Skip to content
DraconiticResearch
Search Sources API
203,234 studies31 sourcesUpdated 24 min ago
Peer-reviewedCC BY-NC-ND 4.0Malaria Journal

Situational analysis of malaria in children aged 0–5 years and pregnant women in the Tiko Health District, Cameroon, since the inception of the Roll Back Malaria (RBM) strategy, 2011–2018

  • Tamnjong Evert Nkusi1
  • Mac Brine Adille Ngabe1
  • Arole Darwin Touko1
  • Eyong Mathias Esum1,2
  • Achiangia Patrick Njukeng3
  • Oru Ivo Ita4
4 affiliations
  1. 1Faculty of Science, Department of Microbiology and Parasitology, University of Buea, Buea, Cameroon
  2. 2Faculty of Science, Department of Parasitology, University of Buea, South West Region Buea, Cameroon
  3. 3Faculty of Science, University of Buea, South West Region Buea, Cameroon
  4. 4Faculty of Health Science, Department of Public Health and Hygiene, University of Buea, South West Region Buea, Cameroon
Read full textDOICite

Abstract

Introduction: Malaria remains a major public health problem in endemic areas such as the Tiko Health District (THD), South West Region of Cameroon, despite the ongoing Roll Back Malaria (RBM) strategy. This study assessed the situational analysis of malaria in children aged 0–5 years and pregnant women in the THD from 2011 to 2018.

Methods: The study employed a hospital-based retrospective-prospective cross-sectional design. Retrospective malaria prevalence and morbidity data were extracted from consultation, antenatal care (ANC), and laboratory registers of three randomly selected health facilities in the THD for 2011–2018. A cross-sectional survey was conducted using structured questionnaires administered to pregnant women and caregivers of children aged 0–5 years to assess their knowledge and self-reported utilization of Long-Lasting Insecticidal Nets (LLINs).

Results: The overall malaria prevalence between 2011 and 2018 was 79.10% (95% CI 76.36–80.82%) among pregnant women (out of 1000 records) and 76.02% among children aged 0–5 years (out of 9275 records). Among pregnant women with malaria, 79.39% (628/791) suffered from complicated malaria, while 62.09% (4378/7051) of children with malaria had uncomplicated malaria. The mortality rates during the study period were 0.19% (67/34825) among children aged 0–5 years and 0.02% (3/6583) among pregnant women. In the cross-sectional survey, 79.40% (214/270) of pregnant women and 81.61% (126/154) of caregivers reported that they or their children slept under LLINs the previous night. Only 54.70% of pregnant women demonstrated good knowledge about malaria in the cross-sectional survey. There was a significant association between caregivers’ knowledge about malaria and the utilization of LLINs by their children (χ2 = 7.8742, p = 0.005).

Conclusions: Despite implementation of the RBM strategy, malaria prevalence and morbidity remained high in the THD. Suboptimal knowledge and gaps in effective LLIN use and Intermittent Preventive Treatment in pregnancy (IPTp) uptake indicate the need for targeted community education, improved intervention coverage and enhanced health system capacity for surveillance and case management.

Related

  1. Molecular characterization and genetic diversity of hepatitis B virus among health care workers in the Bamenda Health District, Northwest Region, Cameroon.
    Etheline W Akazong, Richard Njouom, Marie Amogou +3
    IJID regionsPeer-reviewedCC BYFull textEpidemiology & public healthEurope PMC
  2. Antenatal care contact and optimal IPTp-SP uptake among pregnant women in a district hospital in Ghana: multivariable regression and exploratory decomposition analysis
    Frederick Osei Owusu, Helena Addai-Manu, Julius Kwabena Karikari +9
    Scientific ReportsPeer-reviewedCC BY-NC-ND 4.0Full textObstetrics, gynaecology & paediatricsCrossref
  3. Knowledge and Practice of Breast Self-Examination and Clinical Breast Examination among Women in the Buea Health District, Cameroon: A Community-Based Cross-Sectional Study
    R. T. Amin, A. D. Touko, R. M. Tadolonkeu +2
    medRxivPreprintCC BY-NCFull textOncologymedRxiv
  4. Prevalence of anaemia and Associated Factors among pregnant women attending antenatal care in a rural district of Northern Ghana: a cross-sectional study
    Nawaf Saeed, Abdul-Latif Abdul-Rahaman, Abdul Salam Fusheini +3
    Scientific ReportsPeer-reviewedCC BY 4.0General medicineCrossref
  5. Prevalence of malaria among pregnant women attending ANC at public health institutions in Damote-Gale district, Southern Ethiopia
    Y. Kussa, S. Lema
    medRxivPreprintCC BYFull textEpidemiology & public healthmedRxiv

