Re-evaluating the impact of reduced malaria prevalence on birthweight in sub-Saharan Africa: A pair-of-pairs study via two-stage bipartite and non-bipartite matching

TL;DR

This study uses a novel statistical approach to analyze how natural reductions in malaria prevalence in sub-Saharan Africa are associated with increased birthweight, providing evidence that decreasing malaria can improve birth outcomes.

Contribution

It introduces a new pair-of-pairs matching methodology for difference-in-differences analysis with continuous measures, enhancing causal inference in observational studies.

Findings

A 98.9 gram increase in birthweight associated with malaria prevalence reduction

Improved covariate balance and sample size through the novel methodology

Reduced risks of adverse birth outcomes linked to malaria decline

Abstract

According to the WHO, in 2021, about 32% of pregnant women in sub-Saharan Africa were infected with malaria during pregnancy. Malaria infection during pregnancy can cause various adverse birth outcomes such as low birthweight. Over the past two decades, while some sub-Saharan African areas have experienced a large reduction in malaria prevalence due to improved malaria control and treatments, others have observed little change. Individual-level interventional studies have shown that preventing malaria infection during pregnancy can improve birth outcomes such as birthweight; however, it is still unclear whether natural reductions in malaria prevalence may help improve community-level birth outcomes. We conduct an observational study using 203,141 children's records in 18 sub-Saharan African countries from 2000 to 2018. Using heterogeneity of changes in malaria prevalence, we propose and apply a novel pair-of-pairs design via two-stage bipartite and non-bipartite matching to conduct a difference-in-differences study with a continuous measure of malaria prevalence, namely the Plasmodium falciparum parasite rate among children aged 2 to 10 ($\text{PfPR}_{2-10}$). The proposed novel statistical methodology allows us to apply difference-in-differences without dichotomizing $\text{PfPR}_{2-10}$, which can substantially increase the effective sample size, improve covariate balance, and facilitate the dose-response relationship during analysis. Our outcome analysis finds that among the pairs of clusters we study, the largest reduction in $\text{PfPR}_{2-10}$ over early and late years is estimated to increase the average birthweight by 98.899 grams (95% CI: $[39.002, 158.796]$), which is associated with reduced risks of several adverse birth or life-course outcomes. The proposed novel statistical methodology can be replicated in many other disease areas.