Conference Abstract | Volume 9 (ConfPro8): Abstract 33 | Published: 06 Oct 2026
Lavish Emmanuel Aformaleh1,2,&, Hansen Benjamin Tetteh1, Iddrisu Saliu1, Desmond Tsekpo1, Cecilia Esenam Akli1, Gideon Kye-Duodu1, Anthony Zunuo Dongdem1
1Department of Epidemiology and Biostatistics, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Ho, Ghana; 2Metropolitan Health Directorate, Ghana Health Service, Cape Coast, Ghana
&Corresponding author: Lavish Emmanuel Aformaleh, Department of Epidemiology and Biostatistics, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Ho, Ghana, Email: formalav@gmail.com ORCID: https://orcid.org/0009-0000-9420-6883
Received: 11 Mar 2026, Accepted: 30 Aug 2026, Published: 06 Oct 2026
Domain: Infectious Disease Epidemiology
Keywords: Malaria, routine surveillance, DHIMS II, seasonality, Ghana
©Lavish Emmanuel Aformaleh et al. Journal of Interventional Epidemiology and Public Health (ISSN: 2664-2824). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Lavish Emmanuel Aformaleh et al., Epidemiology of malaria cases in the Hohoe Municipality, Ghana: A surveillance-based secondary data analysis. Journal of Interventional Epidemiology and Public Health. 2026;9(ConfPro8):33. https://doi.org/10.37432/JIEPH-CONFPRO8-0033
We conducted a retrospective descriptive analysis of aggregated malaria data reported through the District Health Information Management System II. Annual and monthly indicators for suspected, tested and confirmed cases, test positivity, inpatient admissions, deaths, age, sex, pregnancy, antenatal care, IPTp3+ coverage and sub-municipality were summarized using frequencies, proportions, percentage changes and population-based rates where denominators were available.
Suspected cases declined from 43,428 in 2019 to 29,026 in 2023, tested cases from 41,132 to 28,368, and confirmed cases from 14,520 to 9,358. Test positivity ranged from 31.3% to 40.3%. Inpatient admissions declined from 1,413 to 899, including admissions among children aged <5 years from 410 to 181. Reported cases generally peaked between July and September, with higher counts in Hohoe-Sub-Municipal and Agumatsa. Testing among pregnant women with suspected malaria was 99.0-100.0%, while IPTp3+ coverage increased from 55.7% to 76.9%.
Reported malaria morbidity and inpatient admissions declined, but test positivity remained above 30%, seasonal peaks recurred, under-five deaths occurred in some years, and geographic variation persisted. Municipal planning should strengthen preparedness before seasonal peaks, sustain malaria prevention in pregnancy and investigate areas with persistently high reported case counts.
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