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A validation of the Malaria Atlas Project maps and development of a new map of malaria transmission in Sokoto, Nigeria: a cross-sectional study using geographic information systems

April 13, 2020 - 13:53 -- Open Access
Usman Nasir Nakakana, Ismaila Ahmed Mohammed, B. O. Onankpa, Ridwan M. Jega and Nma Muhammad Jiya
Malaria Journal 2020 19:149, 8 April 2020

Malaria remains a major cause of morbidity and mortality among children in Africa. There is inadequate information regarding malaria transmission-intensity in some of the worst-affected parts of sub-Saharan Africa (SSA). The Malaria Atlas Project (MAP) was developed in 2006, to project estimates of malaria transmission intensity where this data is not available, based on the vector behaviour for malaria. Data from malariometric studies globally were obtained and modelled to provide prevalence estimates. The sensitivity of these maps, however, reduces with unavailability of data. This necessitates a validation of these maps locally, and investigation into alternative methods of predicting prevalence to guide malaria control interventions and improve their efficiency and effectiveness. This study was conducted to compare the true estimates in Sokoto, Nigeria, with the MAP projections for north-western Nigeria, and it proposes an alternative way of mapping malaria intensity in Nigeria and beyond.

Individual and contextual correlates of mosquito net use among women in Nigeria

April 10, 2020 - 17:10 -- Open Access
Sulaimon T. Adedokun and Olalekan A. Uthman
Malaria Journal 2020 19:138, 7 April 2020

Malaria has been described as an urgent public health priority with almost half of the world’s population being at risk. Use of insecticide-treated nets is considered one of the effective ways of preventing malaria. Nigeria, which is ranked among the five countries that are responsible for almost half of the global malaria cases, has less than half of its women population using mosquito nets. This study examined the effects of individual and contextual factors on the use of mosquito nets among women of reproductive age in Nigeria.

NOT Open Access | Regional variation and demographic factors associated with knowledge of malaria risk and prevention strategies among pregnant women in Nigeria

April 6, 2020 - 08:41 -- NOT Open Access
Iyanda AE, Osayomi T, Boakye KA, Lu Y
Women & Health, Volume 60, 2020 - Issue 4

Pregnant women and children are the most vulnerable populations for malaria infection. Yet, knowledge of risk, and preventive measures are poor among this population. Using the 2015 Nigeria Malaria Indicator Survey, we applied logit link function to estimate the associations of wealth status, educational attainment, and region of residence with malaria risk knowledge and prevention strategies (using a treated mosquito net and malaria drugs) among 739 Nigerian pregnant women aged 15–49 years.

Monitoring the physical and insecticidal durability of the long-lasting insecticidal net DawaPlus® 2.0 in three States in Nigeria

March 31, 2020 - 15:20 -- Open Access
Emmanuel Obi, Festus Okoh, Albert Kilian, et al.
Malaria Journal 2020 19:124, 30 March 2020

Following guidance from the US President’s Malaria Initiative, durability monitoring of DawaPlus® 2.0 brand of long-lasting insecticidal net (LLIN) distributed during the 2015/16 mass campaign was set up in three ecologically different states: Zamfara, Ebonyi and Oyo.

The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria

March 10, 2020 - 16:11 -- Open Access
Adeoti O, Spiegelman D, Afonne C, Falade CO, Jegede AS, Oshiname FO, Gomes M, Ajayi IO
Implement Sci. 2020 Mar 4;15(1):13

In the context of task shifting, a promoted approach to healthcare delivery in resource-poor settings, trained community health workers (CHWs) have been shown to be effective in delivering quality care of malaria for febrile under-5 children. While their effectiveness has been documented, the fidelity of implementation (FOI) has not been adequately studied. By understanding and measuring whether an intervention has been performed with fidelity, researchers and practitioners gain a better understanding of how and why an intervention works, and the extent to which outcomes can be improved. The objective of this study was to assess the FOI of a recommended protocol for malaria care by CHWs in a resource-poor setting in Nigeria.

'Everybody in Nigeria is a doctor…': a qualitative study of stakeholder perspectives on lay diagnosis of malaria and pneumonia in Nigeria

March 2, 2020 - 15:41 -- Open Access
Elimian KO, Myles PR, Phalkey R, Sadoh A, Pritchard C
Journal of Public Health, fdaa015

Lay diagnosis is a widely used diagnostic approach for home management of common illnesses in Nigeria. This study aimed to explore the perspectives of caregivers and healthcare professionals on lay diagnosis of childhood malaria and pneumonia. Aligned to this, the study sought to explore the feasibility of training caregivers in the Integrated Management of Childhood Illness (IMCI) guidelines for improved recognition and treatment of these diseases.

Evaluation of a capacity building intervention on malaria treatment for under-fives in rural health facilities in Niger State, Nigeria

March 2, 2020 - 14:52 -- Open Access
Ayodele Jegede, Barbara Willey, Prudence Hamade, Fredrick Oshiname, Daniel Chandramohan, IkeOluwa Ajayi, Catherine Falade, Ebenezer Baba and Jayne Webster
Malaria Journal 2020 19:90, 24 February 2020

Despite the uptake of parasitological testing into policy and practice, appropriate prescription of anti-malarials and artemisinin-based combination therapy (ACT) in accordance with test results is variable. This study describes a National Malaria Control Programme-led capacity building intervention which was implemented in 10 States of Nigeria. Using the experience of Niger State, this study assessed the effect on malaria diagnosis and prescription practices among febrile under-fives in rural health facilities.

NOT Open Access | Ethnopharmacology-aided antiplasmodial evaluation of six selected plants used for malaria treatment in Nigeria

March 2, 2020 - 14:39 -- NOT Open Access
Ezenyi IC, Verma V, Singh S, Okhale SE, Adzu B
J Ethnopharmacol. 2020 Feb 21:112694

Sub – Saharan Africa has a high malaria burden and Nigeria accounts for majority of malaria cases worldwide. The aim of this study was to evaluate selected plants extracts used against malaria in Nigeria for antiplasmodial activity.

Diagnosis of pneumonia and malaria in Nigerian hospitals: A prospective cohort study

February 24, 2020 - 14:21 -- Open Access
Graham H, Bakare AA, Ayede AI, Oyewole OB, Gray A, Neal E, Qazi SA, Duke T, Falade AG
Pediatr Pulmonol. 2020 Feb 19

Pneumonia and malaria are the leading causes of global childhood mortality. We describe the clinical presentation of children diagnosed with pneumonia and/or malaria, and identify possible missed cases and diagnostic predictors.

Evaluation of malaria surveillance system in Kano State, Nigeria, 2013-2016

February 14, 2020 - 17:01 -- Open Access
Visa TI, Ajumobi O, Bamgboye E, Ajayi I, Nguku P
Infect Dis Poverty. 2020 Feb 10; 9(1):15

Malaria surveillance system strengthening is essential in the progress towards malaria elimination. In Nigeria, more attention is being given to this recently as the country is striving towards achieving elimination. However, the surveillance system performance is fraught with challenges including poor data quality with varying magnitude by state. This study evaluated the operation of the Kano State malaria surveillance system and assessed its key attributes.


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