Community Case Management of Malaria in Trained Role Model Caregivers of Under Fives, Kaduna Northwestern Nigeria

Author(s) Aisha Ahmed Abubakar1, Kabir Sabitu2, Andreas Jansen3, Nykiconia Preacely 4, Mu'awiyya Sufiyan 5, Suleman Hadejia Idris6, Ikeoluwapo Ajayi7.
Affiliation(s) 1Department of Community Medicine, Faculty of Medicine, , Ahmadu Bello University/ African Program for Advanced Research Epidemiology Training, Zaria, Nigeria, 2Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria, 3Scientific Advice Co-ordination Section, European Centre for Disease Control and Prevention, Stockholm, Sweden, 4Division of Global Health, Centres for Disease Control and Prevention, Atlanta, United States, 5Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria, 6Department of Community Medicine, Ahmadu Bello University Zaria, Zaria, Nigeria, 7Department of Epidemiology and Biostatistics, University of Ibadan, Ibadan, Nigeria.
Country - ies of focus Nigeria
Relevant to the conference tracks Infectious Diseases
Summary Use of Role Model Caregivers for Community Case Management of Malaria achieved the 80% treatment target of malaria within 24 hours of onset of symptoms. Continuing training and supervision are necessary for correct dosage to be given.
Background Malaria is Africa’s leading cause of under five mortality, constituting 10% of the overall disease burden. A major strategy for reducing the burden of malaria is prompt access to effective antimalarials. Community Case Management of malaria (CCMm) can be used to achieve the 80% treatment target of uncomplicated malaria within 24 hours of the onset of symptoms. CCMm aims to train selected community members to recognize symptoms of malaria and give appropriate early and prompt treatment.
Objectives This study was conducted to assess CCMm in trained Role Model caregivers (RMCs) of under fives in Kaduna state, Nigeria.
1. To assess knowledge of malaria amongst role model caregivers trained in CCMm trained in Kaduna state
2. To assess treatment practices of malaria in CCMm trained role model caregivers in Kaduna state
3. To assess the relationship between knowledge and treatment practices of malaria in CCMm trained role model caregivers in Kaduna state
Methodology • What is the current knowledge of malaria in Community Case Management of malaria trained role model caregivers in Kaduna state?
• What are the malaria treatment practices of CCMm trained role model caregivers in Kaduna state?A descriptive cross sectional survey was conducted in Kaduna state. A sample of 308 RMCs were selected by multistage sampling and interviewed using a standardized questionnaire. The questionnaire had questions on sociodemographics, malaria transmission and treatment. Focus Group Discussions with RMCs were also conducted.
Results Mean age of RMCs was 35.34 years (±8.67). Females were 294(95.5%) and 285(92.5%) were literate. Out of 308, 294 (95.5%) correctly identified malaria was transmitted by mosquitoes. Two hundred and sixty three (85.4%) RMCs had treated a child under five years in the two weeks preceding the survey. Age range of children treated for malaria was 4-59 months, mean 26.9 months (±12.41). Out of 263 children, 232 (88.2%) received the correct dose of antimalarials and 220(84.3%) were treated within 24 hours of onset of symptoms. Level of education and literacy level were not significantly found to affect receiving the correct dose of antimalarials.
Limitations
The baseline knowledge of the trained role model caregivers is not available so change in knowledge cannot be assessed
Conclusion Use of RMCs achieved the 80% treatment target of malaria within 24 hours of onset of symptoms. Continuing training and supervision are necessary for correct dosage to be given. The results would be disseminated to the Kaduna state Malaria Control Program and the Department of Public Health of the Kaduna state Ministry of Health.

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