ABSTRACT
This study assessed the awareness and perception of people on the causes and effects of malaria among individual in Kachi community, Dutse Local Government Area, Jigawa State. A total of ninety-six (96) respondents were selected through simple random and availability sampling techniques for questionnaire distribution. As such, the analysis was based on the returned 96 questionnaires. The study found that most of the respondents were aware of the factors responsible for malaria infection among individuals in Kachi community. It also found that, most of the respondents said that poor sanitation is the major factor responsible for malaria infection in individuals in Kachi community. In addition, the study found that, almost all the respondents are aware of the effects of malaria among individuals in the study area. Also, the study found that, most of the respondents said that disease infections are the major effects of malaria among individuals in the study area. Furthermore, the study shows that, most of the respondents are aware of the possible measures to address malaria infection among individuals in Kachi community. And finally, the generally concluded by recommending regular cleaning of environment to help address malaria infection in the study area.
TABLE OF CONTENTS
Title Page………………………………………………………………………………………….i
Certification.……………………………………………………………………………………...ii
Declaration ………………………………………………………………………………………iii
Dedication…...……………………………………………………………………………………iv
Acknowledgement……………………………………………………………………………...…v
Table of Contents…………………………………………………………………………………vi
List of
Tables…..………………………………………………………………………………...vii
List of Acronyms………………………………………………………………………………..viii
Abstract…………………………………………………………………………………………...ix
CHAPTER ONE
1.1 Introduction…………………………………………………………………………………….1
1.2 Statement of the Problem………………………………………………………………….......2
1.3 Justification……………………………………………………………………………………3
1.4 Aim and Objectives of the Research…………………………………………………………...4
1.5 Scope and
Limitation of the Study……………………………………………………………..4
1.6 Definition
of Terms..…………………………………………………….…………………….4
CHAPTER TWO
LITERATURE REVIEW
2.1 Introduction……………………………………………………………………………………6
2.2 Concept of Malaria ……………………………………………………………………………6
2.3 Factors Promoting the Spread of Malaria among
Pregnant Women……………………………6
2.4 Disease Transmission……………………………………………………………………….…7
2.5 Pathology………………………………………………………………………………………8
2.6 Species of Malarian Parasite………………………………………………………………...…9
2.7 Life Cycle of Malarian Parasite………………………………………………………………10
2.8 Sign and Symptoms………………………………………………………………...………...11
2.9 Prevention and Control of Malaria ………………………...…………………………………12
CHAPTER THREE
MATERIAL AND METHODS
3.1 Introduction..…………………………………………………………………………………15
3.2 Study Area...………………………………………………………………………………….15
3.3 Research Design…...…………………………………………………………………………16
3.4 Population of the Study……………………………………………………………………….16
3.5 Sampling Size and Sampling Techniques…………………………………………………….16
3.6 Instruments for Data Collection………………………………………………………………16
3.7 Validity and Reliability of the Instrument………………………………………………….…16
3.8 Administration of the Instrument……………………………………………………………..16
3.9 Techniques for Data Analysis …..……………………………………………………………17
CHAPTER FOUR
DATA ANALYSIS AND PRESENTATION
4.1:
Socio-Demographic Characteristics of the Respondents……………………………………18
4.2:
Substantive Issues……………………………………...……………………………………22
4.3
Discussion of Major Findings………………………………………………………………..25
CHAPTER FIVE
5.1 Summary……………………………….……………………………………………………27
5.2 Conclusion…………………………….…………………………………………………….28
5.3
Recommendations……...……………………………………………………………………28
References……………………………………………………………………………………….29
Appendix
I………………………………………………………………………………………..31
LIST OF TABLE
LIST OF TABLES
Table 1: Respondents Gender Distribution - - - - - - -18
Table 2:
Age Distribution of the respondents - - - -
-18
