Despite 66 percent reduction in mortality between 2000 and 2015, malaria remains a major global public health problem, affecting mostly Sub-Saharan Africa. Cameroon remains endemic to malaria, with about 41 percent suffering at least one episode of malaria, annual overall mortality of 30 to 35 percent and 67 percent childhood mortality. Cameroon government’s subsidy on artemisinin combination therapy (ACT) for uncomplicated malaria, intermittent preventive treatment for pregnant women (IPTp), free distribution of insecticide treated bed nets (ITNs) to pregnant women and under-fives have been more of a top-down approach, with the affected communities mainly at the receiving end. Challenges of failed adherence to test results, drug and insecticide resistance, substandard and self-medication, low ITN ownership and utilisation have been identified, especially in the rural areas. This study reviews malaria prevention in Cameroon and proposes community based context-specific complementary interventions strategies that will promote community participation in prevention and mitigate the effects of poverty towards achievement of the sustainable development goals targets for malaria. The study involved an in-depth review of secondary data from electronic and non-electronic documents. Electronic search was done in Global Health, PubMed, governmental and non-governmental organisation websites, journals and google scholar. Non-electronic documents from the University of Leeds and World Health Organisation (WHO), Geneva libraries were also used. A conceptual framework on integrated community-based approach on intervention to prevent neglected tropical diseases and infectious diseases of poverty was adapted and used, while different intervention strategies were analysed. A total of 96 publications were eligible for inclusion. Analysis of the factors influencing malaria prevention in Cameroon, reveals that current measures alone are insufficient. Therefore, a combination of multiple delivery strategies using an integrated community-based approach is likely to be more effective in breaking the transmission cycle than single programme interventions. Concurrent implementation of community mobilisation through social groups and Village Development Committees, education on house screening, training of mothers and caregivers and health promotion through environmental management were recommended as the best and most feasible strategies to complement current interventions in Cameroon.
| Published in | Central African Journal of Public Health (Volume 3, Issue 6) |
| DOI | 10.11648/j.cajph.20170306.12 |
| Page(s) | 97-109 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Malaria, Prevention, Community, Participation
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APA Style
Jato Denis Mbako, Dina Barffo, Roland Kuuzagr Nuotol, Raouf Alebshehy, Nura Musa Shuaib. (2017). Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review. Central African Journal of Public Health, 3(6), 97-109. https://doi.org/10.11648/j.cajph.20170306.12
ACS Style
Jato Denis Mbako; Dina Barffo; Roland Kuuzagr Nuotol; Raouf Alebshehy; Nura Musa Shuaib. Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review. Cent. Afr. J. Public Health 2017, 3(6), 97-109. doi: 10.11648/j.cajph.20170306.12
AMA Style
Jato Denis Mbako, Dina Barffo, Roland Kuuzagr Nuotol, Raouf Alebshehy, Nura Musa Shuaib. Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review. Cent Afr J Public Health. 2017;3(6):97-109. doi: 10.11648/j.cajph.20170306.12
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Download@article{10.11648/j.cajph.20170306.12,
author = {Jato Denis Mbako and Dina Barffo and Roland Kuuzagr Nuotol and Raouf Alebshehy and Nura Musa Shuaib},
title = {Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review},
journal = {Central African Journal of Public Health},
volume = {3},
number = {6},
pages = {97-109},
doi = {10.11648/j.cajph.20170306.12},
url = {https://doi.org/10.11648/j.cajph.20170306.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20170306.12},
abstract = {Despite 66 percent reduction in mortality between 2000 and 2015, malaria remains a major global public health problem, affecting mostly Sub-Saharan Africa. Cameroon remains endemic to malaria, with about 41 percent suffering at least one episode of malaria, annual overall mortality of 30 to 35 percent and 67 percent childhood mortality. Cameroon government’s subsidy on artemisinin combination therapy (ACT) for uncomplicated malaria, intermittent preventive treatment for pregnant women (IPTp), free distribution of insecticide treated bed nets (ITNs) to pregnant women and under-fives have been more of a top-down approach, with the affected communities mainly at the receiving end. Challenges of failed adherence to test results, drug