Acta Scientific Paediatrics (ISSN: 2581-883X)

Research Article Volume 3 Issue 1

Evaluating the Home Management and Prevention of Malaria in Two Local Government Areas in South-East Nigeria

Chukwuemeka Ngozi Onyearugha1, Nneka Chioma Okoronkwo1* and Prince Ezenwa Onyemachi2

1Consultant Paediatrician, Senior Lecturer, Department of Paediatrics, Abia State University Teaching Hospital, Aba, Abia State, Nigeria
2Consultant Community Physician, Senior Lecturer, Department of Community Medicine, Abia State University Teaching Hospital Aba, Abia State, Nigeria

*Corresponding Author: Nneka Okoronkwo, Department of Paediatrics, Abia State University Teaching Hospital, Aba, Abia State, Nigeria.

Received: November 27, 2019; Published: December 11, 2019



Background: Although malaria incidence is estimated to have decreased by 41% globally, 91 countries, including Nigeria have ongoing malaria transmission. Effective treatment and prevention of malaria at home by the masses will help in rolling back malaria burden to a minimum. This study was done to evaluate the home management of malaria at 2 local government areas of Abia State, Nigeria, with a view to determining areas of improvement.

Method: This was a descriptive cross-sectional study used to evaluate the home management of malaria. Four hundred and eighty respondents, aged 18 to 52 years, who presented their babies for immunization, were serially recruited. Half of the study population (240) were selected from each of the 2 Local Government Areas (LGA) under study. The immunization exercises took place at the Aba North and Aba South local government areas of Abia State. These immunization exercises held once a week at the 2 LGAs respectively over the study period. Information sought was on the knowledge and other aspects of home management of malaria. These information retrieved were analyzed.

Results: Overwhelming majority, 465 (96.8%) of the respondents had secondary and tertiary education, 411 (85.6%) were married and 259 (53.7%) were traders. Vast majority, 426 (88.7%) had good knowledge of the symptoms of malaria. One hundred and eighty eight (39.1%) would prefer artemisinin based combination therapy for the treatment of their ill children. One hundred and ninety three 193 (40.2%) purchased antimalarial drugs over the counter (OTC). 454(94.5%) depended on the drug doses recommended by the medicine vendors they bought drugs from. A large number, 328 (68.3%), of the respondents would take their convulsing child to the hospital as first treatment option, 84(15.4%) and 34(7%) would apply palm kernel oil and herbal medications respectively. A vast majority, 439(89.5%), 429(88.1%) and 418(87.1%) would apply environmental cleanliness, indoor spraying of insecticides and netting of doors/windows, respectively, as vector control measures. While 208 (43.3%) possessed insecticide treated nets (ITN), only 163 (34%) knew how to apply these nets appropriately.

Conclusion: The knowledge of the cause, symptoms and appropriate treatment of malaria by respondents in this study is high. However, majority of them depend on the purchase of OTC drugs and dose recommendation of patent medicine vendors. Also, the rate of possession and appropriate application of ITN among the caregivers is low. It is recommended that the government should organize regular training and retraining of the patent medicine dealers. Also, there should be regular education of the citizenry on home management of malaria and the correct dose for the available antimalarial drugs.

