Community-Based Diagnosis and Management of Childhood Malaria Using Rapid Diagnostic Test and Management with Artemisinin –Based Combination Therapy in Taraba State- Nigeria

Description

– Community-Based Diagnosis and Management of Childhood Malaria Using Rapid Diagnostic Test and Management with Artemisinin –Based Combination Therapy in Taraba State- Nigeria –

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Abstract

A cross-sectional study was conducted for fifteen (15) months (May, 2012 to July, 2013) to assess the efficacy of Rapid Diagnostic Test (RDT) in diagnosis followed by treatment of childhood malaria with Artemisinin – Based Combination Therapy (ACT) at community level  in Taraba State.

A total of 840 symptomatic children aged two months to thirteen years were presented for diagnosis with RDT kits by care givers at the designated clinics and  at community levels.

The 656 RDT positive children recorded in this study were treated with Artesunate-Amodiaquine.

Microscopic slides of the blood of all the children  presented  for RDT were equally prepared and examined. Another 333 symptomatic children aged 2  months to thirteen years served as control in one clinic.

Introduction

Malaria, a term meaning bad air was so named because of its presumed association with obnoxious air of swamps especially at night (Chandler and Read, 1961).

Due also to its association with swamps in humid regions of the world, it was  called  marsh  fever (Greenwood and Pickering, 1999).

It is a mosquito borne protozoan  disease  and  is  well known as one of the world’s worst scourges. About 56% of the world population live in malarious areas and most are subject to frequent infections, which become less severe with increasing age because of the previously developed immunity.

It is estimated that 100 million symptomatic infections occur annually (Renato, 1991). Malaria is a  leading  cause  of  mortality and morbidity worldwide especially in pregnant women and children living in sub- Saharan Africa where 90% of malaria deaths occur (WHO/UNICEF, 2003).

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