Abstract

Malaria remains a major cause of mortality across the world, but particularly in sub-Saharan Africa. WHO-sponsored World Malaria Day activity has helped to improve education and has contributed to a reduction in mortality globally in the past decade. However, much needs to be done still in Africa. We report on a World Malaria Day scheme in three primary Healthcare Facilities in and around the Abuja Federal Capital Territory in Nigeria in 2017. Activity included educational talks to pregnant women and nursing mothers of young children, with malarial testing, distribution of free mosquito nets and also medical treatment if needed. We found a large clinical over-diagnosis of malaria with simple fevers of any cause being reported as malaria. None of these cases were found to be due to malaria on formal malarial testing. We conclude that efforts should continue into education and prevention of malaria with insecticide-impregnated mosquito nets a key factor. However, over-diagnosis of malaria and the use of unnecessary antimalarial treatment may lead to parasite resistance to antimalarial treatment, morbidity from drug side-effects and potential mortality from not receiving the right treatment for other febrile illnesses. We recommend that malarial testing, particularly with simple blood film microscopy is implemented more widely across Africa, as it is simple to perform and allows effective management plans to be drawn up for individual patients.

Highlights

  • Malaria is a preventable and curable/treatable illness transmitted by infected female Anopheles mosquitoes

  • This informed the theme for 2017 World Malaria Day (WMD) with "a push for prevention" given that malarial drug resistance is increasing, the prevention of malaria is pertinent to reducing deaths and protecting vulnerable people, such as nursing mothers and young children

  • In aligning with this year's prevention drive, Excellence and Friends Management Care Centre (EFMC), a NGO based in Abuja, Nigeria, conducted health talks, free malaria testing, distribution of insecticide-treated mosquito nets and provided free drugs to women and children at three primary health care centers (PHC), in and around the Abuja Nigerian Federal Capital Territory

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Summary

Introduction

Malaria is a preventable and curable/treatable illness transmitted by infected female Anopheles mosquitoes. Efforts aimed at preventing the spread of malaria are very important to reduce the malaria burden This informed the theme for 2017 World Malaria Day (WMD) with "a push for prevention" given that malarial drug resistance is increasing, the prevention of malaria is pertinent to reducing deaths and protecting vulnerable people, such as nursing mothers and young children. In aligning with this year's prevention drive, Excellence and Friends Management Care Centre (EFMC), a NGO based in Abuja, Nigeria, conducted health talks, free malaria testing, distribution of insecticide-treated mosquito nets and provided free drugs to women and children at three primary health care centers (PHC), in and around the Abuja Nigerian Federal Capital Territory. This report is a description of the events at these three PHCs

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