Cite

BibTeXRIS
BibTeX
@article{nkusi2026situational,
  title = {{Situational analysis of malaria in children aged 0–5 years and pregnant women in the Tiko Health District, Cameroon, since the inception of the Roll Back Malaria (RBM) strategy, 2011–2018}},
  author = {Tamnjong Evert Nkusi and Mac Brine Adille Ngabe and Arole Darwin Touko and Eyong Mathias Esum and Achiangia Patrick Njukeng and Oru Ivo Ita},
  journal = {Malaria Journal},
  year = {2026},
  month = aug,
  doi = {10.1186/s12936-026-06098-2},
  url = {https://doi.org/10.1186/s12936-026-06098-2},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Situational analysis of malaria in children aged 0–5 years and pregnant women in the Tiko Health District, Cameroon, since the inception of the Roll Back Malaria (RBM) strategy, 2011–2018
AU  - Tamnjong Evert Nkusi
AU  - Mac Brine Adille Ngabe
AU  - Arole Darwin Touko
AU  - Eyong Mathias Esum
AU  - Achiangia Patrick Njukeng
AU  - Oru Ivo Ita
PY  - 2026
DA  - 2026/08/07
JO  - Malaria Journal
DO  - 10.1186/s12936-026-06098-2
UR  - https://doi.org/10.1186/s12936-026-06098-2
AB  - Introduction: Malaria remains a major public health problem in endemic areas such as the Tiko Health District (THD), South West Region of Cameroon, despite the ongoing Roll Back Malaria (RBM) strategy. This study assessed the situational analysis of malaria in children aged 0–5 years and pregnant women in the THD from 2011 to 2018.  Methods: The study employed a hospital-based retrospective-prospective cross-sectional design. Retrospective malaria prevalence and morbidity data were extracted from consultation, antenatal care (ANC), and laboratory registers of three randomly selected health facilities in the THD for 2011–2018. A cross-sectional survey was conducted using structured questionnaires administered to pregnant women and caregivers of children aged 0–5 years to assess their knowledge and self-reported utilization of Long-Lasting Insecticidal Nets (LLINs).  Results: The overall malaria prevalence between 2011 and 2018 was 79.10% (95% CI 76.36–80.82%) among pregnant women (out of 1000 records) and 76.02% among children aged 0–5 years (out of 9275 records). Among pregnant women with malaria, 79.39% (628/791) suffered from complicated malaria, while 62.09% (4378/7051) of children with malaria had uncomplicated malaria. The mortality rates during the study period were 0.19% (67/34825) among children aged 0–5 years and 0.02% (3/6583) among pregnant women. In the cross-sectional survey, 79.40% (214/270) of pregnant women and 81.61% (126/154) of caregivers reported that they or their children slept under LLINs the previous night. Only 54.70% of pregnant women demonstrated good knowledge about malaria in the cross-sectional survey. There was a significant association between caregivers’ knowledge about malaria and the utilization of LLINs by their children (χ2 = 7.8742, p = 0.005).  Conclusions: Despite implementation of the RBM strategy, malaria prevalence and morbidity remained high in the THD. Suboptimal knowledge and gaps in effective LLIN use and Intermittent Preventive Treatment in pregnancy (IPTp) uptake indicate the need for targeted community education, improved intervention coverage and enhanced health system capacity for surveillance and case management.
SN  - 1475-2875
ER  -