Clinicians’ Adherence to Implementation of Test, Treat and Track Strategy for Malaria Control among Children Under-five Years in Ho Municipality, Volta Region, Ghana

2016 ◽  
Vol 20 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Christopher Kankpetinge ◽  
Margaret Kweku ◽  
Frank Baiden ◽  
Eric Agboli ◽  
Damian Akapoeh ◽  
...  
2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S105-S106
Author(s):  
A Sanyaolu ◽  
G Dzando ◽  
C Okorie ◽  
U Jaferi ◽  
A Marinkovic ◽  
...  

Abstract Introduction/Objective Sociodemographic factors influence the prevalence of anemia in endemic areas. The purpose of this study is to establish the prevalence and causes of anemia and to determine anemia preventive practices carried out by mothers with children under five years of age in the Kadjebi District of the Volta region of Ghana. Methods/Case Report This homogenous sampling study involved women of reproductive age with children less than five years of age from Saint Mary Theresa Hospital. Interview guides were administered, and the data collected were analyzed using the Statistical Package for Social Sciences (SPSS) version 21. Results (if a Case Study enter NA) A total of 150 participants were studied. 52.7% of the mothers indicated that their children had never been diagnosed with anemia; however, Hb levels recorded for these children showed that 73.3% were anemic, even though 93.8% of the mothers had been given iron supplements during their pregnancy. Furthermore, anemia prevention practices comprised of whether the child had been given any anti-malaria prophylaxis (98.4% denied / 1.6% confirmed) if the child had been dewormed in the last three months (89.9% denied / 10.1% confirmed), whether the child was given iron supplements in the last three months (59.7% denied / 40.3% confirmed), if the child had been given vitamin supplements in the last three months (24.0% denied / 76.0% confirmed). Conclusion Nutritional deficiencies, worm infestation, and malaria were identified as the major causes of anemia among the children. Mothers were educated about the possible causes and prevention methods of anemia.


2017 ◽  
Vol 07 (03) ◽  
pp. 93-105 ◽  
Author(s):  
Margaret Kweku ◽  
Eric Kwaku Appiah ◽  
Yeetey Enuameh ◽  
Martin Adjuik ◽  
Wisdom Takramah ◽  
...  

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Francois Dao ◽  
Sampson Kafui Djonor ◽  
Christian Teye-Muno Ayin ◽  
George Asumah Adu ◽  
Bismark Sarfo ◽  
...  

Abstract Background Artisanal mining creates enabling breeding ground for the vector of malaria parasites. There is paucity of data on the effects of artisanal mining on malaria. This study assessed burden of malaria and caregivers’ health-seeking behaviour for children under five in artisanal mining communities in East Akim District in Ghana. Methods A cross-sectional study involving caregivers and their children under five was conducted in three artisanal mining communities in the East Akim District in Ghana. Caregivers were interviewed using a structured questionnaire. Finger prick blood samples were collected and analysed for haemoglobin concentration using a rapid diagnostic test, and thick and thin blood smears were analysed to confirm the presence of malaria parasites. Results Of the 372 children under 5 years included in the study, 197 (53.1%) were male, with a mean age (± SD) of 23.0 ± 12.7 months. The proportion of children with malaria (Plasmodium falciparum and P. malariae) was 98.1% and 1.9%, respectively, whilst the proportion with anaemia (Hb < 11.0 g/dl) was 39.5% (n = 147). Almost all caregivers were female (98.9%), and 28.6% (n = 106) did not have access to any malaria control information. Caregivers associated malaria infection with mosquito bites (68.3%, n = 254) and poor sanitation (21.2%, n = 79). Malaria in children under five was significantly associated with anaemia (OR 11.07, 95% CI 6.59–18.68, n = 111/160, 69.4%; P < 0.0001), residing close to stagnant water (≤ 25 m) from an artisanal mining site (AOR 2.91, 95% CI 1.47–5.76, P = 0.002) and caregiver age younger than 30 years (OR 0.44, 95% CI 0.208–0.917, n = 162, 43.55%, P = 0.001). Conclusions There is a high burden of malaria and anaemia among children under five in artisanal mining communities of the East Akim District, and far higher than in non-artisanal mining sites. Interventions are needed to effectively regulate mining activities in these communities, and strengthen malaria control and health education campaigns to curtail the high malaria burden and improve health-seeking behaviour. Graphical abstract


2021 ◽  
Author(s):  
Gountante Kombate ◽  
Wakpaouyare Gmakouba ◽  
Susana Scott ◽  
Komi Ameko Azianu ◽  
Didier Koumavi Ekouevi ◽  
...  

