Fatunla Odunayo Adebukola Temitope, Olatunya Oladele Simeon, Ogundare Ezra Olatunde, Fatunla Tolulope Oladapo, Babatola Adefunke Olarinre, Adeniyi Adewuyi Temidayo, Oyelami Oyeku Akibu
Department of Paediatrics, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.
Department of Paediatrics, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria.
J Infect Dev Ctries. 2022 Feb 28;16(2):352-361. doi: 10.3855/jidc.14894.
Living conditions in most rural African communities favour malaria transmission and threaten global eradication. Prevention strategies and interventions such as the use of bed nets have reduced the prevalence of malaria. This study described the various methods employed to prevent malaria and their effects on malaria parasite prevalence among children living in a rural community in Nigeria.
A community-based cross-sectional study conducted among 357 children aged 1-15 years, in a Nigerian rural community. Data was analyzed using SPSS version 25. Chi-squared test of association with a level of significance of p < 0.050 was used.
Only 110 (30.8%) participants owned mosquito nets. Mostly those from the high social class (45; 40.9%) used the nets, and these were mostly 'under-five' children. Thirty-six (10.1%) were routinely given antimalarial drugs for malaria prophylaxis. Also, 102 (28.6%), 151 (42.3%), 278 (77.9%), 99 (27.7%) and 15 (5.0%) children used insecticides, local herbs, window nets, outlet door nets and mosquito repellent creams respectively. None of the methods employed to prevent malaria had statistically significant effect on malaria parasite prevalence among participants (p > 0.050).
Malaria prevention methods were mostly practiced by participants of the high social class while children under-five considerably used mosquito nets. This study highlights the need to address the socio-demographic imbalance regarding malaria preventive measures in the community where the study was conducted. There is also a need to regulate the use of antimalarial drugs for malaria prophylaxis in the rural community. These suggest that the current malaria prevention methods in the community be reviewed.
大多数非洲农村社区的生活条件有利于疟疾传播，对全球根除疟疾构成威胁。使用蚊帐等预防策略和干预措施降低了疟疾的流行率。本研究描述了尼日利亚一个农村社区儿童预防疟疾所采用的各种方法及其对疟原虫流行率的影响。
在尼日利亚一个农村社区对357名1至15岁儿童进行了一项基于社区的横断面研究。使用SPSS 25版进行数据分析。采用p < 0.050显著性水平的卡方关联检验。
只有110名（30.8%）参与者拥有蚊帐。大多数来自高社会阶层的人（45名；40.9%）使用蚊帐，且这些人大多是“五岁以下”儿童。36名（10.1%）儿童常规接受抗疟药物预防疟疾。此外，分别有102名（28.6%）、151名（42.3%）、278名（77.9%）、99名（27.7%）和15名（5.0%）儿童使用杀虫剂、当地草药、窗纱、出口门纱和驱蚊霜。所采用的预防疟疾的方法对参与者的疟原虫流行率均无统计学显著影响（p > 0.050）。
高社会阶层的参与者大多采取了疟疾预防措施，而五岁以下儿童大量使用蚊帐。本研究强调有必要解决研究所在社区疟疾预防措施方面的社会人口学不平衡问题。农村社区也有必要规范抗疟药物用于疟疾预防的使用。这些表明需要对该社区目前的疟疾预防方法进行审查。