Table 3:
Marital Status Distribution of the Respondents - - - - - -19
Table 4: Occupation of the respondents - - - - - - - -19
Table 5:
Level of Income of the respondents - - - - - -
- -20
Table 6:
Religion of the respondents - - - -
- - - -20
Table 7:
Tribal Status
Distribution of the Respondents - - - - -21
Table 8:
Educational Qualification of the Respondents- - - -- - - -21
Table 9:
Respondents Awareness on the Factors Responsible for Malaria among Individuals
in Kachi Community, Dutse Local Government Area, Jigawa State - - - -
-
- 22
Table 10:
Respondents Views on the Factors Responsible for Malaria among Individuals in
Kachi Community, Dutse Local Government Area, Jigawa State - - - -
- - -
- - 22
Table 11:
Respondents Awareness on the Effects of Malaria among Individuals in Kachi
Community, Dutse Local Government Area, Jigawa State - - - -
- - - 23
Table 12:
Respondents Views on the Effects of Malaria among Individuals in Kachi
Community, Dutse Local Government Area, Jigawa State - - -
- - -
- - -
- - -
23
Table 13:
Respondents Awareness on the Possible Solutions to Malaria among Individuals in
Kachi Community, Dutse Local Government Area, Jigawa State - -
- - - 24
Table 14:
Respondents Views on the Possible Solutions to Malaria among Individuals in
Kachi Community, Dutse Local Government Area, Jigawa State - - - - -
- - -
- - 24
CHAPTER ONE
BACKGROUND OF THE STUDY
1.1
Introduction
Malaria
is one of the most severe global public health problems worldwide, particularly
in Africa, where Nigeria has the greatest number of malaria cases. And this is
contained in a report by the World Health Organisation (WHO) in the year 2022
where it stated that, malaria transmission in Nigeria is abysmally high with
over 76% of the population reporting more than 1 case per 1,000 populations
annually (WHO, 2020). There was a less than 50% decrease in projected incidence
of malaria from 2015–2019 (WHO, 2022). Nigeria and the Democratic Republic of
Congo account for more than 35% of the global total of estimated malaria deaths
(WHO, 2019). Malaria is principally caused by protozoa (Plasmodium species) and
is transmitted through the bite of an infected female Anopheles mosquito (Idowu,
2017). Within the tropics and sub-tropics, human malaria is seen to be the
widest spread vector-borne disease (Ahmad et al., 2017). Available
statistics have documented that malaria is highly endemic in Nigeria with over
90% of the populace at risk of infection (Fadei, 2018). It is the prime cause
of 60% outpatient consultation for all age groups and at least half of the
Nigerian populace is exposed to at least one bout of malaria attack every year
(Mwangangi).
In
another report by Chaturvedi (2016), Nigeria suffers the world’s greatest
malaria burden, with approximately 51 million cases and 207,000 deaths reported
annually (approximately 30 % of the total malaria burden in Africa), while 97 %
of the total population (approximately 173 million) is at risk of infection.
Moreover, malaria accounts for 60 % of outpatient visits to hospitals and led
to approximately 11 % maternal mortality and 30 % child mortality, especially
among children less than 5 years. Malaria is caused by Plasmodium falciparum,
and the mosquitoes Anopheles gambiae, Anopheles funestus, Anopheles arabiensis,
and Anopheles moucheti are the major vectors that cause year-round
transmission; artemether-lumefantrine (AL) or artesunate + amodiaquine (AS +
AQ) is the treatment regime adopted in 2004 [1, 7]. This devastating disease
affects the country’s economic productivity, resulting in an estimated monetary
loss of approximately 132 billion Naira (~700 million USD), in treatment costs,
prevention, and other indirect costs (Fwa, 2017).
In
Nigeria, the main diseases of the environment are diarrhoeal disease, lower
respiratory infections, unintentional injuries, and malaria (Mwangangi, 2018).
