scholarly journals Prevalence of Malaria and the Use of Long-lasting Insecticide Treated Bed Nets in Households of Rural and Semi-urban Communities in Mbengwi Health District, North West Region, Cameroon

2021 ◽  
pp. 23-35
Author(s):  
Raymond Babila Nyasa ◽  
Muyang Florence Fomundam ◽  
Chounna Ndongmo Winston Patrick ◽  
Anong Nota Damian
Keyword(s):  
Urban Communities ◽  
Malaria Parasite ◽  
Household Head ◽  
Health District ◽  
Bed Nets ◽  
North West ◽  
West Region ◽  
Significant Difference ◽  
Insecticide Treated Bed Nets ◽  
The Impact

Aims: In Cameroon, on August 2011 and October 2015 the Ministry of Public Health launched the national campaign for distribution of long-lasting insecticide-treated bed nets (LLINs) to all families as a means of effectively fighting malaria transmission. The study area Mbengwi Health District found in the North West Region of Cameroon benefitted from this distribution of LLINs, but the impact of this intervention has not been evaluated. This study was designed to assess the use of LLINs in selected households of rural and semi-urban communities in Mbengwi Health District. Study Design: A cross sectional study was conducted in households, between July 2017 to September 2017 in Mbengwi health district. Methodology: Two questionnaires were administered; one to the household head and the other to the occupants. Blood samples were obtained to diagnose and quantify malaria parasite and to determine hemoglobin concentrations (HB). A total of 93 households and 440 inhabitants of all sexes and age groups were surveyed. Results: Of the 440 participants, 49 were positive for malaria parasite giving an overall prevalence of 11.1%. From the questionnaires it was observed that 87 (93.5%) of the households owned LLINs, with up to 82 (94.3%) sleeping under the nets. All the owners of LLINs (87; 100%) obtained the nets from the government free of charge. There was no significant difference in bed-net ownership (p=0.978) and usage (p=0.664) between the rural and semi-urban communities. Malaria prevalence was significantly lower among users of LLINs (4.8%) than non-users (23.5%, p<0.001). Malaria parasite density negatively correlated significantly with HB (r= -0.097, p=0.041). Conclusion: Overall, there was a high degree ownership and usage of LLINs by households in both rural and semi-urban communities, which was associated with protection from malaria infection.

Impact and Challenges of Centres for Education and Community Action in Cameroon’s North West Region

2018 ◽  
Vol 8 (2) ◽  
pp. 51-74
Author(s):  
Fonteh Athanasius Amungwa
Keyword(s):  
Rural Development ◽  
Economic Crisis ◽  
Formal Education ◽  
Community Education ◽  
Sampling Technique ◽  
Community Action ◽  
Structured Interviews ◽  
North West ◽  
West Region ◽  
The Impact

This paper examines the impact of community education and challenges facing Centres for Education and Community Action as a rural development strategy in Cameroon. The study was conducted in the North-West Region of Cameroon, employing field observations, semi-structured interviews with key informants using a convenient sampling technique and through elaborate review of documents. These research instruments were blended into what is termed triangulation and the data collected was analysed descriptively. The main focus of qualitative analysis is to understand the ways in which people act and the accounts that people give for their actions. This paper posits that extreme dependence on the provision of Western formal education cannot solve the problems of a rapidly changing society like Cameroon, which is facing a long-term economic crisis and persistent unemployment issues of graduates. Consequently, education should be redefined in the context of the prevailing economic crisis to make it responsive to the aspirations of rural communities. Findings showed that community education had contributed towards rural development immensely but has suffered many challenges due to neglect of the field in the policy agenda. This paper recommends the integration of community education with formal education to facilitate group and community betterment in particular and rural transformation in general.

scholarly journals Analysis of a malaria model with mosquito host choice and bed-net control

2015 ◽  
Vol 08 (06) ◽  
pp. 1550077 ◽  
Author(s):  
Bruno Buonomo
Keyword(s):  
Reproduction Number ◽  
Host Choice ◽  
Bed Nets ◽  
Bed Net ◽  
Host Manipulation ◽  
Host Preferences ◽  
Insecticide Treated Bed Nets ◽  
The Impact ◽  
Malaria Model ◽  
Disease Free

A malaria model is formulated which includes the enhanced attractiveness of infectious humans to mosquitoes, as result of host manipulation by malaria parasite, and the human behavior, represented by insecticide-treated bed-nets usage. The occurrence of a backward bifurcation at R0 = 1 is shown to be possible, which implies that multiple endemic equilibria co-exist with a stable disease-free equilibrium when the basic reproduction number is less than unity. This phenomenon is found to be caused by disease-induced human mortality. The global asymptotic stability of the endemic equilibrium for R0 > 1 is proved, by using the geometric method for global stability. Therefore, the disease becomes endemic for R0 > 1 regardless of the number of initial cases in both the human and vector populations. Finally, the impact on system dynamics of vector's host preferences and bed-net usage behavior is investigated.

