Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 4 Issue 8

Caregivers’ Perception and Practices on Malaria in Children Under Five in EkombeBonji Health Area, Kumba Health District, South West Region of Cameroon

NkengafacNyiawung Fobellah1*, Anna Njunda Longoh2, FolefockAjua Richard Medterrand3 and Efengo Vanessa4

1Lecturer, School of Health and Human Sciences, St Monica University, Buea, Cameroon
2Lecturer Faculty of Health Sciences, University of Buea, Cameroon
3Regional Coordinator of Malaria, West Region, Cameroon
4Masters student at International relations Institute of Cameroon, University of Yaounde I, Cameroon

*Corresponding Author: NkengafacNyiawungFobellah, Lecturer, School of Health and Human Sciences, St Monica University, Buea, Cameroon.

Received: May 25, 2020; Published: July 21, 2020



Background: Malaria is one of the diseases which contribute significantly to morbidity and mortality in Africa with 91% of deaths being children under-five. Despite all efforts to combat malaria, this disease still remains the leading killer of under five children killing a child every minute. Malaria usually progress to its severe state within a very short period of time. Generally mothers/caregivers are the first to recognize fever in children and also determine the decision to seek care. Therefore, recognition of the symptoms of malaria by caregivers and their practices toward seeking treatment is invaluable in order for malaria to be treated in a timely manner.

Objectives: The objective of this study was to determine the prevalence of malaria in children under five, and also to investigate the local perceptions, practices and treatment-seeking behaviour for malaria among their caregivers.

Methodology: This study was a cross sectional descriptive, community based study done from January to march 2014. Children under five years were enrolled for the study. Malaria RDT was done for parasitological evaluation. Questionnaires were administered to children’s caregivers to collect socio-demographic data, knowledge regarding malaria, preventive measures and treatment seeking behaviours.

Results: Of the 350 children examined, 174 (49.7%) [95% CI: 44.37 - 55.07%] were infected with malaria (plasmodium falciparum). Male and females were similarly infected (41.4% vs. 51.6%) with no significant difference (p = 0.4). The prevalence appeared to be highest 41 (23.6%) in the age group [24 - 36] months. Caregivers 280 (80%) had proper knowledge on malaria with 316 (90.3%) mentioning mosquito bite as the cause of malaria. Likewise fever/hot body was perceived as the commonest symptom of malaria by 332 (95%) of caregivers [95% CI: 91.9 - 987%]. With regards to caregivers’ practices on prevention, 308 (88%) use insecticide treated nets (ITN) as a preventive method. Only 205 (58.6%) of caregivers sought treatment at the health facility when their child was ill. As few as 119 (34%) did so within 24 hours of onset of symptoms. The most common home remedies employed were tepid sponging and use of anti pyretics.

Conclusion: Caregivers had a good knowledge of malaria (including its aetiologic agent, signs and symptoms and preventive measures). They also had a good practice towards preventive measures. However, the prevalence of malaria in under-five was high and only a lesser majority of caregivers sought treatment at the health facility in a timely manner.

Keywords: Caregivers; Under-Five Children;EkombeBonji; Cameroon



  1. Gay-Andrieu F., et al. “Epidemiological, clinical and biological features of malaria among children in Niamey”. Malaria 4 (2005): e10.
  2. Barat L., et al. “Do malaria interventions reach the poor? A review through the equity lens”. American Journal of Tropical Medicine and Hygiene 71 (200): 174-178.
  3. Pluess B., et al. “Malaria-a major health problem within an oil plantation around Popondetta”. Malaria Journal 8 (2009): 56.
  4. World Malaria Day. “Invest in the Future: Defeat Malaria” (2013).
  5. Wang S., et al. “Epidemiology of urban malaria in Dar es Salaam, Tanzania”. Malaria Journal 5 (2006): 28.
  6. Piet S. “Is Plasmodium vivax still a paradigm for uncomplicated malaria?” 36 (2006): 406-413.
  7. Kwadwo A. “People and their health: importance of socioeconomic factors in the control of malaria”. Forum Mond Sante 15 (1994): 281-4.
  8. “Global strategy for malaria control”. Geneva (1993): 1-14.
  9. Cameroon Demographic and Health Survey (2011).
  10. vers un meilleu raccès à la prévention et au traitement du SIDA,de la tuberculose et du paludismeau cameroun.
  11. Brahima T., et al. “Prevalence de paludisme dans laire de sente de dango. congo”. Epicentre (2012).
  12. Demography and statistics. Kumba health district. Kumba: Kumba health district (2010).
  13. Molyneux C., et al. “Maternal responses to childhood fevers: a comparison of rural and urban residents coastal Kenya”. Tropical Medicine and Health 12 (1999): 836.
  14. English M., et al. “Acidosis in severe childhood malaria”. Quarterly Journal of Medicine 90 (1997): 90.
  15. How to use a rapid diagnostic test (RDT): A guide for training at a village and clinic level (Modified for training in the use of the SD Bioline Malaria Ag Pf (2010).
  16. Obol J., et al. “Knowledge misconceptions about Malaria among pregnant women in a post-conflict internally displaced persons’ camps in Gulu”. Malaria Research and Treatment (2011): 1-7.
  17. Jeremiah Z. “Field Evaluation of SD Bioline Rapid Malaria Diagnostic Test among Asymptomatic Malaria Infected Children in Port Harcourt, Nigeria”. Research Journal of Parasitology 2 (2007): 39-44.
  18. Nwaorgu O and Orajaka B. “Prevalence of Malaria among Children 1 - 10 Years Old in Communities in Awka North Local Government Area, Anambra State South East Nigeria”. African Journals5 (2011): 264-281.
  19. L’ Institut National de la Statistique INSTAT/Direction, de la Démographie et des Statistiques Sociales (DDSS). Enquête sur les Indicateurs du Paludisme à Madagasca (2013).
  20. FARIDAH L. “Knowledge, attitudes and practices on malaria prevention and control in Uganda” (2013).
  21. Agyepong I and Manderson L. “Mosquito avoidance and bed net use in the Greater Accra Region, Ghana”. Journal of Biosocial Science 31 (1999): 79-92.
  22. Agyepong I and Manderson L. “The diagnosis and management of fever at household level in the Greater Accra Region, Ghana”. Acta Tropic 58 (1994): 317-330.
  23. Wakgari D and Ahmed A. “Malaria-related perceptions and practices of women with under-five children in rural Ethiopia”.
  24. Spencer H., et al. “Community- based malaria control in Saradidi, Kenya: description of the progamme and impact on parasitemia rates and anti-malaria antibody”. Annuals of Tropical Medicine 81 (1987): 13-23.
  25. Ahorlu C., et al. “Sociocultural determinants of treatment delay for childhood Malaria in southern Ghana”. Tropical Medicine and International Health 7 (2006).
  26. Tatem A and Smith D. “International population movements and regional Plasmodium falciparum Malaria elimination strategies”. Proceedings of the National Academy of Sciences of the United States of America 107 (2010).
  27. Etang J., et al. “Profil entomologique du Cameroun”. Rapport Minsanté Cameroun e tOMS. (2007): 1-44.
  28. Malaria No More. Cameroon Malaria Knowledge, Attitudes, and Practices (2012).


Citation: NkengafacNyiawung Fobellah., et al. “Caregivers’ Perception and Practices on Malaria in Children Under Five in EkombeBonji Health Area, Kumba Health District, South West Region of Cameroon”. Acta Scientific Medical Sciences 4.8 (2020): 52-55.


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