Knowledge and treatment practices of malaria among mothers and caregivers of children in an urban slum in Jos, Nigeria.
BACKGROUND
Malaria is a public health problem in more than 90 countries, inhabited by a total of 2.4 billion people, representing about 40% of the world's population. Major trends over the last few decades point to a worsening situation if effective action is not taken. Sadly, this is in spite of enormous efforts and resources that have been invested in its control. The objective of this study was to describe the level of knowledge of malaria as a disease and the practice of its treatment by mothers and caregivers of under five children in Gangare, an urban slum of Jos City, Nigeria.


METHODS
A cross-sectional descriptive study design, a cluster sampling technique and an interviewer administered questionnaire were used to collect information on socio demographic profiles as well as knowledge and treatment practices of malaria from mothers and caregivers of under five children in Gangare, Jos North Local Government Area of Plateau State, central Nigeria. The data was then analyzed using Epi info2002 epidemiological software.


RESULTS
The study revealed a low level of knowledge of malaria with 248 (49.6%) being able to recognize the disease and only 124 (24.9%) attributing it to the mosquito bite. The attitude of most respondents towards malaria as an illness was however good as 275 (55%) viewed it as a very serious illness and most of them 328 (65.6%) would use hospitals/clinics for treatment. Majority of them; 462 (92.4%) have not heard of Artemisinin Combination Therapy (ACT) and only 19 (50%) of those who had heard of ACT had ever used it for the treatment of malaria. Generally their knowledge of malaria and treatment seeking practice are influenced by cost of treatment, perceived safety and level of their education. (p < 0.05).


CONCLUSIONS
Among mothers and caregivers living in slums in Jos, their ability to recognize malaria is poor. So also is their awareness and use of Artemisinin Combination Therapy. An improvement in their level of education and their economic power could improve their knowledge and treatment practices.
Daboer
J C
JC
Department of Community Health, Jos University Teaching Hospital, Jos. jonathandabor@yahoo.co.uk
John
C
C
Jamda
A M
AM
Chingle
M P
MP
Ogbonna
C
C
D000328:Adult; D000962:Antimalarials / Q000627:therapeutic use*; D017028:Caregivers / Q000193:education* / Q000523:psychology / Q000706:statistics & numerical data; D002662:Child Health Services / Q000706:statistics & numerical data; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008288:Malaria / Q000188:drug therapy* / Q000453:epidemiology / Q000635:transmission; D008297:Male; D009035:Mothers / Q000193:education* / Q000523:psychology / Q000706:statistics & numerical data; D009549:Nigeria / Q000453:epidemiology; D011204:Poverty Areas; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013997:Time Factors
D000962:Antimalarials