and insecticide resistance, substandard and self-medication, low ITN ownership and utilisation have been identified, especially in the rural areas. This study reviews malaria prevention in Cameroon and proposes community based context-specific complementary interventions strategies that will promote community participation in prevention and mitigate the effects of poverty towards achievement of the sustainable development goals targets for malaria. The study involved an in-depth review of secondary data from electronic and non-electronic documents. Electronic search was done in Global Health, PubMed, governmental and non-governmental organisation websites, journals and google scholar. Non-electronic documents from the University of Leeds and World Health Organisation (WHO), Geneva libraries were also used. A conceptual framework on integrated community-based approach on intervention to prevent neglected tropical diseases and infectious diseases of poverty was adapted and used, while different intervention strategies were analysed. A total of 96 publications were eligible for inclusion. Analysis of the factors influencing malaria prevention in Cameroon, reveals that current measures alone are insufficient. Therefore, a combination of multiple delivery strategies using an integrated community-based approach is likely to be more effective in breaking the transmission cycle than single programme interventions. Concurrent implementation of community mobilisation through social groups and Village Development Committees, education on house screening, training of mothers and caregivers and health promotion through environmental management were recommended as the best and most feasible strategies to complement current interventions in Cameroon.},
year = {2017}
}
TY - JOUR T1 - Enhancing Malaria Prevention in Cameroon Through Community Participation: An in-Depth Review AU - Jato Denis Mbako AU - Dina Barffo AU - Roland Kuuzagr Nuotol AU - Raouf Alebshehy AU - Nura Musa Shuaib Y1 - 2017/11/08 PY - 2017 N1 - https://doi.org/10.11648/j.cajph.20170306.12 DO - 10.11648/j.cajph.20170306.12 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 97 EP - 109 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20170306.12 AB - Despite 66 percent reduction in mortality between 2000 and 2015, malaria remains a major global public health problem, affecting mostly Sub-Saharan Africa. Cameroon remains endemic to malaria, with about 41 percent suffering at least one episode of malaria, annual overall mortality of 30 to 35 percent and 67 percent childhood mortality. Cameroon government’s subsidy on artemisinin combination therapy (ACT) for uncomplicated malaria, intermittent preventive treatment for pregnant women (IPTp), free distribution of insecticide treated bed nets (ITNs) to pregnant women and under-fives have been more of a top-down approach, with the affected communities mainly at the receiving end. Challenges of failed adherence to test results, drug and insecticide resistance, substandard and self-medication, low ITN ownership and utilisation have been identified, especially in the rural areas. This study reviews malaria prevention in Cameroon and proposes community based context-specific complementary interventions strategies that will promote community participation in prevention and mitigate the effects of poverty towards achievement of the sustainable development goals targets for malaria. The study involved an in-depth review of secondary data from electronic and non-electronic documents. Electronic search was done in Global Health, PubMed, governmental and non-governmental organisation websites, journals and google scholar. Non-electronic documents from the University of Leeds and World Health Organisation (WHO), Geneva libraries were also used. A conceptual framework on integrated community-based approach on intervention to prevent neglected tropical diseases and infectious diseases of poverty was adapted and used, while different intervention strategies were analysed. A total of 96 publications were eligible for inclusion. Analysis of the factors influencing malaria prevention in Cameroon, reveals that current measures alone are insufficient. Therefore, a combination of multiple delivery strategies using an integrated community-based approach is likely to be more effective in breaking the transmission cycle than single programme interventions. Concurrent implementation of community mobilisation through social groups and Village Development Committees, education on house screening, training of mothers and caregivers and health promotion through environmental management were recommended as the best and most feasible strategies to complement current interventions in Cameroon. VL - 3 IS - 6 ER -
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