15Objective: To examine the medicines and dosage that mothers who engaged in home-16 based malaria management administer to children aged ≤ 5 years having signs and 17 symptoms associated with malaria. It was also to discuss the possibilities of designing an 18 effective home-based malaria management strategy. 19
Methods:The data were obtained from face-to-face semi-structured interviews 20 conducted with mothers in the Ugbowo Community of Benin City, Nigeria who were 21 selected using multi-stage systematic random sampling technique. The data were 22 2 analyzed by qualitative content analysis, arithmetic mean, simple percentages and bar 23
chart. 24Results: Approximately 90% of the interviewees engaged in home-based malaria 25 management and 10% patronised the hospital. Most of the interviewees who engaged in 26 home-based malaria management administered medicines that stimulate the production of 27 red blood cells and supplies vitamins to children having signs and symptoms of malaria, 28 followed by painkillers, anti-malaria and cough medicine was the least. Of the anti-29 malaria medicines administered to children almost 80% of the interviewees administered 30 chloroquine to children, 15% quinine and three per cent halfan. Approximately 60% of 31 the interviewees had the correct knowledge of the dosage regime for chloroquine, 38% 32 for quinine and nine per cent for halfan. 33Conclusions: Although home-based malaria management is important it cannot serve as 34 a substitute to the hospital. Some diseases have signs and symptoms that are similar to 35 that of malaria which implies that administering anti-malaria medicines to a child without 36 confirmatory tests might lead to irredeemable complications in that child. If the strategy 37 is to make home-based malaria management effective and sustainable mothers and 38 community health officials should be involved in designing the strategy. Simple rapid 39 diagnostic test kits for malaria should be made available to community health officials 40 and pharmacists so that confirmatory tests could be carried out before dispensing 41 medicines. 42 43