Impact of a decade-long anti-malaria crusade in a West African community |
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| Authors: | GTA Jombo OO Alao MO Araoye JG Damen |
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| Affiliation: | 1. Department of Medical Microbiology and Parasitology, College of Health Sciences, Benue State University, PMB 102119 Makurdi, Nigeria;2. Department of Haematology and Blood Transfusion, College of Health Sciences, Benue State University, PMB 102119 Makurdi, Nigeria;3. Department of Community Health and Epidemiology, College of Health Sciences, Benue State University, PMB 102119 Makurdi, Nigeria;4. Department of Medical Laboratory Science, Faculty of Medical Sciences, University of Jos, Nigeria;1. Department of General Internal Medicine, Hirata Central Hospital, Hirata, Ishikawa district, Fukushima 963-8202, Japan;2. Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima City, Fukushima 960-1295, Japan;3. Southern Tohoku Research Institute for Neuroscience, 7-115, Yatsuyamada, Koriyama, Fukushima 963-8563, Japan;4. Laboratory for Systems Biology and Medicine, Research Center for Advanced Science and Technology, The University of Tokyo, Tokyo 153-8904, Japan;5. Proteomics Laboratory, Isotope Science Center, The University of Tokyo, Tokyo 113-0032, Japan;1. Medical Research Institute of New Zealand, Wellington, New Zealand;2. Department of Paediatrics, Child and Youth Health, University of Auckland, Auckland New Zealand;1. Public Health Ontario, Toronto, ON, Canada;2. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada;3. Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada;4. Centre for Disease Modelling, Department of Mathematics and Statistics, York University, Toronto, ON, Canada;1. National Clinical Research Center for Cardiovascular Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China;2. Fuwai Hospital, Chinese Academy of Medical Sciences, Shenzhen, China;3. Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine and the Department of Health Policy and Management, Yale School of Public Health, New Haven, CT, USA;4. Center for Outcomes Research and Evaluation, Yale New Haven Hospital, New Haven, CT, USA;5. Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA;6. Department of Biostatistics, Harvard T H Chan School of Public Health, Boston, MA, USA;7. Department of Health Care Policy, Harvard Medical School, Boston, MA, USA;8. Institute of Applied Health Research, University of Birmingham, Birmingham, UK;9. General Practice Development and Research Center, Peking University Health Science Center, Beijing, China;10. School of Oncology, Peking University Health Science Center, Beijing, China;11. School of Public Health, Peking University Health Science Center, Beijing, China;12. Department of Public Health and Primary Care, Center of Family Medicine, Ghent University, Ghent, Belgium;13. Department of Health Policy, London School of Economics and Political Science, Institute of Global Health Innovation, Imperial College London, London, UK;14. Health Commission of Shenzhen Municipality, Shenzhen, China;15. Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK;p. Sun Yat-sen Global Health Institute, Sun Yat-sen University School of Public Health, and Institute of State Governance, Guangzhou, China;q. Nuffield Department of Population Health, University of Oxford, Oxford, UK;r. National Health Foundation, Bangkok, Thailand;s. Xizhuangzi Village Clinic, Jinchang, China;t. Director General Office, WHO Headquarters, Geneva, Switzerland;u. Yaojia Township Primary Care Clinic, Zhengzhou, China;v. Department of General Practice, Zhongshan Hospital of Shanghai Medical College Fudan University, Shanghai, China;w. Sichuan Center for Disease Control and Prevention, Chengdu, China;x. Xiangya School of Public Health, Central South University, Changsha, China;y. Health Commission of Yunnan Province, Kumming, China;z. Jijie Township Primary Care Clinic, Gejiu, China;11. National Office for Maternal and Child Health Surveillance of China, Department of Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, China;1. Department of Pediatrics, University of Colorado Anschutz Medical Campus, B065, 13123 E 16th Ave, Aurora, CO 80045, USA;2. Center for Global Health, Colorado School of Public Health, A090, 13199 E Montview Blvd, Suite 310, Aurora, CO 80045, USA;3. Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, F443, 13199 E Montview Blvd, Suite 300, Aurora, CO 80045, USA;4. Department of Community and Behavioral Health, Colorado School of Public Health, B119, 13001 E 17th Place, Aurora, CO 80045, USA;5. Center for Health Studies, Universidad del Valle de Guatemala, 18 Av. 11-95, Zona 15, Vista Hermosa III, Guatemala City, Guatemala;6. Center for Human Development at the Southwest Trifinio, Finca Mojarras, aldea Los Encuentros, Caballo Blanco, Retalhuleu, Guatemala;7. Department of Epidemiology, Colorado School of Public Health, B119, 13001 E 17th Place, Aurora, CO 80045, USA;1. National Clinical Research Center of Cardiovascular Diseases, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China;2. Institute of Applied Health Research, University of Birmingham, Birmingham, UK;3. General Practice Development and Research Center, Peking University Health Science Center, Beijing, China;4. School of Public Health, Peking University Health Science Center, Beijing, China;5. Department of Family Medicine and Primary Health Care, Ghent University, Ghent, Belgium;6. Department of Health Policy, London School of Economics and Political Science, London, UK;7. Sun Yat-sen Global Health Institute, Sun Yat-sen University School of Public Health, Guangzhou, Guangdong, China;8. Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA;9. Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA;10. Department of Health Policy and Management, Yale School of Public Health, New Haven, CT, USA;11. Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT, USA |
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| Abstract: | ObjectiveTo assess the rate of utilization of long lasting insecticide treated bed nets (LLINs) which is one of the cardinal components of the program, a decade-long antimalarial campaign under the roll back malaria (RBM) initiative.MethodsThe study was carried out between October and December 2009 and cross-sectional in nature involving adult women in Otukpo town and environs. Households were selected using systematic sampling methods where all the adult women in each household were interviewed. Relevant information such as age, marital status, occupation, utilization of LLINs and reasons for non-utilization were obtained. Data obtained were analysed using analysis of variance (ANOVA) and regression coefficient.ResultsAlmost 100% (3 154) of the respondents could associate malaria fever with mosquito bite although other causes were also mentioned. The overall any bed net utilization in Otukpo town was found to be 58.3% (1 849). LLINs utilization was found to be 23.3% (739). 35.0% (1 110) used untreated bed nets while 41.7% (1 322) had no bed net. Positive predictors for LLINs utilization were increasing educational levels, increasing wealth index and presence of an under five child, while lower wealth index and cultural beliefs negatively contributed to LLINs utilization.ConclusionsThe RBM program in the community has failed to yield the desired results. Efforts should be intensified towards addressing the socioeconomic, cultural, literary and logistic factors in order to reach this goal. |
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