Progress toward elimination of malaria in Nigeria: Uptake of artemisinin-based combination therapies for the treatment of malaria in households in Benin City

Akoria, Obehi Aituaje; Arhuidese, Isibor

doi:10.4103/1596-3519.134383

Cited by 6 publications

(12 citation statements)

References 19 publications

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“…Six studies [18,20,21,25,26,28] reported a statistically significant relationship between higher educational level and adherence; four studies [19,24,27,29] reported no statistically significant relationship between the variables.…”

Section: Educational Level and Antimalarial Drug Use Behaviourmentioning

confidence: 99%

“…(P <0.001) [26] No association between educational level and adherence/non-adherence [19] The adjusted odds of completed treatment for those who has finished primary school was 1.68 times that of patients who has not (95% CI: 1.20, 2.36; P=0.003) [28] No significant for mothers' attainment of tertiary (or higher) education and the use of ACTs (OR 0.905, CI0.195-4.198; P=0.898) [25] There was a statistically significant association between fathers' attainment of tertiary (higher education) and use of ACTs, when compared to fathers who had not attained this level of education (OR 0.054, CI 0.006-0.510; P=0.011) [25] Adherence and income P=0.003; OR 0.340; 95% CI, 0.167-0.694. higher income level (Ksh >9000 (i.e., >GBP 66 monthly) was associated with ACT adherence [20] [14,20,2 7,31] P=0.034 with participants of higher income salary showing correct dosage of drugs [31] Initiation of home treatment was higher in the poorer households. 25% of the poorest will use home treatment first as against 14% in wealthiest SE category [14] In addition, household monthly income significantly influenced dosage of the drugs used (P=0.034) primarily due to the fact that higher proportions of respondents with an income salary of KShs.…”

Section: Expected Outcome Unexpected Outcome Studiesmentioning

confidence: 99%

“…More than half of the studies (10 studies) reported on educational level in relation to adherence. Nine of these studies were conducted in the African region [18][19][20][21][24][25][26][27][28] while one study was conducted in Southeast Asia [29]. There was a high level of uniformity in the measurement tool used to assess educational level.…”

Section: Educational Level and Antimalarial Drug Use Behaviourmentioning

confidence: 99%

“…At the end of the assessment and appraisal exercise, seventeen (17) studies [14][15][16][17][18][19][20][21][23][24][25][26][27][28][29][30][31] that were of good quality based on the PCAqs assessment were included in this systematic review.…”

Section: Appraisalmentioning

confidence: 99%

“…Nevertheless, the contributions of socioeconomic factors to antimalarial drug use behaviours have only been sparsely reported in studies; with most of the studies not primarily designed to identify or assess the association of these variables [15,17,19,21,[23][24][25]. In addition there is no existing systematic review of studies on the socioeconomic determinants of antimalarial drug use.…”

Section: Introductionmentioning

confidence: 99%

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Socioeconomic Determinants of Antimalarial Drug Use Behaviours: A Systematic Review

Anyanwu¹,

Fulton²

2016

J Comm Pub Health Nursing

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Introduction: Malaria has been a major global health issue for centuries. Presently, the Artemisinin-based combination therapy (ACTs) is the most effective antimalarial drug and the recommended first line treatment by the WHO for uncomplicated malaria cases. Despite the current global reduction in malaria mortality and morbidity, the burden of malaria is still very significant, especially considering the economic, social, political and public health effects to endemic countries. A major threat to sustaining the reduction in malaria burden is the development and spread of resistance to antimalarial drugs by the Plasmodium parasites (mostly P. falciparum and P. vivax). Socioeconomic factors have been identified to affect antimalarial drug use behaviours. Nevertheless, the contributions of socioeconomic factors to antimalarial drug use behaviours have only been sparsely reported in studies; with most of the studies not primarily designed to identify or assess the association of these variables. In addition there is no existing systematic review of studies on the socioeconomic determinants of antimalarial drug use. Therefore, there is an important need for a systematic review to integrate the findings from the different primary studies so as to provide an insight into the interaction between these variables.

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Section: Educational Level and Antimalarial Drug Use Behaviourmentioning

confidence: 99%

Section: Expected Outcome Unexpected Outcome Studiesmentioning

confidence: 99%

Section: Educational Level and Antimalarial Drug Use Behaviourmentioning

confidence: 99%

Section: Appraisalmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Socioeconomic Determinants of Antimalarial Drug Use Behaviours: A Systematic Review

Anyanwu¹,

Fulton²

2016

J Comm Pub Health Nursing

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From Policy to Practice: A Review of Africa’s Public Health Policy

Otorkpa,

Adebola

et al. 2024

CAJPH

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Africa faces persistent health challenges, from infectious diseases to non-communicable illnesses, necessitating robust public health policies. However, the translation of these policies into effective practice remains a substantial challenge across the continent. This study employed a rigorous literature review, and policy analysis to shed light on the multifaceted factors impeding the successful transition from policy formulation to tangible health outcomes. Findings indicates that while Africa has made substantial progress in crafting health policies that align with global health goals, critical gaps persist in their execution. Major challenges include resource limitations, weak health infrastructure, insufficient capacity building, and complex socio-cultural dynamics that influence health behaviors and practices. In addition, bureaucratic hurdles, corruption, and lack of political will are identified as systemic barriers to policy implementation. The study highlights the need for adaptive and evidence-based policy making rigorous monitoring and evaluation mechanisms to track progress, and a multifaceted approach to bridge these gaps and address challenges. This includes strategic investments in healthcare infrastructure and workforce development, enhancing collaboration between governments and international partners, and fostering community engagement to ensure policies resonate with local contexts.

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Challenges and the Path Forward on Malaria Elimination Intervention: A Systematic Review

Shahandeh¹,

Basseri²

2020

ijph

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Background: This systematic review was conducted to highlights key challenges, and outlines important next steps to maximize the potential to contribute to the broader malaria elimination interventions. Methods: This systematic review on malaria elimination intervention and challenges was undertaken searching six databases, between 1995 and 2018. Inclusion and exclusion criteria were set. The references were collated and categorized according to type of study, intervention, population, and health outcome. Articles selection based on title and abstract, retrieval of full text and additions of articles from reference lists and recommendations from experts. Disagreement in data extraction was solved by consultation of third reviewer. Results: Overall, 4039 records were examined related to malaria elimination that initially identified by our designated electronic databases search. Overall, 35 studies contained 14 experimental studies (40%) and 21 analytic observational studies (60%) met the inclusion criteria for this review. Studies used a wide variety of malaria elimination interventions. Types of interventions either elimination-focused interventions or general interventions on educational, prevention and treatment of malaria are included. This review pointed out the variety of challenges for eliminate malaria among low and high endemic countries. Conclusion: Malaria elimination is facilitated by strong health systems, determined leadership, appropriate incentivization, an effective surveillance system, and regional collaborations. We have identified areas for elimination-specific interventions deserve more attention in the conduct and reporting.

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Progress toward elimination of malaria in Nigeria: Uptake of artemisinin-based combination therapies for the treatment of malaria in households in Benin City

Cited by 6 publications

References 19 publications

Socioeconomic Determinants of Antimalarial Drug Use Behaviours: A Systematic Review

Socioeconomic Determinants of Antimalarial Drug Use Behaviours: A Systematic Review

From Policy to Practice: A Review of Africa’s Public Health Policy

Challenges and the Path Forward on Malaria Elimination Intervention: A Systematic Review

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