PREVALENCE OF MALARIA AND USE OF LONG LASTING INSECTICIDE TREATED NETS IN CHILDREN AGED 6 – 59 MONTHS AT INTERNALLY DISPLACED PERSONS CAMPS ABUJA
PREVALENCE OF MALARIA AND USE OF LONG LASTING INSECTICIDE TREATED NETS IN CHILDREN AGED 6 – 59 MONTHS AT INTERNALLY DISPLACED PERSONS CAMPS ABUJA
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Date
2016-10
Authors
JOAN, Ejembi
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Abstract
Globally there has been an increase in Internally Displaced Persons (IDP). IDPs are a
disadvantaged population and prone to numerous challenges including insecurity, sexual
violence, poverty and malnutrition among others. For IDPs in malaria endemic countries, malaria
is a major cause of morbidity and mortality, especially among vulnerable populations of underfive
aged children and pregnant women.This study was conducted to determine the prevalence of
malaria and utilization of Long Lasting Insecticidal Treated Nets among IDPs aged 6 – 59
months in FCT-Abuja.
A cross-sectional community based survey was conducted in the 3 IDP Camps located in Abuja
and a total enumeration of children aged 6-59 months was done. Mother – child pairs of children
aged 6-59 months were interviewed using a structured interviewer administered questionnaire.
Finger prick blood samples were collected from eligible consenting children and tested for
malaria parasitaemia.
A total of 393 children from 242 households were recruited. The prevalence of malaria was
found to be 32% and 51% via RDT and malaria microscopy respectively. The LLIN ownership
and coverage was 76.7% and 11.2% respectively. Utilisation was high with 89.7% of children
aged 6-59 sleeping under an LLIN the night before the survey. The odds of LLIN utilization was
higher in nets that were hanged (OR:55.9, 95% CI:18.12-172.14), those that lived near stagnant
water (OR: 2.9, 95% CI: 1.33-6.59 ),had owned the LLIN for 6 months or less, (OR: 2.6, 95%
CI:1.20-5.57 ),Christians (OR:2.4, 95% CI: 1.10-5.62 ),and nets with holes (OR: 2.2, 95%
CI:1.01-4.90),The odds of Malaria parasitaemia was significantly higher in females (OR: 1.7,
95% CI: 1.08-2.61) and children who had traveled but not statistically significant (OR: 1.9, 95%
CI: 0.73-4.70) while those who owned LLINs for less than 6 months were less likely to have parasitaemia. (OR: 0.6, 95% CI: 0.31-0.97).
The prevalence of malaria among IDPs aged 6-59 months was high in spite of high ownership
and utilization of LLIN.LLIN coverage was low and factors significantly associated with LLIN
utilization were type of breeding sites near dwellings and net factors. There is need to improve
coverage of LLIN among IDPs and explore other malaria preventive strategies like the use of
pre-treated tarpaulins among IDPs.
Description
A DISSERTATION SUBMITTED TO THE SCHOOL OF POST GRADUATE STUDIES
AHMADU BELLO UNIVERSITY ZARIA IN PARTIAL FULFILMENT OF THE
REQUIREMENTS FOR THE AWARD OF MASTER OF PUBLIC HEALTH (FIELD
EPIDEMIOLOGY) DEGREE
DEPARTMENT OF COMMUNITY MEDICINE
FACULTY OF MEDICINE
AHMADU BELLO UNIVERSITY, ZARIA
NIGERIA
Keywords
PREVALENCE ,, MALARIA,, USE,, LONG LASTING INSECTICIDE TREATED NETS,, CHILDREN AGED 6 – 59 MONTHS,, INTERNALLY DISPLACED PERSONS CAMPS ABUJA