Malaria infection and socioeconomic status of some residents of Port Harcourt metropolis, Rivers State, Nigeria

The study investigated the prevalence of malaria and socioeconomic status of subjects in part of Port Harcourt metropolis. Following ethical clearance which was obtained from the University of Port Harcourt and the parents of the subjects who gave their written consents, blood samples were collected and analysed following standard parasitological method from 200 subjects within the age bracket of 0-17years. The demographic characteristics of 200 subjects showed that more males, 105 (52.5%), were examined compared with females, 94 (47.5%). The socioeconomic status of subjects were grouped into higher class with 144 (72.0%), middle class with 22 (11.0%) and lower class with 34 (17.0%). Overall prevalence of 71 (35.5%) was recorded. Sex related prevalence showed that more males were infected with 42 (40.0%) and parasite density of 91120 μl than females with 29 (30.5%) and parasite density of 62480 μl. The differences in prevalence between males and females was not significant (P>0.05).The prevalence of malaria infections based on socioeconomic status showed that greater percentage of infection of 55 (38.2%) was recorded among the higher class with parasite density of 112880 μl followed by infection of 12 (35.3%) and parasite density of 29120 μl in the lower class with the least percentage of 4 (18.2%) and parasite density of 11600 μl recorded in the middle class. There was no significant difference (P>0.05) in infection rate on the basis of socioeconomic status. In Conclusion, malaria infection does not respect individual’s socioeconomic status. There is need to sustain the current intervention measures and awareness campaign among Port Harcourt residents for prevalence rate to be reduced to the desired zero level.Keywords: Malaria infection, prevalence, Parasite intensity, Socio-economic status

Concomitant typhoid infection in urinary Schistosomiasis in South Eastern Nigeria

No abstractGlobal Journal of Pure and Applied Sciences Vol. 11(3) 2005: 353-35

Factors affecting the delivery, access, and use of interventions to prevent malaria in pregnancy in sub-Saharan Africa: a systematic review and meta-analysis.

BACKGROUND: Malaria in pregnancy has important consequences for mother and baby. Coverage with the World Health Organization-recommended prevention strategy for pregnant women in sub-Saharan Africa of intermittent preventive treatment in pregnancy (IPTp) and insecticide-treated nets (ITNs) is low. We conducted a systematic review to explore factors affecting delivery, access, and use of IPTp and ITNs among healthcare providers and women. METHODS AND RESULTS: We searched the Malaria in Pregnancy Library and Global Health Database from 1 January 1990 to 23 April 2013, without language restriction. Data extraction was performed by two investigators independently, and data was appraised for quality and content. Data on barriers and facilitators, and the effect of interventions, were explored using content analysis and narrative synthesis. We conducted a meta-analysis of determinants of IPTp and ITN uptake using random effects models, and performed subgroup analysis to evaluate consistency across interventions and study populations, countries, and enrolment sites. We did not perform a meta-ethnography of qualitative data. Ninety-eight articles were included, of which 20 were intervention studies. Key barriers to the provision of IPTp and ITNs were unclear policy and guidance on IPTp; general healthcare system issues, such as stockouts and user fees; health facility issues stemming from poor organisation, leading to poor quality of care; poor healthcare provider performance, including confusion over the timing of each IPTp dose; and women's poor antenatal attendance, affecting IPTp uptake. Key determinants of IPTp coverage were education, knowledge about malaria/IPTp, socio-economic status, parity, and number and timing of antenatal clinic visits. Key determinants of ITN coverage were employment status, education, knowledge about malaria/ITNs, age, and marital status. Predictors showed regional variations. CONCLUSIONS: Delivery of ITNs through antenatal clinics presents fewer problems than delivery of IPTp. Many obstacles to IPTp delivery are relatively simple barriers that could be resolved in the short term. Other barriers are more entrenched within the overall healthcare system or socio-economic/cultural contexts, and will require medium- to long-term strategies. Please see later in the article for the Editors' Summary