In children under the age of five, one third of all disease is caused by the
environmental factors such as unsafe water and air pollution (WHO, 2019). The
poor state of food sanitation in the country has been shown to play a
significant role in the etiology of food borne diseases (UNICEF, 2018). One of
the most significant diseases that arise from poor sanitation is diarrhea (Fwa,
2017). Deaths resulting from diarrhea are estimated to be between 1.6 and 2.5
million every year (Bellamy, 2017). However, of the essential public health
care elements is provision of safe drinking water and sanitation (Mwangangi,
2018). However, deposition of faecal matter near homes, contamination of
sources of drinking water (sometimes caused by poorly designed or maintained
sewage system), dumping of refuse and sweeping into the gutters, defecating and
disposing of faeces by the street corners and waterways and selling of food
stuffs and cooked food by the road side are all unwholesome practices that pose
potential risk to the development of diseases (Hook, 2018).
1.2
Statement of Problem
Malaria
is one of the most vulnerable, widespread, life-threatening infectious diseases
that cause millions of deaths across the globe (WHO, 2022, 2016). The disease
malaria not only affects the population in an area, but also disposes
significant loss to the national economy and financial condition. Thus, poor sanitation
is a major cause of disease such as malaria world-wide and improving sanitation
is known to have a significant beneficial impact on health both in households
and across communities (Idowu, 2017). The word sanitation also refers to the
maintenance of hygienic conditions through services such as garbage collection
and waste-water disposal (WHO, 2021). The essential components of environmental
sanitation include: solid waste management; medical waste management; excreta
and sewage management; food sanitation; sanitary inspection of premises; market
and abattoir sanitation; adequate potable water supply; school sanitation; pest
and vector control; management of urban drainage; control of reared and stray
animals; disposal of the dead animals; weed and vegetation control; hygiene
education and promotion (Mwangangi, 2018).
In
Kachi community of Dutse Local Government Area of Jigawa State, adequate
environmental sanitation has not been strictly adhered to. For instance, in many
parts of Nigeria, living with waste as part of the natural environment has
become a way of life (Abubakar, 2017). Although there has been a remarkable
improvement from what it used to be in the late eighties/early nineties, there
is still much to be done. This therefore geared my interest towards carrying
out this study so as to examine the awareness and perception of people on the
causes and effects of malaria among individual in Kachi community, Dutse Local
Government Area, Jigawa State.
1.3 Justification
The
justification for conducting this research is to create awareness and
sensitization on the impact of environmental sanitation in the control and
prevention of malaria. Also, the study will aid the relevant stakeholders such
as the government, health workers and the general community by way of
highlighting various environmental sanitation that will help address malaria.
1.4 Aim and Objectives of the Research
The aim of conducting this study is to examine the effectiveness
of the environmental sanitation in the control and prevention of malaria in
Dutse Metropolis. As such, the specific objectives of this research are:
1.
To examine the extent to which the inhabitants
of Dutse control and manage of waste.
2.
To identify the rate of malaria infection
among inhabitants of the study area.
3.
To find out the effectiveness of these environmental sanitation measures in
the control and prevention of malaria.
4.
To examine the effect of environmental
sanitation on the spread of malaria among inhabitance of Dutse metropolis.
1.5 Scope and Limitation of the Study
This
research will be limited to the study of the effectiveness of environmental
sanitation in the control and prevention of malaria in Dutse Metropolis due to
time and financial constraints.
1.6 Definition of Terms
Causes:
refers
to certain factors that held responsible for malaria.
Community:
refers
to a group of living in the same place and usually having particular
characteristics in common.
Control:
refers
to various measures to manage the incidents of malaria.
Environment:
refers
to geographical location or boundary that individuals live.
Malaria:
refers
to as an intermittent and remittent fever caused by a protozoan parasite which
invades the red blood cells and is transmitted in mosquitoes in many tropical
and subtropical regions
Parasite:
refers
to those micro-organisms that belong to genus plasmodium.
Perception:
refers
to certain opinion on the causes, effects and possible solutions to malaria
infection among individuals.
Plasmodium:
refers
to a parasitic protozoan of a genus which includes those causing malaria.
Prevention:
refers
to various measures to deter malaria incidents from occurring.
Signs:
refers
to certain indications that shows the incidents of malaria.
Species:
refers
to a group of living organisms that can produce with one another in nature and
produce fertile offspring.
Symptoms:
refers
to certain manifestation of disease apparent to the patient.
Transmission:
refers
to the infection of malaria.
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