ASSESSMENT OF IMPACT OF ROLL BACK MALARIA PROGRAMME A CASE STUDY OF BIRNIN KUDU LOCAL GOVERNMENT, JIGAWA STATE.

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ABSTRACT


The study was designed to assess the impact of roll back malaria programme in Birnin kudu local government Jigawa State to do the study, three (3) project were made based on which three research question were drawn. The population of the study was sampled out of the entire population of inhabitant in the study are literature related to the subject matter was reviewed under different sub-heading samples sizes of one hundred and twenty (120) respondents were used. The instrument questionnaire was validated and tested for variability data were presented and analyzed using sample percentage. The conclusion were d rawn based on the following that despite the existence situation of the country economic arises still government and other agencies are trying to overcome the problem of malaria recommendation were made among others that a charge of behavior, information education and communication campaign be targeted to the large, low income population where malaria is most prevalent.

 

 

 









TABLE OF CONTENTS


Title page

Declaration

Certification

Approval page

Dedication

Acknowledgement

Table of content

Abstract


CHAPTER ONE

1.0 Introduction

1.1 Background of the study

1.2 Statement of the problem

1.3 Significant of the study

1.4 Scope of the study

1.5 Aims and Objectives

1.6 Research question

1.7 History of the study

1.8 Abbreviation Definition of terms


CHAPTER TWO

2.1 Introduction

2.2 History of malaria

2.3 History of malaria eradication

2.4 Goals of roll back malaria

2.5 The elements of roll back malaria

2.6 Roll of WHO in RBM strategies

2.7 RBM status in Nigeria opportunities and strengths

2.8 Concept of insecticidal treated nets massive promotion and awareness campaign (IMPAC)

2.9 Criteria for participating insecticidal massive awareness promotion campaign (IMPAC)


CHAPTER THREE

3.0 Methodology

3.1 Introduction

3.2 Study design

3.3 Study setting and sampling techniques

3.4 Sampling technique

3.5 Instrument design

3.6 Method of data collection

3.7 Pretest and pilot study

3.8 Method of data analysis


CHAPTER FOUR

4.0 Data presentation and analysis

4.1 Introduction

4.2 Data presentation

 

CHAPTER FIVE

5.0 Summary, Conclusion and Recommendation

5.1 Summary

5.2 Conclusion

5.3 Recommendation

Reference

Appendix, Questionnaire

 

 

 

  

 

CHAPTER ONE


1.0 INTRODUCTION

1.1 BACKGROUND OF THE STUDY

So much have been said about malaria that must people tend to ignore any new drug on it. This can be spelt down for a developing nation like Nigeria and rural communities in particular.

Malaria is still the singular most cause of mortality and morbidity among in fact and pregnancy women in the community in fact everybody in the community in developing countries are exposed to the encourage of this disease at any point O time.

Sabitu, (2002) A good member of children die from the complication of this disease annually. Malaria have been known since time immemorial, Bayd, (1979).

The true cause were understood, prevention sly it was thought that Miasma (bad air or gas from swamps) "Malaria the Mosquito caused disease known as which lead the Malaria freed of Malaria or have the number of caused reduced, for instance United State of America. Merieum (1828).

Most tropical countries like Nigeria were the disease is endemic over seeing renewed resurgence of malaria. The reasons are the renewed spread of mosquito which is the carrier of the disease in community which could be due to poor environmental condition and the negative attitude toward regular clearing of their have been learn to recognize the symptoms. The patients frequently diagnose their own malaria by observing the symptoms and in particular the fever. Unfortunately, fever is not unique to malaria because other disease also start with fever and such confusion may lead to misdiagnosis and a delay in establishing a correct diagnosis there is lies the problem. Malaria is a serious disease in children under five years (5) in the community and obtain lead to death, malaria in children present a number of difficulties that number of the community cannot easy recognized. This include lack of sign and predisposing to other infection, malaria is caused by parasitic infection in human blood which circulates in the blood stream such that when mosguito bites an infected person it suck up the blood which contains the parasite. The mosquito itself does not suffer any adverse effect but serve as vehicle in which the parasite undergoes some development when the mosquito pieces another it injects infectious parasite into blood streams and thus transmit malaria from man by female anopheles mosquito. The sign and symptoms of malaria may be sudden and severe and also difficult to distinguish from other disease apart from the fever that is easily recognized by the peoples. Other symptoms like headache, nausea, vomiting and diarrhea are always attributing to poison or witchcraft in the Community. The goal of malaria control in endemic area is to reduce as much as possible the health impact of malaria in a population using the resources available and taking into account other health priorities. Malaria control does not aim at eliminating malaria totally; complete elimination of malaria parasite (and thus the disease) could constitute eradication. While eradication is more desirable, it is not currently a realistic goal for most of the countries where malaria is endemic. Malaria is complex but it is curable and preventable disease. Live cannot save if the disease it is deleted early and adavately treated. In order to reduce the occurrence of malaria the technology to prevent, monitor, diagnose and treat malaria should be suitable to local conditions and should be applied through local and national control program such as roll back malaria (RBM).

 

 

1.2 STATEMENT OF THE PROBLEM

Malaria is characterized by fever, it is very unfortunate that most people in the community are not aware that increase in in the body temperature rather than allowing the sick to cool off, they cover their body with wrapper thus worsening the situation. This has caused increase morbidity and mortality especially among infants.

