Socioeconomic development as an intervention against malaria: a systematic review and meta-analysis
Future Health Systems
The aim of this systematic review was to assess whether socioeconomic development can contribute to malaria control. Of 4696 studies reviewed, 20 met the criteria for inclusion in the qualitative analysis, and 15 of these reported the necessary data for inclusion in the meta-analysis. The odds of malaria infection were higher in the poorest children than in the least poor children (unadjusted odds ratio [OR] 1·66, 95% CI 1·35–2·05, p<0·001,I2=68%; adjusted OR 2·06, 1·42–2·97, p<0·001, I2=63%), an effect that was consistent across subgroups. Although we would not recommend discontinuation of existing malaria control efforts, we believe that increased investment in interventions to support socioeconomic development is warranted, since such interventions could prove highly effective and sustainable against malaria in the long term.
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