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medRxiv PreprintsInternational10 November 2026

Wealth inequalities malaria parasitaemia and child anaemia in Nigeria

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Anaemia and malaria remain concentrated among children living in poorer households in Nigeria, but the extent to which the wealth gradient in anaemia operates through current malaria parasitaemia is uncertain. We used three nationally representative surveys to estimate a clearly defined parasitaemia-mediated component of the association, while recognising that anaemia has multiple infectious, nutritional, genetic, and social causes. We analysed de facto children aged 6-59 months in the 2010, 2015, and 2021 Nigeria Malaria Indicator Surveys. Within each survey, we contrasted children in the poo
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