Trends in malaria prevention and vector control intervention among pregnant women and children under 5 years in Nigeria

Background: Malaria is a severe public health issue in more than 91 nations around the world, with 80% of the illness burden falling on sub-Saharan Africa. The rationale behind this study is to know the level at which malaria prevention and vector control intervention are utilized in the four select...

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Published in:MGM journal of medical sciences Vol. 10; no. 2; pp. 287 - 296
Main Authors: Sanni, Felix, Bello, Ahmed, Abimbola, Oyewande, Conteh, Ishata, Ogun, Adebanke, Ariyo, Abimbola, Afelumo, Olaide, Tomori, Michael, Amoo, Olubunmi, Aguh, Anthony, Ogunniyi, Abiodun, Abiodun, Olaiya, Iyobosa, Igbinovia
Format: Journal Article
Language:English
Published: Wolters Kluwer India Pvt. Ltd 01-04-2023
Wolters Kluwer Medknow Publications
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Summary:Background: Malaria is a severe public health issue in more than 91 nations around the world, with 80% of the illness burden falling on sub-Saharan Africa. The rationale behind this study is to know the level at which malaria prevention and vector control intervention are utilized in the four selected states. Thus, this study examines the trends in the utilization of malaria prevention and vector control intervention among pregnant women and children under 5 years in Nigeria from 2017 to 2019. Materials and Methods: This is a cross-sectional study conducted in four states in Nigeria (Akwa Ibom, Cross River, Ebonyi, and Oyo). The study used secondary data from the Demographic and Health Survey (DHS) and National Malaria Indicator Survey for 2017-2019. We compared the findings across the study years and the 2013 Nigeria DHS report. Data were exported and analyzed using IBM-SPSS version 25. Results: An overall rate of 59% of pregnant women received intermittent preventive treatment (IPTp1) across the four states. Akwa-Ibom had the highest rate (73%) with the lowest dropout. There was a general decline in the rate of pregnant women provided with long-lasting insecticide-treated nets (LLIN) across the four states, with an overall rate of 44% between 2017 and 2019. Furthermore, there was an increase in women who received 2+ doses and 3+ doses of IPTp across the four states between 2013 and 2018. However, only Cross River recorded a marginal improvement of 2+ IPTp coverage of 75% compared to 12% in the 2013 DHS report. There was a slightly higher prevalence of fever among under-5years children in 2018 compared to the 2013 DHS report. Conclusion: Malaria prevention and vector control among pregnant women and children under 5 years between 2017 and 2019 are relatively low. Efforts should be made to improve the uptake and stockout of IPTP and LLIN in facilities.
ISSN:2347-7946
2347-7962
DOI:10.4103/mgmj.mgmj_14_23