Research Article
Analysis of Haematological Parameters as Predictors of
Malaria Infection Using a Logistic Regression Model: A Case
Study of a Hospital in the Ashanti Region of Ghana
Ellis Kobina Paintsil ,
1
Akoto Yaw Omari-Sasu ,
2
Matthew Glover Addo,
3
and Maxwell Akwasi Boateng
4
1
Kumasi Centre for Collaborative Research in Tropical Medicine, KNUST, Kumasi, Ghana
2
Department of Mathematics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
3
Department of Teoretical and Applied Biology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
4
Faculty of Engineering, Ghana Technology University College, Ghana
Correspondence should be addressed to Akoto Yaw Omari-Sasu; ayomari-sasu@knust.edu.gh
Received 18 January 2019; Revised 16 April 2019; Accepted 22 April 2019; Published 21 May 2019
Academic Editor: Sasithon Pukrittayakamee
Copyright © 2019 Ellis Kobina Paintsil et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Malaria is the leading cause of morbidity in Ghana representing 40-60% of outpatient hospital attendance with about 10% ending
up on admission. Microscopic examination of peripheral blood flm remains the most preferred and reliable method for malaria
diagnosis worldwide. But the level of skills required for microscopic examination of peripheral blood flm is ofen lacking in Ghana.
Tis study looked at determining the extent to which haematological parameters and demographic characteristics of patients could
be used to predict malaria infection using logistic regression. Te overall prevalence of malaria in the study area was determined
to be 25.96%; nonetheless, 45.30% of children between the ages of 5 and 14 tested positive. Te binary logistic model developed for
this study identifed age, haemoglobin, platelet, and lymphocyte as the most signifcant predictors. Te sensitivity and specifcity of
the model were 77.4% and 75.7%, respectively, with a PPV and NPV of 52.72% and 90.51%, respectively. Similar to RDT this logistic
model when used will reduce the waiting time and improve the diagnosis of malaria.
1. Introduction
Apart from loss of valuable life, malaria is the leading cause
of morbidity in Ghana representing 40-60% of outpatient
hospital attendance with about 10% ending up on admission
[1]. In the year 2002, it cost the government of Ghana
US$ 50.05 million to control malaria; private businesses in
Ghana also lost US$ 6.58 million in 2014 alone as a result of
malaria [1, 2]. Te burden of malarial infections cannot be
underestimated; it is widely agreed that malaria is a disease
of the poor [3]. Terefore, it is not surprising that malaria is
endemic in Africa where poverty is rampant [3].
Some clinicians think missing a case of malaria is a bigger
problem than it is in reality and therefore treat most people
with fever for malaria [4]. Overdiagnosis of malaria leads to
wastage in the healthcare system; individual may have to pay
more, spend more days at the hospital, and also miss work
[5]. Due to the socioeconomic implications of misdiagnosis
of malaria, it is imperative that investment is made in
the accurate diagnosis and management of this disease to
improve healthcare outcomes and reduce poverty [5].
In malaria diagnosis, RDTs are relatively simple and quick
way of detecting the presence of the parasites in human blood.
However, RDTs are expensive to use compared to malaria
microscopy and may not be able to detect some infections
with low parasitaemia [6]. Another weakness of RDT in the
diagnosis of malaria is that it remains positive for about 15
days afer successful treatment of the disease [7]. Microscopic
examination of peripheral blood flm remains the most pre-
ferred and the gold standard for malaria diagnosis worldwide
[8]. Nonetheless, the specifcity, sensitivity, and reliability of
this method depend on the procedure for blood collection,
Hindawi
Malaria Research and Treatment
Volume 2019, Article ID 1486370, 7 pages
https://doi.org/10.1155/2019/1486370