scholarly journals Knowledge, attitude and practice towards malaria prevention among school children aged 5 -14 years in sub-saharan Africa - a review of literature

Author(s):  
Marie Louise Umwangange ◽  
Geldine Chironda ◽  
Madeleine Mukeshimana
Author(s):  
Margaret Wekem Kukeba ◽  
Salifu Lukman ◽  
Rosina Darcha ◽  
Abdul-Razak Doat

Background: Diarrhoeal diseases constitute a significant burden on the health and growth of children the world over. Globally, diarrhoeal conditions remain the second leading cause of death among children under 5. Knowledge, attitudes and practice of caregivers are at the heart of diarrhoeal disease prevention and proper management. Objective: This review aimed to assess caregivers' knowledge, attitude, and practice regarding diarrhoea in children under five years old in sub-Saharan Africa, as discussed in the literature. Design: Integrative narrative review Data Sources: The review saw an extensive search on two electronic databases. Search results were screened using inclusion and exclusion criteria. At the end of the screening, 37 studies were included in the review. Review Methods: Inclusion criteria: Only studies whose focus was on caregivers’ knowledge, attitude and practice relating to diarrhoea in children under five were included. Also, only publications reported in the English Language were considered, and publications must have been between 2010-2020. Additionally, the methodological quality of studies was assessed using the Down & Black (1998) checklist for quality evaluation in a systematic review. Results: In this review, it emerged that studies in Sub-Saharan Africa indicate that caregivers display poor overall knowledge about diarrhoea. Also, the attitudes of caregivers towards diarrhoea prevention and treatment was low in many studies. On care practices, prevention practices, and management/treatment practices, including ORS and Zinc usage, were mainly reported to be quiet. Conclusions: The review concluded that there are poor levels of knowledge, attitude and practice of managing diarrhoea among caregivers of children under five (5) years of age in sub-Saharan Africa. The researchers recommended continuous health education to address knowledge gaps of mothers about diarrhoea, its prevention and treatment according to international standards.


Parasitology ◽  
2008 ◽  
Vol 135 (12) ◽  
pp. 1447-1455 ◽  
Author(s):  
J. R. STOTHARD ◽  
E. IMISON ◽  
M. D. FRENCH ◽  
J. C. SOUSA-FIGUEIREDO ◽  
I. S. KHAMIS ◽  
...  

SUMMARYSoil-transmitted helminthiasis (STH) is a scourge to the health and well-being of infants and pre-schoolchildren throughout many parts of sub-Saharan Africa. To improve maternal and child health, regular de-worming is recommended and often delivered from mother and child health (MCH) clinics, yet there have been few studies monitoring the progress and impact of interventions on local levels of disease. A cross-sectional parasitological survey, supplemented with questionnaires, was therefore conducted across 10 Ungujan villages examining mothers (n=322) and their pre-school children (n=359). Within children, mean prevalence of ascariasis, trichuriasis and hookworm was 8·6% (95% CI 5·5–11·8), 18·9% (95% CI 14·5–23·4) and 1·7% (95% CI 0·2–3·5) while in mothers mean prevalence was 6·7% (95% CI 3·7–9·7), 11·9% (95% CI 8·0–15·8) and 1·9% (95% CI 0·2–3·5), respectively. There was, however, significant spatial heterogeneity of STH by village, 2 villages having much elevated levels of infection, although general access to anthelminthics and utilization of village MCH clinics was good. Levels of parasite aggregation (k) were determined and a multilevel logistic regression model identified access to a household latrine [OR=0·56 (95% CI 0·32–0·99)] and having an infected household member [OR=3·72 (95% CI 2·22–6·26)] as observed risk factors. To further investigate worm burdens of Ascaris lumbricoides, adult worms were expelled using Combantrin® and measured. A negative relationship between mean worm burden and mean worm mass was found. Villages in the north of Unguja represent locations where there is elevated prevalence of both ascariasis and trichuriasis and it appears that local factors are particularly favourable for transmission of these helminths. From a perspective of control, in such locations, intervention efforts should be stepped up and greater efforts placed upon improving household sanitation.


2016 ◽  
Vol 29 (02) ◽  
pp. 137-146
Author(s):  
Harry Zee

Malaria is the disease that has the biggest impact on the health and well-being of the peoples living in sub-Saharan Africa. Not only does malaria cause a lot of suffering and many deaths, the malaria miasm is also strongly connected to the inability to thrive and the frustration caused by that. The Africa Malaria Prevention Project (AMPP) aims at preventing malaria and treating its chronic effects by using PC240m—a genus epidemicus remedy designed to treat and prevent malaria. This article presents the first results and discusses a plan to roll out AMPP over all of sub-Saharan Africa.


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