Knowledge, attitudes and practice with respect to epilepsy among secondary school students in the Kumbo West Health District - North West Region- Cameroon

2010 ◽  
Vol 18 (3) ◽  
pp. 247-253 ◽  
Author(s):  
Alfred K. Njamnshi ◽  
Earnest N. Tabah ◽  
Anne-Cécile Zoung-Kanyi Bissek ◽  
Faustin N. Yepnjio ◽  
Callixte Kuate ◽  
...  
Keyword(s):  
Secondary School ◽  
Secondary School Students ◽  
Health District ◽  
School Students ◽  
North West ◽  
West Region

scholarly journals An integrated approach to assess Knowledge, Attitude and Practices (KAP) regarding major Neglected Tropical Diseases endemic in the Mbengwi health district (North West Region, Cameroon)

2019 ◽  
Author(s):  
Laurentine Sumo ◽  
Cédric G Lenou-Nanga ◽  
Ngum H Ntonifor ◽  
Nicanor Chenkumo-Kengmoni ◽  
Vanessa T Amana-Bokagne ◽  
...  
Keyword(s):  
Neglected Tropical Diseases ◽  
Health District ◽  
Tropical Diseases ◽  
Cross Sectional ◽  
North West ◽  
Attitudes And Practices ◽  
West Region ◽  
Knowledge Attitudes And Practices ◽  
Soil Transmitted Helminthiasis ◽  
Main Strategy

AbstractBackgroundPreventive chemotherapy (PCT) is the main strategy currently used to control and/or eliminate onchocerciasis (Oncho), lymphatic filariasis (LF) and Soil Transmitted Helminthiasis (STH), and community participation (through implementation of MDA or adherence to PCT) is critical to achieve this goal. However, these Neglected Tropical Diseases (NTDs) are still persisting in most endemic areas as a consequence of sub-optimal treatment coverage, the presence of systematic non-compliers in communities … This study aimed at investigating whether the knowledge, attitudes and practices of populations about these NTDs can explain the poor trends towards elimination.MethodologyA cross-sectional survey was carried out in the Mbengwi Health District (North West Region, Cameroon) using the cluster sampling technique. Clusters were selected using the Probability Proportionate to Estimate Size strategy. In each cluster, the random walk technique was used for the selection of households, and a structure questionnaire was administered to 2-3 of its members.Principal FindingsA total of 254 households from 26 clusters were visited, and 514 individuals were interviewed. The sex ratio of interviewees (1.08) was unbiased, and their ages ranged between 10 and 99 years old. Though most of the respondents declared having already heard of these NTDs (41.2%, 73.7% and 89.9% for Oncho, LF and STH respectively), only a minority of them were aware of correct response of how they are acquired/transmitted (3.7%, 6.8% and 12.5% for Oncho, LF and STH respectively), and prevented (23.1%, 18.9% and 47.2% for Oncho, LF and STH respectively). Even when respondents were aware that medicines were useful to prevent and/or treat these NTDs, almost none of them knew the drug used or the treatment frequency.Conclusion/SignificanceThis study reveals that interviewees exhibit poor knowledge, attitudes and practices as regards to these NTDs, although they are endemic in the study area and PCTs given yearly since a while. These misconceptions can seriously affect the adherence and contribution of populations to the success of PCTs, and it appears compulsory to improve individual knowledge, with a focus on the importance and rationale behind MDA, to optimize their attitudes and practices, especially community participation to PCTs.Author summaryThe control and/or elimination of Neglected Tropical Diseases (NTDs) are currently on top of the agenda of endemic countries’ control programs and stakeholders. Ivermectin- and Albendazole/Mebendazole-based mass distribution is currently the main strategy to control/interrupt transmission of onchocerciasis, lymphatic filariasis and soil-transmitted helminthiasis, and adherence of communities is compulsory for the success of this approach. Despite the success registered in the fight against these diseases, the trend towards elimination remains unsatisfactory in many endemic areas. This study was carried out to assess whether the perceptions, attitudes, and practices of the Mbengwi health district (North West Region, Cameroon) populations regarding these three parasitic diseases can explain the poor trend towards elimination. A cross-sectional study revealed important misconceptions about these NTDs amongst most of the respondents, which can clearly affect their adherence and contribution to the success of preventive chemotherapies, and seriously slower the momentum towards elimination.

