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Item Perception and affordability of long-lasting insecticide-treated nets among pregnant women and mothers of children under five years in Ogun State, Nigeria(Elsevier Limited, 2014) Adeneye, A. K.; Jegede, A. S.; Nwokocha, E. E; Mafe, M. A.Summary Despite the distribution of long-lasting insecticide-treated nets (LLINs) in Nigeria, access to and use of LLINs continues to be minimal. Little is also known about the perceived fair price people are willing to pay for LLINs in Ogun State, South-West Nigeria. Data were collected using semi-structured questionnaire among pregnant women attending antenatal clinics and mothers of under-five children in randomly-selected malaria holo-endemic communities of Ijebu North and Yewa North local government areas of Ogun State. Results showed that only 23.6% of 495 respondents owned and were using LLINs. One of the main reasons for non-use of LLINs was unaffordability of LLIN cost. 84.2% of the 495 respondents were willing to pay at a hypothetical price of N800.00 (US$5.00) for a LLIN, 15.6% were unwilling and 0.2% was indifferent to buying it at the price. Their willingness to pay was significantly determined by education and occupation (p = 0.00). Health education strategies need to be developed to increase awareness and demand for LLINs. However, there is the need to take into account preferred access outlets and the diversity in willingness to pay for LLINs if equity to access is to be ensured in the study communities.Item Awareness of antimalaria policy and use of Artemisinin-based combination therapy for malaria treatment in communities of two selected local government areas of Ogun State, Nigeria(Longwoods Publishing, Corp, 2014) Adeneye, A. K.; Jegede, A. S.; Mafe, M. A.|; Nwokocha, E. E.With limited data on the awareness of change in the use of antimalaria drugs and availability and use of artemisinin-based combination therapy (ACT) in the context of the Roll Back Malaria (RBM) program, we conducted the descriptive cross-sectional study of 262 registered women attending antenatal clinics and 233 mothers of under-five children. We used a questionnaire to assess the awareness, availability and the use of ACT in Ijebu North and Yewa North Local Government Area (LGAs) of Ogun State. Malaria is holo-endemic in these areas, and the RBM program has been implemented for years prior to the 2010 RBM deadline. Data were also collected through focus group discussions, along with secondary data from hospital records. Hospital stock records showed inadequate and inconsistent supplies of ACT drugs in hospitals surveyed. Only 23.0% of respondents knew about Act drugs. About 48% preferred analgesics over ACT drugs (0.6%) for malaria treatment. Lack of awareness was the major reason for non-use of ACT drugs (86.1%). Communities in Yewa North had more supplies of ACT drugs and knew more about ACT than those in Ijebu North. Adequate information on ACT needs to be made available and accessible under a public-private partnership if 2010 RBM targets (now past) and the 2015 Millennium Development Goal (ongoing) for malaria are to be realized in the study communities and Ogun state in general.Item Community perceptions and home management of malaria in selected rural communities of Ogun state, Nigeria(2013-08) Adeneye, A. K.; Jegede, A. S; Mafe, M. A.; Nwokocha, E. E.Home Management of Malaria (HMM) is a component of the roll back malaria (RBM) programme being implemented for over a decade to reduce the malaria burden. This study examined the extent to which HMM has raised the ability in promptly recognising and treating malaria at home. This was a descriptive cross-sectional study of 262 pregnant women attending antenatal clinics and 233 mothers of under-five children using semi-structured questionnaire in Ijebu North and Yewa North local government areas of Ogun State. Data collection also involved focus group discussions. Quantitative and qualitative data were analysed using EpiInfo 6.04a and Textbase Beta softwares respectively. Only 32.7% of respondents knew about HMM. About 48% preferred analgesics unlike ACTs (0.6%) for malaria treatment. While 45.5% (61.1% Yewa North vs. 29.2% Ijebu North) knew LLIN, only 23.6% used it. Lack of awareness was the major reason for non-use of ACTs (86.1%) and LLINs (71.3%) in HMM. Locality, age, and education significantly determined awareness and use of ACTs and LLIN (p<0.05). Adequate information and stock of ACTs and LLINs should be made available and accessible for the RBM and MDG targets to be realised in the study communities.Item A Pilot study to evaluate malaria control strategies in Ogun State, Nigeria(Longwoods Publishing, Corp, 2007) Adeneye, A. K.; Jegede, A. S.; Mafe, M. A.; Nwokocha, E. E.With limited evidence of decreases in malaria-related mortality and morbidity, and nearly half the time to the 2010 deadline of Roll Back Malaria (RBM) targets now past, we conducted this study to assess the awareness, accessibility and use of malaria control strategies among at-risk groups within the context of RBM in Nigeria. It was a descriptive, cross-sectional pilot study of 34 registered women attending antenatal clinics and 34 mothers of children less than five years old, using a questionnaire in a malaria holo-endemic community of Ogun State, Nigeria. Results showed that 14.7% and 16.2% of all respondents interviewed were aware of the home management of malaria (HMM) program (17.6% of mothers of children under five years vs. 11.8%of pregnant women) and the change in policy on malaria treatment (23.5% of mothers of children under five years vs. 8.8% of pregnant women) respectively. Younger respondents knew more about HMM than older ones (p <.05). Most (63.2%) of the 68 respondents (64.7% of mothers of children under five years vs. 61.8% of pregnant women) interviewed knew about insecticide treated nets (ITNs); however, only 22.1% were using the treated material. Reasons given by those not using ITNs included: they did not know about ITN prior to the interview (43.3%), they had no money (41.5%) and they did not know where to get it (7.6%). Only 5.8% of mothers of children less than five years old, and none of the pregnant women, had taken the new combination drug. Eight (23.5%) of the 34 pregnant women interviewed knew about intermittent preventive treatment of malaria for pregnant women (lPT), while two (25.0%) of these eight women had received a preventive treatment dose. The results of this pilot study showed that efforts need be intensified to make adequate information and materials relating to the different malaria control strategies more available and accessible at the community level to achieve and sustain the RBM goals, both in Ogun State and in Nigeria in general. However, a larger study is needed to provide more generalized findings