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[afro-nets] JICA Malaria Control Strategy

JICA Malaria Control Strategy
-----------------------------

Malaria remains a major public health problem in Nigeria, par-
ticularly among the under five children and pregnant women.

Japan International Cooperation Agency (JICA) Nigeria office in
an attempt to assist the government of Nigeria conducted a base-
line survey in six urban highly populated communities in 3 Local
Government Areas (Surulere, Mushin and Ajeromi-Ifelodun) in La-
gos State. The survey was conducted in partnership with a local
community based organization known as "Lawanson Community Part-
ners for Health" (LCPH) based in Surulere Local Government Area
(LGA). The overall purpose is to provide valuable baseline in-
formation that could be useful in reducing prevalence of malaria
in the project communities.

The result of this survey showed apparently the need for a ho-
listic malaria control strategy. Major findings from the survey
which were presented to the relevant stakeholders includes high
incidence of malaria among the under 5 and pregnant women, poor
health and treatment seeking behaviour (self-treatment and under
doses), poor individual and community's preventive practices (no
use of ITN by the under 5 and pregnant women), poor environment,
inability to afford optimum therapy occasioned by inability to
pay for the cost of comprehensive treatment most importantly di-
agnosis.

Training community members in important issues related to ma-
laria causes, prevention with major emphasis on use of ITN and
improving the environmental sanitation were considered crucial
in reducing malaria morbidity and mortality in these communi-
ties. With the services of a private consultant, a training man-
ual was developed and consequently a TOT and CBOs training were
conducted.

Currently, JICA is discussing with the Lagos State Government on
how best to strategize in the intervention. The Overall Goal of
the proposed intervention is to create a malaria control model
that can be adapted and replicated in the whole of Lagos State
by the Government, while the project purpose is to reduce ma-
laria morbidity among the under 5 children and pregnant women
from 60% and 61% at baseline to 30% in the 3 LGAs by the year
2006. The main components of the proposed project are: Use of
ITNs, Advocacy, Education, Better Access to Health Care, Income
Generation, and Improvement of the Environment.

--
Mizan Siddiqi
mailto:msiddiqi@voxiva.net

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