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Malaria in the 2010 Tanzania Demographic and Health Survey

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Malaria in the 2010 Tanzania Demographic and Health Survey Malaria in the 2010 Tanzania Demographic and Health Survey (TDHS) The 2010 Tanzania Demographic and Health Survey (TDHS) provides up-to-date information on the population and health situation in Tanzania, including malaria. Over 9,600 households were interviewed and over 6,600 children were tested for anaemia. Trend graphs show changes since the 2004-05 Tanzania Demographic and Health Survey (TDHS) and the 2007-08 Tanzania HIV/AIDS and Malaria Indicator Survey (THMIS). Ownership of At Least One ITN by Region Ownership of More than One ITN by Region National Average: 64% National Average: 37% Kagera Mara Kagera Mara 68% 84% 42% 58% Mwanza Mwanza Arusha Arusha 79% Trends in ITN Ownership 53% 51% Kilimanjaro 23% Kilimanjaro Shinyanga 85% 49% Percent of households that own at least Shinyanga 66% 21% one insecticide-treated net Kigoma Manyara 64 Kigoma Manyara Tabora 73% Pemba N. 88% Tabora 50% Pemba N. 70% 58% Sin- Tanga 34% Sin- Tanga 73% Pemba S. 73% 53% Pemba S. 54% gida 60% 39 gida 31% Dodoma Unguja N. 87% Dodoma Unguja N. 66% 34% 20% 72% Unguja S. 90% 23 36% Unguja S. 71% Rukwa Town West 61% Rukwa Town West 40% Moro- Moro- 67% 40% Iringa goro Pwani Dar es Salaam Iringa goro Pwani Dar es Salaam Mbeya 53% 37% 69% 62% 2004-05 2007-08 2010 Mbeya 26% 18% 40% 26% 58% TDHS THMIS TDHS 33% Lindi Lindi 64% 36% Percent of households with Percent of households with at least one insecticide- Ruvuma more than one insecticide- Ruvuma treated net 70% Mtwara treated net 38% Mtwara 64% 36% Currently 64% of Tanzanian households own at least one insecticide-treated net (ITN). Nine in ten households in Unguja South own at least one ITN, compared to just 34% of households in Singida. Since the 2004-05 TDHS, ownership of at least one ITN has nearly tripled. Mosquito net distribution campaigns are now focused on achieving universal coverage, meaning that every sleeping space has a net. Just 37% of Tanzanian households have more than ITN. Seventy-one percent of households in Unguja South have more than one ITN, compared to just 18% of households in Morogoro. Use of ITNs by Pregnant Women by Zone Children’s Use of ITNs by Region Trends in Use of ITNs National Average: 57% National Average: 64% Percent of children under age five and pregnant Kagera Mara women age 15-49 who slept under an ITN the Lake 65% 79% night before the survey Mwanza 75% Arusha 83% Children under five Pregnant women 44% Kilimanjaro 66% Shinyanga 79% 64 57 Northern Kigoma Manyara Western 51% Tabora 76% Pemba N. 63% 55% 56% Sin- Tanga 59% Pemba S. 54% 27 gida 52% 26 Central Zanzibar Dodoma Unguja N. 55% 28% 16 16 57% 79% Unguja S. 68% 50% Rukwa Town West 46% Moro- Eastern 68% Iringa goro Pwani Dar es Salaam 2004-05 2007-08 2010 Southern 48% 62% Mbeya 54% 28% 75% TDHS THMIS TDHS Highlands 43% Lindi 46% 67% Percent of children under age five Percent of pregnant women Southern Ruvuma who slept under an age 15-49 who slept under 51% insecticide-treated net 75% Mtwara an insectide-treated net the night before the survey 75% the night before the survey 64% of children under age five slept under an ITN the 57% of pregnant women age 15-49 slept under an night before the survey. ITN use by children is highest ITN the night before the survey. Three-quarters of in Mwanza (83%) and lowest in Singida and Moro- pregnant women in Lake Zone slept under an ITN goro, where just 28% of children under age five slept the night before the survey, compared to just 46% under an ITN the night before the survey. Nation- of pregnant women in Southern Highlands. Use of wide, use of mosquito nets by children has increased mosquito nets by pregnant women has more than four-fold since the 2004-05 TDHS. doubled since the 2007-08 THMIS. Five percent of children age 6-59 months have severe Just 26% of pregnant women in Tanzania received anaemia (haemoglobin less than 8.0 g/dl). One in ten the recommended two doses of the antimalarial SP/ children in Arusha are severely anaemic, compared to Fansidar during an antenatal care visit to prevent 1% of children in Iringa and Rukwa. Malaria is one of malaria. Intermittent preventive treatment is highest several possible causes of anaemia, including malnu- in Unguja South (68%) and lowest in Mbeya, where just trition and hookworm infection. Trends in Antimalarial Drug Use 14% of pregnant women received the recommended Among children under age five with fever in the two antimalarial treatment. weeks before the survey, percent who took specific Severe Anaemia in Children by Region antimalarial drugs Intermittent Preventive Treatment of Pregnant Women National Average: 5% 2007-08 THMIS 2010 TDHS National Average: 26% Kagera Mara 37 Kagera Mara 7% 5% 32% 34% Mwanza Mwanza Arusha Arusha 21 21% Kilimanjaro 8% 10% Kilimanjaro 18 31% Shinyanga 6% 4% 12 12 Shinyanga 20% 27% Manyara 7 Manyara Kigoma 5 3 Kigoma Tabora 4% Pemba N. 5% 29% Tabora 25% Tanga Pemba N. 34% 8% Sin- Tanga Sin- 6% Pemba S. 4% 16% 39% Pemba S. 44% gida 4% SP/ Amodiaquine Quinine ACT gida Dodoma Unguja N. 6% Dodoma Unguja N. 61% 2% Fansidar 35% Unguja S. 68% 4% Unguja S. 4% 23% Rukwa Town West 2% Rukwa Town West 44% Moro- Moro- 1% ACT is currently the recommended first-line 21% Pwani Dar es Salaam Iringa goro Pwani Dar es Salaam Iringa goro 32% 24% Mbeya 1% 7% 6% 4% antimalarial in Mainland Tanzania, while use of Mbeya 24% 31% 4% monotherapies such as Amodiaquine and SP/ 14% Lindi Lindi 6% Fansidar are no longer recommended. Accordingly, 39% Percent of children age 6-59 months use of ACT to treat fever in children has increased Percent of women who Ruvuma with severe anaemia Ruvuma received 2+ doses of SP/Fansidar, 24% (haemoglobin <8.0g/dl) 3% Mtwara since the 2007-08 THMIS, while use of monotherapies at least one during an ANC visit Mtwara 5% has decreased. 41%.
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