| dc.description.abstract | Malaria is a serious public health problem, yet preventable and treatable.The disease is one of the
world’s highest rates of all cause of mortality for children under five, and about one in six children
die before their fifth birthday. Hence, mothers of under-five and caregiver have a pivotal role to
play in tackling this issue by improving their knowledge and skills concerning the treatment,
prevention and control using appropriate approach.This study was carried out to assess knowledge,
practices and perception of malaria and its home management using Artemisinin-based
Combination Therapy (ACT). inYemetu community of Ibadan North Local Government.
The study was a descriptive cross-sectional survey involving the use of Expanded Programme on
Immunization to facilitate the sampling and interview of respondents. This included recruiting all
the mothers of under-five in Yemetu community who gave consent for the study. Four hundred
(400) mothers of under-five in Yemetu community consented to participate in the study and were
selected. A validated semi-structured questionnaire and self-administered questionnaire was used
for data collection and respondents were assessed on a 62-point knowledge, 5-points practice and
17-points perception scales. Knowledge score ≤21 were rated poor, scores ≥22≤42 fair and scores
≥43 were considered good. Practice score ≤3 was recorded poor practice while scores ≥3 good
practice. Perception scores ≤ 9 were considered unfavorable perception and scores ≥ 9 were
considered favorable. Descriptive statistics and chi square tests were used to analyze data at 95%
level of significance.
Respondents’ mean age was 29.9 ± 7.0 years. 91.1% of them were Yoruba. Majority (91.0%) were
married and (91.1%) were Yorubas. Only 23.0% correctly identified plasmodium as a cause of
malaria. The correctly mentioned signs and symptoms of simple malaria were; cold (89.3%), body
ache (91.3%) and fever (88.5%). The fairly correct home management practice steps include;
Exposure of baby to fresh air, administration of paracetamol, and then provision of coartem(2.6%)
and bathing the baby, use of paracetamol and administration of coartem (1.3%). Negative
perception shown by the respondents include: Only (15.0%) believed that malaria is a disease of
the poor and preference of herbal medicine to medical medicine for treating children at home when
they have malaria episode because it is cheaper (19.8%). Overall, 2.9% had poor knowledge,
majority (87.3%) had fair knowledge and 9.8% had good knowledge.
There are several gaps in the respondents’ knowledge relating to malaria and its management in
under-five. Therefore, there is need for peer education/training approach in this regard to upgrade
mothers’ knowledge and skills concerning the treatment, prevention and control of malaria. | en_US |
