There is a parallel between local and bio-medical perceptions of malaria among the Ibibio people of South-coastal Nigeria, as in many other societies of sub-Saharan Africa where malaria is endemic. Despite the fact that this accounts for resilience of the disease, earlier studies on malaria in Africa focused on causes, prevalence and socio-environmental factors. Local meanings of malaria and their influence on therapeutic choices have been largely ignored. This study examines local perceptions of malaria among the Ibibio and explains how attitudes are generated from indigenous meanings. It also examines how such attitudes inform a local aetiology of malaria. Similarly, our study examines how local meanings of, and attitudes towards malaria, set the pathway of care in malaria management among the Ibibio. Through qualitative and descriptive ethnography, Key Informant Interview (KII), Focus Group Discussion (FGD) and the textual analysis of documents, our study seeks to establish that malaria is caused by parasites-protozoa. 83% of the respondents held that malaria is due to witchcraft, exposure to sunlight and eating of yellowish food items such as yellow maize, paw-paw, orange and red oil. These local perceptions are drawn from local conceptions which in turn encourage malaria patients to seek assistance outside modern health care facilities. This also discourages local communities from attending health education workshops that link malaria with germ theory and care. Treatment of malaria is thus mostly home-based where a wide variety of traditional remedies is practiced. Our study concludes that the lack of convergence between local knowledge-contents and bio-medical explanations account for a high prevalence rate and the lack of effective management. For proper management of malaria, there is a need to understand local knowledge and indigenous concepts in order to establish a convergence between bio-medical explanations and indigenous perceptions. Only then can a community acceptable means of changing bio-medical perceptions of the disease be facilitated.

How much do slums affect women's ability to negotiate access to water, sanitation and hygiene (WaSH)? We used random narratives, interviews, and a review of literature from theoretical and secondary sources to capture the experiences of slum dwellers in South-South Nigeria. Our findings demonstrate that women and girls bear disproportionate burden and risk of poor and inadequate WaSH services in the course of domestic supplies and management and making tough choices in negotiating between personal sanitary needs of privacy and safety as well as attending to domestic hygiene, childcare and other chores. These lived realities and experiences are partly associated with gendered public policy practices, linked to the broader socio-cultural norm that confine women's roles to the private/domestic spheres, while men are free to pursue higher aspirations and opportunities. Limited State capacity to guarantee universal access to WaSH for slum dwellers automatically shifts the responsibility for its provision to the private/domestic domain with women bearing the greater burden. We argue that the non-recognition of slums in official discourses limit their consideration for essential public services provision, and the implication of such neglect is discussed in the context of the consequences on women in the course of negotiating access to WaSH.