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