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Research: Assessment of competence of participants before and after 7-day intensive malaria microscopy training courses in Nigeria

June 9, 2015 - 11:36 -- Bart G.J. Knols
Author(s): 
Yetunde A. Olukosi, Chimere O. Agomo, Oluwagbemiga O. Aina, Samuel K. Akindele, Hilary I. Okoh, Margaret O. Akinyele, Olusola Ajibaye, Bassey A. Orok, Bamidele A. Iwalokun, Veronica Enya, Uche T. Igbasi, Samson Awolola
Reference: 
MWJ2015, 6, 6
 
Accuracy of malaria diagnosis by microscopy has been a challenge in Nigeria due to poor competence of microscopists and inability to report on malaria species other than Plasmodium falciparum. Short courses were conducted to improve the skills of laboratory personnel to perform malaria microscopy in public health facilities. Seven-day malaria microscopy courses were conducted annually between 2011 and 2013.The training courses contained theoretical and practical sessions. Impact of the training was evaluated by practical and theoretical pre- and post-training assessments on malaria slide reading, parasite enumeration and basic malariology. The 102 participants who completed the training consisted of medical laboratory scientists (62; 60.8%), medical laboratory technicians (24; 23.5%) and other healthcare workers (16; 15.7%). The knowledge of basic malariology (theory) at pre- and post-tests were 34% (95% CI 31.7-36.3%) and 74.9% (95% CI 71.8-78.0%), respectively (P<0.001). The mean slide reading detection, species and counting agreements in pre-training assessment were 48.9%, 27.9% and 0%, respectively, and in post-training 56.8%, 39.2% and 25%, respectively. The mean species agreements in picture test pre- and post-training were 21.9% and 55.1%, respectively. There were significant differences (P<0.05) in the median pre-test scores in picture tests and basic malariology of the three categories of participants but not in malaria slide reading and parasite counting tests. However, post-training, a significant difference in test scores of the three categories of participants was recorded only for basic malariology (P=0.0003). The 7-day malaria microscopy courses significantly increased the knowledge and microscopy skills of the trainees and were sufficient to bridge the significant difference in baseline microscopy skills of the different categories of trainees that participated in the training courses.

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Analysis of Plasmodium falciparum Pfcrt and Pfmdr1 genes in parasite isolates from asymptomatic individuals in Southeast Nigeria 11 years after withdrawal of chloroquine

October 8, 2019 - 15:12 -- Open Access
Author(s): 
Moses N. Ikegbunam, Charles N. Nkonganyi, Bolaji N. Thomas, Charles O. Esimone, Thirumalaisamy P. Velavan and Olusola Ojurongbe
Reference: 
Malaria Journal 2019 18:343, 7 October 2019

A reversal of chloroquine (CQ) resistance following a period of withdrawal has raised the possibility of its re-introduction. This study evaluated the current prevalence of Pfcrt and Pfmdr1 alleles in Plasmodium falciparum isolates, 11 years after CQ withdrawal in Southeast Nigeria.

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Rare mutations in Pfmdr1 gene of Plasmodium falciparum detected in clinical isolates from patients treated with anti-malarial drug in Nigeria

September 23, 2019 - 14:42 -- Open Access
Author(s): 
Abel O. Idowu, Wellington A. Oyibo, Sanjib Bhattacharyya, Manjeet Khubbar, Udoma E. Mendie, Violet V. Bumah, Carolyn Black, Joseph Igietseme and Anthony A. Azenabor
Reference: 
Malaria Journal 2019 18:319, 18 September 2019

Plasmodium falciparum, the deadliest causative agent of malaria, has high prevalence in Nigeria. Drug resistance causing failure of previously effective drugs has compromised anti-malarial treatment. On this basis, there is need for a proactive surveillance for resistance markers to the currently recommended artemisinin-based combination therapy (ACT), for early detection of resistance before it become widespread.