scholarly journals An Integrated Approach to Assess Knowledge/Perceptions and Attitudes/Practices (KAP) Regarding Major Neglected Tropical Diseases Endemic in the Mbengwi Health District, North West Region, Cameroon

2021 ◽  
Vol 11 (4) ◽  
pp. 426-434
Author(s):  
Laurentine Sumo ◽  
Ngum H. Ntonifor ◽  
Cédric G. Lenou-Nanga ◽  
Nicanor Chenkumo-Kengmoni ◽  
Vanessa T. Amana-Bokagne ◽  
...  
Keyword(s):  
Community Participation ◽  
Neglected Tropical Diseases ◽  
Health District ◽  
Cluster Sampling ◽  
Structure Questionnaire ◽  
Tropical Diseases ◽  
Cross Sectional Survey ◽  
Preventive Chemotherapy ◽  
North West ◽  
West Region

Abstract Background and objectives Preventive chemotherapy (PCT) is the main strategy currently used to control and/or eliminate onchocerciasis, lymphatic filariasis (LF) and soil transmitted helminthiasis (STH), and community participation (through implementation or adherence to PCT) is critical. This study aimed at investigating knowledge/perceptions of populations of the Mbengwi health district (North West Region, Cameroon), in relation to their attitudes/practices regarding the most prevalent neglected tropical diseases (NTDs). Methods A household-based cross-sectional survey was carried out in the Mbengwi health district (North West Region, Cameroon) using the cluster sampling technique. Clusters were selected using the probability proportionate to estimate size strategy. In each cluster, the random walk technique was used for the selection of households, and a structure questionnaire was administered to 2–3 of its members. Results A total of 254 households from 26 clusters were visited, and 514 individuals were interviewed. The sex ratio of interviewees (1.08) was unbiased, and their ages ranged between 10 and 99 years old. Though most of the respondents declared having already heard of these NTDs (41.6%, 73.9% and 90.5% for onchocerciasis, LF and STH, respectively), only a minority of them were aware of how they are acquired/transmitted (8.9%, 9.2% and 32.7% for onchocerciasis, LF and STH, respectively), or prevented (23.1%, 18.9% and 47.2% for onchocerciasis, LF and STH, respectively). Conclusions This study revealed poor knowledge/perceptions and wrong attitudes/practices of interviewees as regards to these NTDs, and these misconceptions can seriously affect the adherence and contribution of populations to the success of PCTs. It appears compulsory to reinforce information, education, and communication, with a focus on the rationale and importance behind PCTs, to optimize/improve community participation.

scholarly journals Use of the Partogram in the Bamenda Health District, North-West Region, Cameroon: A Cross-Sectional Study

2016 ◽  
Vol 2 (5) ◽  
pp. 102-111 ◽  
Author(s):  
Thomas Obinchemti Egbe ◽  
◽  
Evaristus Ngong Ncham ◽  
William Takang ◽  
Eta-Nkongho Egbe ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Health District ◽  
Sectional Study ◽  
Cross Sectional ◽  
North West ◽  
West Region

scholarly journals Utilisasi Kelambu Berinsektisida Pada Daerah Endemis Tinggi Malaria di Indonesia: Analisis Data Riset Kesehatan Dasar (Riskesdas) 2018

2021 ◽  
Vol 49 (1) ◽  
pp. 9-20
Author(s):  
Asep Hermawan
Keyword(s):  
Logistic Regression ◽  
Rural Areas ◽  
Urban Areas ◽  
Household Head ◽  
Public Health Problem ◽  
Bed Nets ◽  
Global Public Health ◽  
Cross Sectional ◽  
Endemic Areas ◽  
Insecticide Treated Bed Nets

