| Peer-Reviewed

Malaria Morbidity among Under-Five Nigerian Children: A Study of its Prevalence and Health Practices of Primary Care Givers (Mothers) in a Resource-Poor Setting of a Rural Hospital in Eastern Nigeria

Received: 12 November 2013    Accepted:     Published: 30 November 2013
Views:       Downloads:
Abstract

Background: Malaria disease, a preventable and treatable disease has continued to plague under-five children in rural Nigeria. Unhealthy health practices contribute to increased morbidity from malaria especially in a resource-poor setting. Aim: This study was aimed at determining the prevalence of malaria among the under-five Nigerian children in a resource-poor setting of a rural hospital in Eastern Nigeria and evaluating the health practices of their mothers as regards home antimalaria and herbal medication practices, awareness and use of insecticide treated nets (ITNs) and the practice of abdominal wall scarification. Materials and Methods: This was a descriptive hospital-based study carried out on 196 out of 244 mothers of under-five children who were treated for malaria and met the selection criteria. The mothers were interviewed using a pretested, structured researcher administered questionnaire which elicited information on home antimalaria and herbal medication practices, awareness and use of insecticide treated nets (ITNs) and the practice of abdominal wall scarification. The period of assessment was in the previous six months for ITNs usage. An under-five child was defined to have malaria if the mother gave complaints of fever, vomiting and other symptoms suggestive of malaria, had body temperature exceeding 37.5oC with the asexual forms of Plasmodium falciparum detected on the peripheral blood film. The data collected included age, sex and diagnosis made. Results: One hundred and ninety six (80.3%) out of a total of 244 under-five children were treated for malaria. Of the 196 under-five children; 128 (65.3%) had home antimalaria treatment, 53(27.0%) received herbal remedies while 15 (7.7%) had antibiotics. The awareness of ITNs was 87.2% while user rate was 11.7%. Eighty three (42.4%) had upper abdominal wall scarification marks. Conclusion: This study has shown that malaria still constitutes a significant health problem in the study area and home treatment of malaria with antimalaria drugs or local herbal remedies and abdominal wall scarification were practised. The awareness of ITNs was high but user rate was low. There is urgent need for effective methods to enlighten primary child care givers (mothers) on appropriate under-five child health practices that are safe, timely, effective and under-five child health friendly and centred.

Published in European Journal of Preventive Medicine (Volume 1, Issue 3)
DOI 10.11648/j.ejpm.20130103.11
Page(s) 50-57
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Health Practices, Hospital, Malaria Morbidity, Mothers, Under-Five Children, Rural Nigeria

