Abstract

Malaria remains a significant global public health concern, particularly among children
under the age of five, with a high prevalence in sub-Saharan Africa. This study was
conducted at Fort Portal Regional Referral Hospital, Western Uganda, to assess the
prevalence and factors associated with severe malaria in under five children. The research
included socio-demographic, household, and health facility factors. The study found a
prevalence of 65.3% for severe malaria in the pediatric ward. Notably, a child's age,
distance from home to the health facility, and waiting time before seeking medical care
were significantly associated with severe malaria. The odds of severe malaria were higher
among older children, those living farther from the hospital, and those with longer waiting
times for medical care. These findings underscore the importance of timely access to
healthcare services and targeted interventions to reduce severe malaria among children in
the region.