Malaria is still a global public health problem, especially in the tropical countries including Indonesia. The use of insecticide-treated bed nets (ITN’s) is an effective way to reduce the prevalence of malaria. However, the proportion of households that use ITN’s in low to high malaria edemic areas in Indonesia is still low (15.8%). The purpose of the analysis is to asses the determinants affecting the use of ITN’s in high endemic areas in Indonesia in 2018. The analysis uses the Basic Health Research (Riskesdas) 2018 data whose design is a cross-sectional study. The population is residents in 28 high malaria endemic districts/ cities with the number of samples interviewed were 33,001 people. The dependent variable was the habit of using ITN’s, while the independent variable is sociodemographic factors (relationship with household head, age group, education , occupations, and residential/ urban or rural areas) and the other ways to prevent mosquito bites. Data were analyzed using logistic regression test. The logistic regression analysis showed that the population with the characteristics of living in urban areas (aOR 2.55, 95% CI 2.38-2.74), parents (aOR 1.29, 95% CI 1.02-1.64), farmers (aOR 1.69, 95% CI 1.49-1.92) and completed Junior High (aOR 1.61, 95% CI 1.35-1.91), have the opportunity to use insecticide-treated bed nets, while the method of preventing mosquito bites others, most of them are protective of this habit. A new canal initiative is needed to increase people's knowledge about the importance of using insecticide-treated bed nets. Keyword: insecticide-treated bed nets, high malaria endemic areas Abstrak Malaria masih menjadi masalah kesehatan masyarakat global, terutama di daerah tropis termasuk Indonesia. Penggunaan kelambu berinsektisida merupakan cara efektif untuk mengurangi prevalensi malaria. Namun, proporsi rumah tangga yang menggunakan kelambu berinsektisida di daerah edemis rendah sampai tinggi di Indonesia masih rendah (15,8%). Tujuan analisis ini adalah untuk mengetahui determinan yang berpengaruh terhadap penggunaan kelambu berinsektisida di daerah endemis tinggi malaria di Indonesia pada 2018. Analisis ini menggunakan data Riset Kesehatan Dasar (Riskesdas) 2018 yang desainnya adalah studi potong lintang. Populasi pada studi ini adalah penduduk di 28 kabupaten/ kota dengan katagori endemis malaria tinggi dengan jumlah sampel yang diwawancara sebanyak 33.001 orang. Variabel dependen adalah kebiasaan penggunaan kelambu berinsektisida, sedangkan variabel independen adalah faktor sosiodemografi (hubungan dengan KRT, kelompok usia, tingkat pendidikan, jenis pekerjaan, dan wilayah tempat tinggal/ perkotaan atau pedesaan) dan cara pencegahan gigitan nyamuk. Data dianalisis menggunakan uji logistic regression. Hasil analisis logistic regression menunjukkan bahwa penduduk dengam dengan karakteristik tinggal di perkotaan (aOR 2,55, 95%CI2,38-2,74), orang tua (aOR1,29, 95%CI 1,02-1,64), petani (aOR1,69, 95%CI 1,49-1,92) dan tamat SLTP/MTS (aOR 1,61, 95%CI 1,35-1,91), berpeluang menggunakan kelambua berinsektisida, sedangkan cara pencegahan gigitan nyamuk lainnya, sebagian besar bersifat protektif terhadap kebiasaan ini. Perlu inisiatif kanal baru untuk meningkatkan pengetahuan penduduk tentang pentingnya utilisasi kelambu berinsektisida. Kata kunci: kelambu berinsektisida, daerah endemis malaria tinggi

scholarly journals The Impact of Livestock Extension on the Livelihood of Mbororo Fulani Women in the North West Region of Cameroon

2020 ◽  
Vol 8 (2) ◽  
pp. 666
Author(s):  
Loveline Enjoh Forbang ◽  
Tohnian Nobert Lengha ◽  
Fonteh Athanasius Amungwa
Keyword(s):  
Secondary Data ◽  
Simple Random Sampling ◽  
Primary Data ◽  
Livestock Farming ◽  
Extension Services ◽  
North West ◽  
The North ◽  
West Region ◽  
Livestock Sector ◽  
The Impact

Mbororo Fulani women are experiencing transformation in their livelihood through livestock farming. This paper investigates the contributions of livestock farming to the wellbeing of the Mbororo Fulani women of the North West region of Cameroon. Mbororo women in the North West region play different roles to contribute to the growth of the livestock sector in Cameroon but lack technological knowledge and extension services to improve on their livestock activities. The study used primary data gotten through structured questionnaires and secondary data from journals, books and work from other researchers. The simple random sampling was used to select 400 Mbororo women for the study and SPSS was used for data analysis. The study reveals that 61% of Mbororo women are engage in livestock farming. 20.4% of the women keep different categories of livestock extension (sheep, goat, poultry etc). 89% of the women do livestock farming for income generation and as a means to increase proteins needs for their families. Therefore, livestock is an important source of revenue to Mbororo Fulani women in the North West region of Cameroon thus Cameroon government should put more efforts to assist these Mbororo women in livestock farming by providing them with modern innovations through extension services and resources needed to expand on livestock farming.

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