References
[1] Iloh GUP, Amadi AN, Nwankwo BO, Ugwu VC. Common under-five morbidity in south-Eastern Nigeria: a study of its pattern in a rural Mission General Hospital in Imo state. Niger J Med 2011; 20: 99-104.
[2] Omokhodion OF, Oyemade A, Sridhar MKC. Morbidity pattern among under-five children of market women in Ibadan. Niger J Paediatr 2003; 30:135-139.
[3] WHO. Roll Back Malaria-Africa Summit, Abuja, Nigeria. WHO News Letter 2000: 15(2); 1-22.
[4] Salako IA. National malaria day, malaria awareness walk. Text of an address given on the occasion of the malaria awareness walk held in Abuja. J Mal Afr Trop 2002; 1:6-7.
[5] FMOH. National Antimalaria Treatment Policy: National Malaria and Vector Control Division, Abuja, Nigeria.FMOH 2005.
[6] Chapp-Jumbo AUN. Top ten diseases seen at the children outpatient of a young Nigerian Teaching Hospital. The ABSUTH experience. Journal of Medical Investigation and Practice 2004;5: 4-7.
[7] Nwolisa CE, Erinugha AU, Ofoleta SI. Pattern of morbidity among pre-school children attending the children’s outpatient clinic of Federal Medical Centre, Owerri, Nigeria. Niger J Med 2005; 14(4): 378-380.
[8] Sule SS. Childhood morbidity and treatment pattern at the multipurpose health centre, Ilesa, Nigeria. Niger J Med 2003; 12: 145-149.
[9] Iloh GUP, Ofoedu JN, Njoku PU, Amadi AN, Godswill-Uko EU. The magnitude of under-five emergencies in a resource-poor environment of a rural hospital in Eastern, Nigeria: Implications for strengthening the house-hold and community-integrated management of childhood illnesses. North Am J Med Sci 2012; 4:344-349.
[10] WHO/UNICEF. Management of childhood illness in developing countries: rational for an integrated strategy. WHO/CHS,CAH/98.1A.
[11] Yameh G. African Heads of states promise action against malaria. BMJ 2000; 329:1228.
[12] Olaleye BO, Williams LA, D’Alessandro U. Clinical predictors of malaria in Gambian children with fever or history of fever. Trans R Soc Trop Med Hyg 1998; 92: 300-304.
[13] Obionu CN. Primary Health Care for Developing Countries. Enugu, Ezu Books Ltd 2007; 231-233.
[14] Lawoyin T. Risk factors for infant mortality in a rural African community. Journal of the Royal Society for Promotion of Health 2000; 121(2):114-118.
[15] Iloh GUP, Chuku A, Amadi AN, Ofoedu JN. Family bio-social variables associated with severe malaria disease among under-five children in a resource-poor setting of a rural hospital in Eastern Nigeria Int J Health Allied Sci 2013; 2: 168-175
[16] Iloh GUP, Amadi AN, Obiukwu CE, Njoku PU, Ofoedu JN, Okafor GOC. Family biosocial variables influencing the use of insecticide treated nets for children in Eastern Nigeria. Journal of Family and Community Medicine 2013; 20: 12-19.
[17] Iloh GUP, Amadi AN, Obiukwu CE. Family biosocial variables driving adherence to the use of insecticide treated nets among under-five children managed for malaria in a rural hospital in Eastern Nigeria. Niger J Med 2013; 22: 37-44
[18] Ezechukwu CC, Egbuonu I, Chukwuka JO. Drug treatment of common childhood symptoms in Nnewi: what mothers do? Nigerian Journal of Clinical Practice 2005; 8(1): 1-3.
[19] Sebanjo IO, Adeodu OO, Ogunlesi TA, Anyabolu CH, Okusanya AA. The use of antimalaria drugs and ITNs in Ile-Ife, Nigeria. Nigerian Journal of Medicine 2006; 15(3): 277-280.
[20] Adah OS, Ngo-Ndomb T, Envuladu EA, Audu S, Banwat ME, Yusuff OT, et al. Home treatment of malaria amongst underfives presenting with fever in PHC facilities in Jos North LGA of Plateau state. Nigerian Journal of Medicine 2009; 18(1): 88-93.
[21] Araoye MO. Sample size determination. Research Methodology with Statistics for Health and Social Sciences,1st edition. Ilorin: Nathadex Publishers, 2004; p115-121.
[22] Idro R, Aloyo J. Manifestations and Quality of Emergency Care and Outcome of Severe Malaria in Mulago Hospital, Uganda. Afr Health Sci 2004; 4: 50-57.
[23] Anumudu CI, Okafor CMF, Ngwumohaike V, Afolabi KA, Nwuba RI, Nwagwu M. Epidemiological factors that promote the development of severe malaria anaemia in children in Ibadan. Afr Health Sci 2007; 7: 80-85.
[24] Schofield J, Grau GE. Immunological processes in malaria pathogenesis. Nature Immunology 2005; 5:722-735.
[25] Iriemenam NC, Okafor CMF, Balogun HA, Ayede I, Omosun Y, Persson J et al. Cytokine profiles and antibody responses to Plasmodium falciparum malaria infection in individuals living in Ibadan, south-west Nigeria. African Health Sciences 2009; 9(2):66-74.
[26] Nwankwo BO, Okafor JO. Effectiveness of insecticide–treated bednets in malaria prevention among children aged 6 months to 5 years in a rural community in Imo state, Nigeria. International Journal of Tropical Medicine 2009; 4(1): 41-49.
[27] Hamel MJ, Odhacha A, Roberts JM, Deming MS. Malaria control in Bungoma district, Kenya: a survey of home treatment of children with fever, bednet use and attendance at antenatal clinics. Bull World Health Organ 2001; 79(11):1014-1023.
[28] Holtz TH, Kachur SP, Marum LH, Mkandala C, Chizani N, Roberts JM et al. Care seeking behaviour and treatment of febrile illness in children aged less than five years: a household survey in Blantyre District, Malawi. Trans R Soc Trop Med Hyg 2003; 87(5):491-497.
[29] Sirima SB, Konate A, Tiono AB, Convelbo N, Cousens S, Pagnoni F. Early treatment of childhood fevers with pre-packeged antimalaria drugs in the home reduces severe malaria morbidity in Burkina Faso. Trop Med Int Health 2003;8(2): 133-139.
[30] Snow RW, Peshu N, Forster D, Mwenesi H, Marsh K. The role of shops in the treatment and prevention of childhood malaria on the coast of Kenya. Transactions of the Royal Society of Tropical Medicine and Hygiene 1992; 86(3): 237-239.
[31] Foster S. Treatment of malaria outside the formal health services. Journal of Tropical Medicine and Hygiene 1995; 98(1): 29-34.
[32] Kallader K, Nsungwa-Sabiiti J. Home-based management of malaria in the era of urbanization. Lancet 2009; 373:1582-1584.
[33] Staedke SG. Home management of malaria with artemether-lumefantrine compared with standard care in urban Ugandan children: a randomized controlled trial. Lancet 2009; 373: 1623-1631.
[34] Amuge B, Wabwire-Mangen F, Puta C. Pariyo GW, Bakyaita N, Staedke S, et al. Health-seeking behaviour for malaria among child and adult headed households in Rakai district, Uganda. Afican Health Sciences 2004; 4(2): 119-124.
[35] Iyaniwura CA, Ariba A, Runshewe-Abiodun T. Knowledge, use and promotion of ITNs by healthworkers in a suburban town in south-western Nigeria. Nigerian Journal of Clinical Practice 2008; 11(2): 149-154.
[36] Holtz TH, Marum LH, Mkandala C, Chizani N, Roberts JM, Macheso A, et al. Insecticide treated bednet use, anaemia and malaria parasitaemia in Blantyre district, Malawi. Trop Med Int Health 2002; 7: 220-230.
[37] Hawley WA, Terkuile FO, Steketee RS. Implications of the western Kenya permethrin-treated bed net study for policy, program implementation and future research. Am J Trop Med Hyg 2003; 68(Suppl 4): 168-173.
Cite This Article
  • APA Style

