Ugwu Collins, Ugwu Ngozi, Ogbu Ogbonnaya, Chukwu Onyedikachi, Chika-Igwenyi Nneka, Afolabi Olaronke, Igwe Daniel, Ekwe Esther, Ezekwesili Ngozi, Uneke Chigozie, Isiguzo Godsent
Ebonyi State University, Faculty of Clinical Medicine, Internal Medicine.
Federal University Teaching Hospital, Abakaliki, Hematology.
Afr Health Sci. 2024 Jun;24(2):181-193. doi: 10.4314/ahs.v24i2.21.
Malaria presents a colossal burden to Africa, including Nigeria. The objective of this study was to review relevant publications to identify specific malaria control strategies in Nigeria and to determine their level of uptake.
A Medline Entrez Pubmed search was conducted to identify studies from July 2013 to June 2018 investigating malaria control strategies. The search yielded 123 publications and twelve publications that met the inclusion criteria were systematically reviewed and results presented.
Five publications investigated the level of uptake of IPTp-SP and all reported low uptake of IPTp-SP. Five other publications investigated the uptake of LLINs, of which two reported good uptake. Two studies were on the uptake of mRDT or microscopy before Artemesinin-based combination therapy (ACT) and reported good uptake. Factors associated with poor uptake of malaria preventive strategies included a poorly-financed and poorly structured healthcare system, poor antenatal clinic visits, unavailability of the antimalaria drugs and nets, ignorance, poverty, cultural/religious belief and cost of mRDT and microscopy.
Though malaria control strategies are available in Nigeria, there was insufficient uptake of these preventive strategies. Awareness creation and education on the importance of preventive strategies and their efficient utilization will help reduce Nigeria's malaria burden.
疟疾给包括尼日利亚在内的非洲带来了巨大负担。本研究的目的是回顾相关出版物，以确定尼日利亚的具体疟疾控制策略，并确定其采用水平。
进行了一次Medline Entrez Pubmed搜索，以识别2013年7月至2018年6月期间调查疟疾控制策略的研究。搜索产生了123篇出版物，对符合纳入标准的12篇出版物进行了系统回顾并呈现结果。
五篇出版物调查了间歇性预防治疗磺胺多辛-周效磺胺（IPTp-SP）的采用水平，所有报告均显示IPTp-SP的采用率较低。另外五篇出版物调查了长效驱虫蚊帐（LLINs）的采用情况，其中两篇报告采用情况良好。两项研究是关于在基于青蒿素的联合疗法（ACT）之前使用快速诊断试验（mRDT）或显微镜检查的情况，报告显示采用情况良好。与疟疾预防策略采用率低相关的因素包括资金不足和结构不良的医疗保健系统、产前检查不佳、抗疟疾药物和蚊帐供应不足、无知、贫困、文化/宗教信仰以及mRDT和显微镜检查的成本。
尽管尼日利亚有疟疾控制策略，但这些预防策略的采用不足。开展关于预防策略重要性及其有效利用的宣传和教育将有助于减轻尼日利亚的疟疾负担。