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Asymptomatic malaria infections and Pfmdr1 mutations in an endemic area of Nigeria

July 1, 2019 - 16:04 -- Open Access
Author(s): 
Titilope M. Dokunmu, Cynthia U. Adjekukor, Omolara F. Yakubu, Adetutu O. Bello, Jarat O. Adekoya, Olugbenga Akinola, Emmanuel O. Amoo and Abiodun H. Adebayo
Reference: 
Malaria Journal 2019 18:218, 27 June 2019

Malaria eradication globally is yet to be achieved and transmission is sustained in many endemic countries. Plasmodium falciparum continues to develop resistance to currently available anti-malarial drugs, posing great problems for malaria elimination. This study evaluates the frequencies of asymptomatic infection and multidrug resistance-1 (mdr-1) gene mutations in parasite isolates, which form the basis for understanding persistently high incidence in South West, Nigeria.

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Caregiver exposure to malaria social and behaviour change messages can improve bed net use among children in an endemic country: secondary analysis of the 2015 Nigeria Malaria Indicator Survey

April 8, 2019 - 16:21 -- Open Access
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Author(s): 
Kirsten Zalisk, Samantha Herrera, Uwem Inyang, Audu Bala Mohammed, Perpetua Uhomoibhi and Yazoumé Yé
Reference: 
Malaria Journal 2019 18:121, 6 April 2019

The results suggest that caregiver exposure to topic-specific SBC messages improves the use of ITNs among children.

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Malaria testing and treatment knowledge among selected rural patent and proprietary medicine vendors (PPMV) in Nigeria

March 27, 2019 - 16:06 -- Open Access
Author(s): 
Oladimeji Oladepo, Abisoye S. Oyeyemi, Musibau A. Titiloye, Adedayo O. Adeyemi, Sarah M. Burnett, Iorwakwagh Apera, Opeyemi Oladunni and Michael Alliu
Reference: 
Malaria Journal 2019 18:103, 27 March 2019

Substantial knowledge gaps on the use of RDTs and treatment with artemisinin-based combinations exist among rural PPMVs.

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Knowledge of malaria prevention among pregnant women and non-pregnant mothers of children aged under 5 years in Ibadan, South West Nigeria

March 26, 2019 - 15:54 -- Open Access
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Author(s): 
Kelechi Elizabeth Oladimeji, Joyce Mahlako Tsoka-Gwegweni, Elizabeth Ojewole and Samuel Tassi Yunga
Reference: 
Malaria Journal 2019 18:92, 22 March 2019

The findings indicate that socio-demographic factors such as marital and educational status greatly influence knowledge on malaria prevention and control measures.

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On the discriminatory and predictive accuracy of the RDT against the microscopy in the diagnosis of malaria among under-five children in Nigeria

February 26, 2019 - 15:16 -- Open Access
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Author(s): 
Adeniyi Francis Fagbamigbe
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Malaria Journal 2019 18:46, 21 February 2019

Although there was a significant agreement in the outcomes of RDT and microscopy tests, the discriminatory accuracy of RDT was weak.

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Using mixed effects logistic regression models for complex survey data on malaria rapid diagnostic test results

December 6, 2018 - 16:46 -- Open Access
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Author(s): 
Chigozie Louisa J. Ugwu and Temesgen T. Zewotir
Reference: 
Malaria Journal 2018 17:453, 5 December 2018

Improvement of socio-economic development and quality of life is paramount to achieving malaria free Nigeria.

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Knowledge, motivation, self-efficacy, and their association with insecticidal net use among pregnant women in a secondary health centre in Maiduguri, Nigeria

October 17, 2018 - 15:02 -- Open Access
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Author(s): 
Ahmed Dahiru Balami, Salmiah Md Said, Nor Afiah Mohd Zulkefli, Bachok Norsa’adah and Bala Audu
Reference: 
Malaria Journal 2018 17:359, 12 October 2018

A large proportion of pregnant women in this study were not sleeping under ITNs.

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