    Iloh GUP, Orji Udo Nnorom, Amadi AN. (2013). Malaria Morbidity among Under-Five Nigerian Children: A Study of its Prevalence and Health Practices of Primary Care Givers (Mothers) in a Resource-Poor Setting of a Rural Hospital in Eastern Nigeria. European Journal of Preventive Medicine, 1(3), 50-57. https://doi.org/10.11648/j.ejpm.20130103.11

    Copy | Download

    ACS Style

    Iloh GUP; Orji Udo Nnorom; Amadi AN. Malaria Morbidity among Under-Five Nigerian Children: A Study of its Prevalence and Health Practices of Primary Care Givers (Mothers) in a Resource-Poor Setting of a Rural Hospital in Eastern Nigeria. Eur. J. Prev. Med. 2013, 1(3), 50-57. doi: 10.11648/j.ejpm.20130103.11

    Copy | Download

    AMA Style

    Iloh GUP, Orji Udo Nnorom, Amadi AN. Malaria Morbidity among Under-Five Nigerian Children: A Study of its Prevalence and Health Practices of Primary Care Givers (Mothers) in a Resource-Poor Setting of a Rural Hospital in Eastern Nigeria. Eur J Prev Med. 2013;1(3):50-57. doi: 10.11648/j.ejpm.20130103.11

