Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review
Central African Journal of Public Health
Volume 3, Issue 6, December 2017, Pages: 97-109
Received: Jul. 11, 2017; Accepted: Jul. 26, 2017; Published: Nov. 8, 2017
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Authors
Jato Denis Mbako, Department of Health Care, Integrated Health for All Foundation, Yaounde, Cameroon
Dina Barffo, Medical Surgical Department, Ghana Health Service, Kumasi, Ghana
Roland Kuuzagr Nuotol, Kintampo College of Health, Ministry of Health, Kintampo, Ghana
Raouf Alebshehy, Preventive Sector, Ministry of Health, Alexandria, Egypt
Nura Musa Shuaib, Department of Public Health, Ministry of Health, Dutse, Nigeria
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Abstract
Despite 66 percent reduction in mortality between 2000 and 2015, malaria remains a major global public health problem, affecting mostly Sub-Saharan Africa. Cameroon remains endemic to malaria, with about 41 percent suffering at least one episode of malaria, annual overall mortality of 30 to 35 percent and 67 percent childhood mortality. Cameroon government’s subsidy on artemisinin combination therapy (ACT) for uncomplicated malaria, intermittent preventive treatment for pregnant women (IPTp), free distribution of insecticide treated bed nets (ITNs) to pregnant women and under-fives have been more of a top-down approach, with the affected communities mainly at the receiving end. Challenges of failed adherence to test results, drug and insecticide resistance, substandard and self-medication, low ITN ownership and utilisation have been identified, especially in the rural areas. This study reviews malaria prevention in Cameroon and proposes community based context-specific complementary interventions strategies that will promote community participation in prevention and mitigate the effects of poverty towards achievement of the sustainable development goals targets for malaria. The study involved an in-depth review of secondary data from electronic and non-electronic documents. Electronic search was done in Global Health, PubMed, governmental and non-governmental organisation websites, journals and google scholar. Non-electronic documents from the University of Leeds and World Health Organisation (WHO), Geneva libraries were also used. A conceptual framework on integrated community-based approach on intervention to prevent neglected tropical diseases and infectious diseases of poverty was adapted and used, while different intervention strategies were analysed. A total of 96 publications were eligible for inclusion. Analysis of the factors influencing malaria prevention in Cameroon, reveals that current measures alone are insufficient. Therefore, a combination of multiple delivery strategies using an integrated community-based approach is likely to be more effective in breaking the transmission cycle than single programme interventions. Concurrent implementation of community mobilisation through social groups and Village Development Committees, education on house screening, training of mothers and caregivers and health promotion through environmental management were recommended as the best and most feasible strategies to complement current interventions in Cameroon.
Keywords
Malaria, Prevention, Community, Participation
To cite this article
Jato Denis Mbako, Dina Barffo, Roland Kuuzagr Nuotol, Raouf Alebshehy, Nura Musa Shuaib, Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review, Central African Journal of Public Health. Vol. 3, No. 6, 2017, pp. 97-109. doi: 10.11648/j.cajph.20170306.12
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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