Keywords: Home Management; Malaria; Aba North; Aba South



  1. Chukwuocha UM., et al. “The Distribution and Intensity of Malaria in a River Basin in South Eastern Nigeria”. African Journal of Biomedical Engineering and Sciences 1 (2009): 57- 64.
  2. World Malaria Report (2018).
  3. World Health Organization: World Malaria Report 2016. World Health Organization, Geneva, Switzerland (2016).
  4. WHO: World malaria report 2015. Geneva: World Health Organization (2015).
  5. Federal Ministry of Health (Author). National Strategic Plan for Roll Back Malaria. Abuja: Federal Ministry of Health (2001).
  6. United States Embassy in Nigeria. Nigeria Malaria Facts Sheet (2011).
  7. Noland GS., et al. “Malaria prevalence, anemia and baseline intervention coverage prior to mass net distributions in Abia and Plateau States, Nigeria”. BMC Infection Disease 14 (2014): 168.
  8. Gallup J and Sachs J. “The economic burden of malaria”. The American Journal of Tropical Medicine and Hygiene 64 (2001): 85-96.
  9. “The Human and Economic Burden of Malaria: Institute of Medicine (US) Committee on the Economics of Antimalarial Drugs”. Arrow KJ, Panosian C, Gelband H, editors Washington (DC): National Academies Press (US) (2004).
  10. Sirima SB., et al. “Early treatment of childhood fevers with pre-packaged antimalarial drugs in the home reduces severe malaria morbidity in Burkina Faso”. Tropical Medicine and International Health 8 (2003): 133-139.
  11. “The Roll Back Malaria strategy for improving access to treatment trough home management of malaria”. WHO/HTM/MAL/20051101.
  12. Nwaneri DU., et al. “Impact of home-based management on malaria outcome in under-fives presenting in a tertiary health institution in Nigeria”. Malaria Journal1 (2017): 187.
  13. Tumukunde VS., et al. “Use of pre-hospital medication in children presenting with malaria to the emergency unit of Mulago Hospital, Uganda: A descriptive study”. Malaria world Journal 8 (2017): 8.
  14. Orimadegun AE., et al. “Early home treatment of childhood fevers with ineffective antimalarials is deleterious in the outcome of severe malaria”. Malaria Journal 7 (2008).
  15. Nwaneri DU., et al. “Effect of health education on knowledge of patent medicine vendors on malaria case management and control in Southern Calabar District Nigeria”. Journal of Medicine and Biomedical Research 11 (2014): 139 -149.
  16. Akuse RM., et al. “Patent medicine sellers: how can they help control childhood malaria?” Malaria Research and Treatment (2010): 470754.
  17. Coker HAB and Adesegun SA. “The malaria scourge: The place of complementary traditional medicine”. Nigerian Medical Practitioner 49 (2006): 126-132.
  18. Iloeje SO. “The impact of socio-cultural factors on febrile convulsions in Nigeria”. West African Journal of Medicine 8 (1989): 54-58.
  19. Eseigbe EE., et al. “Health Care Seeking Behavior among Caregivers of Sick Children Who Had Cerebral Malaria in Northwestern Nigeria”. Malaria Research and Treatment (2012).
  20. Arute JE and Odili VU. “Home Based Management of Uncomplicated p. falciparum Malaria in Children below Five Years in Delta State”. Galician medical journal 26 (2019): E201917.
  21. Amadi CN and Orisakwe OE. “Herb-Induced Liver Injuries in Developing Nations: An Update”. Toxics 6 (2018): 24.
  22. Olowu AO and Olarewaju DM. “Pattern of Febrile Convulsion in Hospitalized Children”. The Nigerian Journal of Paediatrics 5 (1992): 1-5.
  23. Okoji GO., et al. “Childhood convulsion; a hospital survey on traditional remedies”. African Journal of Medical Sciences 22 (1993): 25-28.
  24. Oche OM and Onankpa OB. “Using women advocacy groups to enhance knowledge and home management of febrile convulsion amongst mothers in a rural community of Sokoto State, Nigeria”. Pan African Medical Journal 14 (2013): 49.
  25. Ayalew MB. “Therapeutic efficacy of artemether-lumefantrine in the treatment of uncomplicated Plasmodium falciparum malaria in Ethiopia: a systematic review and meta-analysis”. Infectious Diseases of Poverty 6 (2017): 157.
  26. AlKadi HO. “Antimalarial drug toxicity: a review”. Chemotherapy 53 (2007): 385-391.
  27. Manu G., et al. “Low Utilization of Insecticide-Treated Bed Net among Pregnant Women in the Middle Belt of Ghana”. Malaria Research and Treatment (2017).
  28. Ghana Multiple Indicator Cluster Survey with an Enhanced Biomarker and Malaria Module (2011).


Citation: Chukwuemeka Ngozi Onyearugha., et al. "Evaluating the Home Management and Prevention of Malaria in Two Local Government Areas in South-East Nigeria".Acta Scientific Paediatrics 4.1 (2020): 24-30.


Acceptance rate33%
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Impact Factor1.197

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