    Copy | Download

  • @article{10.11648/j.ejpm.20130103.11,
      author = {Iloh GUP and Orji Udo Nnorom and Amadi AN},
      title = {Malaria Morbidity among Under-Five Nigerian Children: A Study of its Prevalence and Health Practices of Primary Care Givers (Mothers) in a Resource-Poor Setting of a Rural Hospital in Eastern Nigeria},
      journal = {European Journal of Preventive Medicine},
      volume = {1},
      number = {3},
      pages = {50-57},
      doi = {10.11648/j.ejpm.20130103.11},
      url = {https://doi.org/10.11648/j.ejpm.20130103.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20130103.11},
      abstract = {Background: Malaria disease, a preventable and treatable disease has continued to plague under-five children in rural Nigeria. Unhealthy health practices contribute to increased morbidity from malaria especially in a resource-poor setting. Aim: This study was aimed at determining the prevalence of malaria among the under-five Nigerian children in a resource-poor setting of a rural hospital in Eastern Nigeria and evaluating the health practices of their mothers as regards home antimalaria and herbal medication practices, awareness and use of insecticide treated nets (ITNs) and the practice of abdominal wall scarification. Materials and Methods: This was a descriptive hospital-based study carried out on 196 out of 244 mothers of under-five children who were treated for malaria and met the selection criteria. The mothers were interviewed using a pretested, structured researcher administered questionnaire which elicited information on home antimalaria and herbal medication practices, awareness and use of insecticide treated nets (ITNs) and the practice of abdominal wall scarification. The period of assessment was in the previous six months for ITNs usage. An under-five child was defined to have malaria if the mother gave complaints of fever, vomiting and other symptoms suggestive of malaria, had body temperature exceeding 37.5oC with the asexual forms of Plasmodium falciparum detected on the peripheral blood film. The data collected included age, sex and diagnosis made. Results: One hundred and ninety six (80.3%) out of a total of 244 under-five children were treated for malaria. Of the 196 under-five children; 128 (65.3%) had home antimalaria treatment, 53(27.0%) received herbal remedies while 15 (7.7%) had antibiotics. The awareness of ITNs was 87.2% while user rate was 11.7%. Eighty three (42.4%) had upper abdominal wall scarification marks. Conclusion: This study has shown that malaria still constitutes a significant health problem in the study area and home treatment of malaria with antimalaria drugs or local herbal remedies and abdominal wall scarification were practised. The awareness of ITNs was high but user rate was low. There is urgent need for effective methods to enlighten primary child care givers (mothers) on appropriate under-five child health practices that are safe, timely, effective and under-five child health friendly and centred.},
     year = {2013}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Malaria Morbidity among Under-Five Nigerian Children: A Study of its Prevalence and Health Practices of Primary Care Givers (Mothers) in a Resource-Poor Setting of a Rural Hospital in Eastern Nigeria
    AU  - Iloh GUP
    AU  - Orji Udo Nnorom
    AU  - Amadi AN
    Y1  - 2013/11/30
    PY  - 2013
    N1  - https://doi.org/10.11648/j.ejpm.20130103.11
    DO  - 10.11648/j.ejpm.20130103.11
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 50
    EP  - 57
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20130103.11
    AB  - Background: Malaria disease, a preventable and treatable disease has continued to plague under-five children in rural Nigeria. Unhealthy health practices contribute to increased morbidity from malaria especially in a resource-poor setting. Aim: This study was aimed at determining the prevalence of malaria among the under-five Nigerian children in a resource-poor setting of a rural hospital in Eastern Nigeria and evaluating the health practices of their mothers as regards home antimalaria and herbal medication practices, awareness and use of insecticide treated nets (ITNs) and the practice of abdominal wall scarification. Materials and Methods: This was a descriptive hospital-based study carried out on 196 out of 244 mothers of under-five children who were treated for malaria and met the selection criteria. The mothers were interviewed using a pretested, structured researcher administered questionnaire which elicited information on home antimalaria and herbal medication practices, awareness and use of insecticide treated nets (ITNs) and the practice of abdominal wall scarification. The period of assessment was in the previous six months for ITNs usage. An under-five child was defined to have malaria if the mother gave complaints of fever, vomiting and other symptoms suggestive of malaria, had body temperature exceeding 37.5oC with the asexual forms of Plasmodium falciparum detected on the peripheral blood film. The data collected included age, sex and diagnosis made. Results: One hundred and ninety six (80.3%) out of a total of 244 under-five children were treated for malaria. Of the 196 under-five children; 128 (65.3%) had home antimalaria treatment, 53(27.0%) received herbal remedies while 15 (7.7%) had antibiotics. The awareness of ITNs was 87.2% while user rate was 11.7%. Eighty three (42.4%) had upper abdominal wall scarification marks. Conclusion: This study has shown that malaria still constitutes a significant health problem in the study area and home treatment of malaria with antimalaria drugs or local herbal remedies and abdominal wall scarification were practised. The awareness of ITNs was high but user rate was low. There is urgent need for effective methods to enlighten primary child care givers (mothers) on appropriate under-five child health practices that are safe, timely, effective and under-five child health friendly and centred.
    VL  - 1
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria and visiting Consultant Family Physician, St. Vincent De Paul Hospital, Amurie- Omanze, Imo state, Nigeria

  • Department of Family Medicine, Federal Medical Centre, Umuahia, Abia state, Nigeria

  • Department of Public Health Technology, Federal University of Technology, Owerri, Imo state, Nigeria

  • Sections