Some of the cases of premature labor and other in the area may be attributed to mosquito bites, pregnant do not protected them against mosquito attack, more so, and they do not believe malaria can be responsible for premature labor and abortion. Rather they think it is the hand work of witches and wizards.

Members of the community find it very difficult to walk to heath center for diagnosis and treatment of their sickness but rather prefer to purchase drugs from hawkers who are very close and accessible to them. It is assumed that most of these malaria drugs sold in those places may be fake, thus hindering affective treatment and control of malaria.

Most dwellers of the community are poor based on this fact, they cannot afford to buy drugs for effective treatment, and thus malaria is more common with poor people in the community. More so, this work throws light on the people attitudes that negate the control of malaria. Everybody in the community is exposed to malaria atleast once in life; consequently the finding of this research will give an insight on the burden of malaria on the family.


1.3 SIGNIFICANCE OF THE STUDY

The significant of this study is to reduced morbidity and mortality of people due to malaria infection especially children under five (5) years of age pregnant women and non-immune immigrant also to examined the knowledge of peoples about the Contribution of governmental and non-governmental organization in the roll back malaria programme, to determine the existence of health workers and their contribution to roll back malaria programme, to know the knowledge level of peoples about the existence of malaria.


1.4 SCOPE OF THE STUDY

The study is limited to Birnin kudu town only due to time factor and financial constraints and is designed only to access the impact of roll back malaria within Birnin kudu town.


1.5 AIM AND OBJECTIVES OF THE STUDY

1.5.1 Aim of the study

The aim of the study is to Assess the impact of roll back Malaria programme in

Birnin kudu L.G.A.

1.5.2 Objectives of the study

1.     To evaluate the impact of roll back malaria programme been done so far on the people of Birnin kudu town of Birnin kudu local government.

2.     To assess the role of government policy makers, non-government organization and the workers in term of roll back malaria strategy and implementation.

3.     To ascertain the existence of roll back malaria programme and it's relevant the populace of the town area.

 

1.6 RESEARCH QUESTIONS

RESEARCH QUESTION ONE

Does the programme of roll back malaria has any impact on the of people of Birnin kudu town, Birnin kudu local government?


1.6.1 Hypothesis one

The programme of roll back malaria has great impact on the people of Bimin kudu town of Bimin kudu local government.

1.6.2 Research question two

Is there any role of government and non-government organization on the programme of roll back malaria?

1.6.3 Hypothesis two

There is role of government and non-governmental organization on the roll back malaria.

1.6.4 Research question three

Does the health worker have any role to play in the implementation of the roll back malaria programme?

1.6.5 Hypothesis three

The health workers in the community have a role to play in the implementation of roll back malaria programme.

 

 

1.7 HISTORY OF THE STUDY ONE'SS

The description of my study area which is Bimin kudu local government was traced back since before the creation of Jigawa state. The local government was created in the 1974 during the military of General Yakubu Gawon.

Birnin kudu town is situated at 11.45 North latitude 9.5° East longitude and 474 meteters elevation above the sea level. Birnin kudu is a small city in Nigeria having bout 26,565 in habitants, is also one of the twenty seven (27) local government in Jigawa state it has eleven (11) political wards and has an estimated population of 27,000 according to 2006 population census.

Birnin kudu shared boarder with Kano and Bauchi state by it is about 120kilometer in the eastern-south of Kano state and about 52.7 kilometer away from Ningi, Bauchi state in the northern part.

Birnin kudu is one of the oldest local government in Nigeria, which names as national head quarter during the colonial (British rule and is one of the peaceful local government is of the study has many primary school, secondary school and tertiary school like college of nursing and Midwifery, Driven school. It has a very good market which attract many people from the state and neighboring state.

Hausa and Fulani are the more dominanit of the area, with few sites who restle in the cases because of the good weather business and other locai amenities of the area.


1.8 ARBREVIATION (DEFINITION OF TERMS)

1.8.1 Fever: - An increase of the body temperature above normal.

1.8.2 Eradication: - Implies the elimination of malaria parasites from human population so that there is no resumption of transmission even in the presence of vectors.

1.8.3 Control: - The reduction of disease to the minimum level where it no longer constitute a major public health problem.

1.8.4 Epidemic: - The occurrence in a given area above normal expectation (when many cases arising within a short time in the same community).

1.8 5 Endemic: - The Occurrence of diseases in an area.

1.8.6 Morbidity: - The state of being diseased.

1.8.7 Mortality: -Number of frequent of death.

18.8 Vaccines: - Suspension or productivity infectious agents used to chietly for producing active immunity.

1.8.9 Parasite: - A parasite is a microorganism which entirely dependent for all or part of its life cycle and metabolic requirement on its host at the expense of the host.

1.8.9 Immunity: - An intrinsic ability of the body to resist an infection.

1.8.10 Prevention: - The act of preventing disease or illness e.g malaria.

1.8.11 Sporadic: - Refers to disease that occur in scattered area.

1.8.12 Anti malaria: Against malaria.

8.13 Complication: - Refers to as the secondary disease arising in the cause of primary disease.



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