.org\/10.1186\/s12879-018-3647-y","DOI":"10.1016\/S1473-3099(06)70521-7"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Kibret S, Lautze J, Boelee E, McCartney M. How does an Ethiopian dam increase malaria? Entomological determinants around the Koka reservoir. Trop Med Int Health. 2012;17(11):1320\u20131328. https:\/\/doi.org\/10.1111\/j.1365-3156.2012.03077.x","DOI":"10.1111\/j.1365-3156.2012.03077.x"},{"key":"ref13","unstructured":"Atangana S, Foumbi J, Charlois M, Ambroise-Thomas P, Ripert C. Etude \u00e9pid\u00e9miologique de l\u2019onchocercose et du paludisme dans la r\u00e9gion du lac de retenue de Bamendjin \u2013 Cameroun. Med Trop (Mars) [serial online]. 1979 [cited 2023 Aug 02];39(5):537\u2013543. Available from: https:\/\/pubmed.ncbi.nlm.nih.gov\/393936\/."},{"key":"ref14","unstructured":"Oomen J. Monitoring health in African dams: The Kamburu dam as a test case [homepage on the Internet]. PhD thesis. Rotterdam: Erasmus University; 1981 [cited 2023 Aug 05]. Available from: https:\/\/repub.eur.nl\/pub\/31603\/810916_Oomen,%20Johannes%20Maria%20Vianney.pdf."},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Yewhalaw D, Legesse W, Van Bortel W, et al. Malaria and water resource development: The case of Gilgel-Gibe hydroelectric dam in Ethiopia. Malar J. 2009;8:21. https:\/\/doi.org\/10.1186\/1475-2875-8-21","DOI":"10.1186\/1475-2875-8-21"},{"key":"ref16","unstructured":"Mba CJ, Aboh IK. Prevalence and management of malaria in Ghana: A case study of Volta region. Afr Popul Stud [serial online]. 2007 [cited 2023 Aug 10];22:137\u2013171. Available from: https:\/\/www.bioline.org.br\/pdf?ep07007."},{"key":"ref17","unstructured":"World Health Organization (WHO). Malaria factsheet [homepage on the Internet]. Geneva: WHO; 2023 [cited 2023 Aug 15]. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/malaria."},{"key":"ref18","unstructured":"Institut Pasteur. Malaria: Treatment of plasmodium falciparum malaria patients under threat in the Horn of Africa [homepage on the Internet]. Institut Pasteur; 2023 [cited 2024 Aug 16]. Available from: https:\/\/www.pasteur.fr\/en\/home\/press-area\/press-documents\/malaria-treatment-plasmodium-falciparum-malaria-patients-under-threat-horn-africa."},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Kibret S, Lautze J, McCartney M, et al. Malaria around large dams in Africa: Effect of environmental and transmission endemicity factors. Malar J. 2019;18:303. https:\/\/doi.org\/10.1186\/s12936-019-2933-5","DOI":"10.1186\/s12936-019-2933-5"},{"key":"ref20","unstructured":"Severe Malaria Observatory (SMO). C\u00f4te d\u2019Ivoire Malaria Facts [homepage on the Internet]. 2024 [cited 2024 Dec 10]. Available from: https:\/\/www.severemalaria.org\/pays\/la-cote-divoire."},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Biteghe-Bi-Essone JC, Imboumy-Limoukou RK, et al. Intermittent preventive treatment and malaria amongst pregnant women who give birth at the Centre Hospitalier R\u00e9gional Paul Moukambi De Koula-Moutou in southeastern Gabon. Malar J. 2022;21:315. https:\/\/doi.org\/10.1186\/s12936-022-04305-4","DOI":"10.1186\/s12936-022-04305-4"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"Bouyou-Akotet MK, Mawili-Mboumba DP, Kendjo E, et al. Evidence of decline of malaria in the general hospital of Libreville, Gabon from 2000 to 2008. Malar J. 2009;8:300. https:\/\/doi.org\/10.1186\/1475-2875-8-300","DOI":"10.1186\/1475-2875-8-300"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Maghendji-Nzondo S, Nzoughe H, Lemamy GJ, et al. Prevalence of malaria, prevention measures, and main clinical features in febrile children admitted to the Franceville Regional Hospital, Gabon. Parasite. 2016;23:32. https:\/\/doi.org\/10.1051\/parasite\/2016032","DOI":"10.1051\/parasite\/2016032"},{"key":"ref24","unstructured":"Severe Malaria Observatory (SMO). Ghana Malaria Facts [homepage on the Internet]. SMO; 2024 [cited 2024 Dec 12]. Available from: https:\/\/www.severemalaria.org\/pays\/ghana."},{"key":"ref25","unstructured":"Presidents Malaria Initiative (PMI). Ghana [homepage on the Internet]. PMI; 2022 [cited 2024 Dec 15]. Available from: https:\/\/reliefweb.int\/report\/ghana\/presidents-malaria-initiative-ghana-country-profile-last-updated-05032023."