Abstract Background: Malaria remains one of the main causes of morbidity and death among children less than 5. In Togo, despite intensification of malaria control interventions, persistence in malaria prevalence was observed and appears to vary from one region to another within the country. The aim of this study is to explore further regional heterogeneities in malaria prevalence and to determine associated risk factors.Methods: Data from the cross-sectional survey of the nationally representative 2017 Togo malaria indicator survey was used. Children aged 6–59 months in the selected households were tested for malaria using the rapid diagnostic test (RDT) and the microscopy. Univariate and multivariate logistic regression analysis were preformed using Generalized Linear Models.Results: A total of 3271 children under five (2441 in rural areas and 830 in urban areas was enrolled. Overall 26% of children tested positive for malaria, as confirmed by microscopy, ranging from 5.3% in the Lomé Commune region to 43.6% in the Plateaux region. In multivariate analysis, factors associated with malaria prevalence were living in the Plateaux region (aOR=4.24, 95%CI [2.38-7.65]), and the Maritime region (aOR=2.02, 95%CI [1.13-3.66], compared to Lomé Commune region); age 24 to 35 months (aOR=1.46, 95%CI [1.13-1.88) and age 36 to 59 months (aOR=2.5, 95%CI [2.04-3.09]) ], Compared to those age 6-23 months; households within the richest wealth quintile (a.OR=0.22, 95%CI [0.11-0.41], compared to poorest) and residence in rural areas (aOR=2.02, 95%CI [1.32-3.13], compared to resident in urban). Conclusion: Interventions that targeted use of combined prevention measures, adapted to older children living in rural areas and particularly in the regions of high malaria prevalence, could result in better malaria control in Togo.


2017 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Ade Kartikasari Sebba ◽  
Baning Rahayujati ◽  
Isa Dharmawidjaja

Pneumonia is one of the deadliest diseases for children under five years-old throughout the world. In Indonesia, pneumonia is the second deadliest disease after diarrhea. In 2015-2016, the Coverage of pneumonia case detection on children under five years-old increased from 22.33% to 36.06% but it had not achieved the detection target (-85%). A program evaluation needs to conduct, consequently. The evaluation aims to observe the implementation of pneumonia investigation program on children under five years-old in Sleman in 2016. The evaluation used a descriptive design performed in June-July 2017. The research subject was the program of Upper Respiratory Infection (ISPA, Infeksi Saluran Pernapasan Akut) implemented in community health centers (puskesmas, pusat kesehatan masyarakat). Twenty respondents as the sample were chosen by using the purposive sampling technique. The surveillance evaluation employed the input, activities, and output. The instruments were structural questionnaires and checklist sheets. The analysis result was presented in forms of tabulation and narration. From the input facet, 100% respondents have not had any special trainings related to pneumonia. 55% respondents have interlocking jobs with the longest service time of three years or more (75%). 70% respondents are able to show ARI Soundtimer. There are only 10% respondents holding the media of communication, information, and education (KIE, Komunikasi, Informasi, dan Edukasi) in forms of flipchart and leaflet; while 100% respondents admit that they have no stamp seal of URI. The proses facet displays that 100% respondents do not arrange any plan. The case investigation is only passive (100%). 80% respondents do socialization of case management and only 15% respondents perform a home visit. 100% respondents have not held trainings for responsible people, alert villages, and private midwives. From the output facet, the scope of case investigation is still low (36.06%).The implementation of pneumonia case investigation program on children under five years-old has been well executed but there are still weaknesses. Hence, public health offices (dinas kesehatan) should improve their human resources by arran ging a training program, equalize the use of breath counting tool and make MoU with all health services to report pneumonia cases. Community health centers are recommended to arrange plans, actively attempt to discover pneumonia cases, and train the responsible people, centers for pre-and postnatal health care (posyandu, pos pelayanan terpadu), or midwives related to the subject of pneumonia.


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