Epidemiology, Surveillance, and Control of Malaria Among Under-Five School Children in Jere Local Government, Borno State, Nigeria

Download Article

DOI: 10.21522/TIJPH.2013.14.01.Art013

Authors : Mohammed Bala Aminu

Abstract:

In Nigeria, malaria is a major source of illness and mortality, disproportionately affecting children under five. This study examines the prevalence, monitoring, and management of malaria among school-age children under five in Borno State, Nigeria's Jere Local Government Area, from 2012 to 2019. Structured questionnaires, key informant interviews, and medical facility records were used to gather data for this descriptive cross-sectional study. The results showed a consistently high prevalence of malaria in children under five, which was exacerbated by environmental risk factors, insufficient access to healthcare, and displacement. Low coverage, insecurity, and poor compliance hampered the use of malaria control measures, including indoor residual spraying (IRS), seasonal malaria chemoprevention (SMC), and long-lasting insecticidal nets (LLINs). Due to rising treatment expenses, decreased production, and poorer educational outcomes for afflicted children, the condition had a substantial negative influence on households' socioeconomic well-being. To reduce the disease burden among susceptible groups in conflict-affected areas, it is advised to integrate community-based awareness initiatives, enhance intervention coverage, and fortify malaria surveillance systems.

References:

[1].   World Health Organization, 2023, World Malaria Report 2023, Geneva: WHO.

[2].   Lalloo, D. G., Olukoya, P., & Olliaro, P., 2006, Malaria in adolescence: Burden and prospects for control, The Lancet Infectious Diseases, 6(12), 780–793.

[3].   Snow, R. W., Sartorius, B., Kyalo, D., Maina, J., Amratia, P., Mundia, C. W., & Noor, A. M., 2017, The prevalence of Plasmodium falciparum in sub-Saharan Africa since 1900, Nature, 550(7677), 515–518.

[4].   Bundy, D. A. P., Shaeffer, S., Jukes, M., Beegle, K., Gillespie, A., Drake, L., & Savioli, L., 2000, School health and nutrition programs, World Bank Human Development Network.

[5].   Federal Ministry of Health (FMOH), 2015, National Malaria Strategic Plan 2014–2020, Abuja: Federal Ministry of Health.

[6].   World Health Organization, 2022, World Malaria Report 2022, Geneva: WHO.

[7].   Okiro, E. A., Hay, S. I., Gikandi, P. W., Sharif, S. K., Noor, A. M., Peshu, N., & Snow, R. W., 2009, The decline in paediatric malaria admissions on the coast of Kenya, Malaria Journal, 8(1), 176.

[8].   Okorie, P. N., Ademowo, O. G., Irving, H., Kelly-Hope, L. A., & Wondji, C. S., 2015, Insecticide resistance in Nigerian malaria vectors: A nationwide profile, Parasites & Vectors, 8(1), 605.

[9].   Gallup, J. L., & Sachs, J. D., 2001, The economic burden of malaria, The American Journal of Tropical Medicine and Hygiene, 64(1–2 Suppl), 85–96.

[10].  Nankabirwa, J., Brooker, S. J., Clarke, S. E., Fernando, D., Gitonga, C. W., Schellenberg, D., & Greenwood, B., 2010, Malaria in school-age children in Africa: An increasingly important challenge, Tropical Medicine & International Health, 15(11), 1319–1327.

[11].  Adepoju, P., 2021, Nigeria’s battle with malaria burden amidst conflict and displacement, The Lancet Infectious Diseases, 21(4), 450–451.

[12].  Onyiah, J. A., Akpan, E., & Umeokonkwo, C. D., 2018, Strengthening malaria surveillance in Nigeria: Gaps and opportunities, African Health Sciences, 18(3), 582–590.

[13].  Phillips, R. S., 2001, Current status of malaria and potential for control, Clinical Microbiology Reviews, 14(1), 208–226.

[14].  Federal Ministry of Health (FMOH), 1991, National Malaria Control Policy, Abuja: Federal Ministry of Health.

[15].  Federal Ministry of Health (FMOH), 2004, Malaria Indicator Survey, Abuja: Federal Ministry of Health.

[16].  Rugemalila, J. B., Wanga, C. L., & Kilama, W. L., 2006, Sixth Africa malaria day in 2006: How far have we come after the Abuja Declaration? Malaria Journal, 5, 102.

[17].  Jordan, E., & Verma, R., 2005, Malaria: Past and present, Clinical Medicine & Research, 3(2), 118–123.

[18].  Bruce-Chwatt, L. J., 1986, Essential Malariology (2nd ed.), London: William Heinemann Medical Books.

[19].  Levine, N. D., 1988, Progress in taxonomy of the Apicomplexan protozoa, The Journal of Protozoology, 35(4), 518-520.

[20].  Garnham, P. C. C., 1966, Malaria Parasites and Other Haemosporidia, Oxford: Blackwell Scientific Publications.

[21].  Welch, W. H., 1897, On the life-history of the malarial parasite, Johns Hopkins Hospital Bulletin, 8(87), 1–13.

[22].  Stephens, J. W. W., 1922, A new malaria parasite of man, Annals of Tropical Medicine & Parasitology, 16(3), 383-388.

[23].  Worrall, E., Basu, S., & Hanson, K., 2002, The relationship between socio-economic status and malaria: a review of the literature. Background paper for Ensuring that malaria control interventions reach the poor, London56.

[24].  Degarege, A., Fennie, K., Degarege, D., Chennupati, S., & Madhivanan, P., 2019, Improving socioeconomic status may reduce the burden of malaria in sub-Saharan Africa: A systematic review and meta-analysis. PloS one14(1), e0211205.