},{"key":"ref26","unstructured":"USAID. Demographic and Health Survey [homepage on the Internet]. USAID; n.d. [cited 2024 Dec 20]. Available from: https:\/\/dhsprogram.com\/."},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"Wilson ML, Krogstad DJ, Arinaitwe E, et al. Urban malaria: Understanding its epidemiology, ecology, and transmission across seven diverse ICEMR network sites. Am J Trop Med Hyg. 2015;93(3 Suppl):110\u2013123. https:\/\/doi.org\/10.4269\/ajtmh.14-0834","DOI":"10.4269\/ajtmh.14-0834"},{"key":"ref28","unstructured":"The Alliance for Malaria Prevention. Operational guidance for insecticide-treated net (ITN) distribution in complex operating environments (COE) [homepage on the Internet]. AMP; 2018 [cited 2024 Feb 01]. Available from: https:\/\/allianceformalariaprevention.com\/wp-content\/uploads\/2023\/01\/Challenging_Operating_Environments_ITN_EN_20190107.pdf."},{"key":"ref29","unstructured":"Ghai R. Climate change aided malaria expansion into highland east Africa and towards the Cape in 100 years: Study [homepage on the Internet]. UNDRR; 2023 [cited 2024 Feb 05]. Available from: https:\/\/www.preventionweb.net\/news\/climate-change-aided-malaria-expansion-highland-east-africa-and-towards-cape-100-years-study."},{"key":"ref30","doi-asserted-by":"crossref","unstructured":"Ernst KC, Adoka SO, Kowuor DO, et al. Malaria hotspot areas in a highland Kenya site are consistent in epidemic and non-epidemic years and are associated with ecological factors. Malar J. 2006;5:78. https:\/\/doi.org\/10.1186\/1475-2875-5-78","DOI":"10.1186\/1475-2875-5-78"},{"key":"ref31","doi-asserted-by":"crossref","unstructured":"Himeidan YE, Kweka EJ. Malaria in East African highlands during the past 30 years: Impact of environmental changes. Front Physiol. 2012;3:315. https:\/\/doi.org\/10.3389\/fphys.2012.00315","DOI":"10.3389\/fphys.2012.00315"},{"key":"ref32","unstructured":"Scott M. Malaria risk zones expand to higher elevations in Ethiopian highlands [homepage on the Internet]. Climate.gov; 2017 [cited 2024 Feb 11]. Available from: https:\/\/www.climate.gov\/malaria_ethiopia."},{"key":"ref33","doi-asserted-by":"crossref","unstructured":"Abiodun GJ, Maharaj R, Witbooi P, et al. Modelling the influence of temperature and rainfall on the population dynamics of Anopheles arabiensis. Malar J. 2016;15:364. https:\/\/doi.org\/10.1186\/s12936-016-1411-6","DOI":"10.1186\/s12936-016-1411-6"},{"key":"ref34","unstructured":"Michigan State University. Malaria transmission peaks at much cooler temperatures than previously predicted. MSU CHANS-Net: The International Network of Research on Coupled Human and Natural Systems [homepage on the Internet]. 2012 [cited 2024 Feb 06]. Available from: https:\/\/www.canr.msu.edu\/news\/malaria_nov2012."},{"key":"ref35","unstructured":"Keiser J, De Castro MC, Maltese MF, et al. Effect of irrigation and large dams on the burden of malaria on a global and regional scale. Am J Trop Med Hyg [serial online]. 2005;72(4):392\u2013406 [cited 2024 Feb 11]. Available from: https:\/\/citeseerx.ist.psu.edu\/document?repid=rep1&type=pdf&doi=8096497dc3795120ae7e72d99966767da71242bb#:~:text=Ethiopia%20at%20altitudes%20above%201%2C800,25."},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"Onasis A, Rahmah J, Hidayanti R, et al. Development of engineered water reservoirs for Aedes Mosquito Breeding Control. Miracle Get J. 2025;2:10\u201327. https:\/\/doi.org\/10.69855\/mgj.v2i2.121","DOI":"10.69855\/mgj.v2i2.121"},{"key":"ref37","doi-asserted-by":"crossref","unstructured":"Tusting LS, Ippolito MM, Willey BA, et al. The evidence for improving housing to reduce malaria: A systematic review and meta-analysis. Malar J. 2015;14:209. https:\/\/doi.org\/10.1186\/s12936-015-0724-1","DOI":"10.1186\/s12936-015-0724-1"},{"key":"ref38","doi-asserted-by":"crossref","unstructured":"Tusting LS, Willey B, Lucas H, et al. Socioeconomic development as an intervention against malaria: A systematic review and meta-analysis. Lancet. 2013;382:963\u2013972. https:\/\/doi.org\/10.1016\/S0140-6736(13)60851-X","DOI":"10.1016\/S0140-6736(13)60851-X"},{"key":"ref39","doi-asserted-by":"crossref","unstructured":"Beier JC, Keating J, Githure JI, et al. Integrated vector management for malaria control. 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