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Universal Access to Malaria Prevention, Diagnosis and Treatment as a Strategy toward Disease Control and Elimination: A Critical Look at Northeastern Nigeria

DOI: 10.4236/oalib.1105659, PP. 1-12

Keywords: Malaria, Long-Lasting Insecticidal Nets, Universal Access, National Malaria Elimination Programme, Adamawa, Bauchi, Borno, Gombe, Taraba, Yobe, Nigeria

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Abstract:

Background: As early as 2008 there was a call by the United Nations Secretary General to halt malaria death by ensuring universal coverage of malaria inter-ventions to be attained by 2010. This was echoed by the World Health Assem-bly in 2015 by adopting the Global Technical Strategy or malaria 2016-2030 with universal access to malaria prevention, diagnosis and treatment as one of its three pillars. This study had a critical look at the supply and distribution of Artemisin-based Combination Therapy, Rapid Diagnostic Tests and Long Lasting Insecticide Treated Nets in 2017 with a view to critique the universal coverage of these commodities in Adamawa, Bauchi, Borno, Gombe, Taraba and Yobe States in the northeastern geopolitical region of Nigeria. Method: This is a quantitative cross-sectional study using secondary data. The research analyzed the data of malaria intervention commodities received by state malaria elimination programmes from six states across the northeast zone between January and December 2017. Results: The study result showed that RDTs were received and distributed in four of the six states and one state did not receive or distribute any. Commodities for treatment (ACTs) received and distributed showed that only one state had a significant supply and distribution of the commodity, two states had minimal supply and distribution while the other three states had insignificant quantities that did not match the RDT supply and the state that had the highest supply/distribution was the only state supported by the global fund in the northeast zone in 2017. Only one state had a significant quantity of LLINs distributed in 2017. Conclusion: The government of Nigeria and collaborating partners have made concerted efforts to improve access to ACTs, RDTs and LLINs with improvement in levels of intervention across the country. This study however clearly demonstrates the need to intensify efforts in making universal access possible in northeastern Nigeria so that the objectives of the National Malaria Strategic Plan 2014-2020 can be achieved. This comes at a time when donor funding is at cross-roads.

References

[1]  UNDP and RBM (2013) Multisectoral Action Framework for Malaria.
[2]  United Nations (2008) Resolution Adopted by the General Assembly on 22 December 2008 Sixty-Third Session Agenda Item 43. A/RES/63/234.
[3]  WHO (2011) World Malaria Report 2011.
[4]  WHO (2015) Sixty-Eight World Health Assembly WHA68.2 Agenda Item 16.2 22 May 2015.
[5]  Malaria Funding & Resource Utilization (2010) The First Decade of Roll Back Malaria. Progress& Impact Series. Number 1.
[6]  Fact Sheets on Malaria and The SDGs (2015) One of a Series of Fact Sheets to Accompany the Briefing Paper Lessons Learned from Responding to Malaria Globally: A Prototype for Sustainable Development.
[7]  Snow, R.W., Okiro, E.A., Gething, P.W., et al. (2010) Equity and Adequacy of In-ternational Donor Assistance for Global Malaria Control: An Analysis of Populations at Risk and External Funding Commitments. The Lancet, 376, 1409-1416.
https://doi.org/10.1016/S0140-6736(10)61340-2
[8]  Pigott, D.M., Atun, R., Moyes, C.L., et al. (2012) Funding for Malaria Control 2006-2010: A Comprehensive Global As-sessment. Malaria Journal, 11, Article No. 246. https://doi.org/10.1186/1475-2875-11-246
[9]  Wilson, P. and Aizenman, Y. (2012) Value for Money in Malaria Programming: Issues and Opportunities. CGD Working Paper 291. Center for Global Development, Washington DC. http://www.cgdev.org/content/publications/detail/1426120
https://doi.org/10.2139/ssrn.2102718
[10]  WHO Regional Committee for Africa (2016) Sixty-Sixth Session Addis Ababa, Federal Democratic Republic of Ethiopia. Agenda Item 15, 19-23 August 2016. AFR/RC66/14.
[11]  Sambo, L.G. (2007) Defining and De-feating the Intolerable Burden of Malaria III. Progress and Perspectives (Foreword). The American Journal of Tropical Medicine and Hygiene, 77, 3. https://doi.org/10.4269/ajtmh.2007.77.iii
[12]  (2000) Millenium Development Goals.
https://www.undp.org/content/undp/en/home/sdgoverview/mdg_goals.html
[13]  WHO (2018) High Burden to High Impact: A Targeted Malaria Response.
https://www.who.int/malaria/publications/atoz/high-impact-response/en
[14]  (2015) Sustainable Development Goals.
https://www.un.org/ga/search/view_doc.asp?symbol=A/RES/70/1&Lang=E
[15]  FMOH (2009) National Malaria Control Program Strategic Plan 2009-2013.
[16]  Federal Republic of Nigeria (2013) National Malaria Strategic Plan 2014-2020.
[17]  Adeyi, O. and Atun, R. (2010) Universal Access to Malaria Medicines: Innovation in Financing and Delivery. The Lancet, 376, 1869-1871.
https://doi.org/10.1016/S0140-6736(10)61189-0
[18]  Bhatt, S., Weiss, D.J., Cameron, E., et al. (2015) The Effect of Malaria Control on Plasmodium falciparum in Af-rica between 2000 and 2015. Nature, 526, 207-211.
https://doi.org/10.1038/nature15535
[19]  Snow, R.W. and Marsh, K. (2010) Malaria in Africa: Progress and Prospects in the Decade since the Abuja Declaration. The Lancet, 376, 137-139.
https://doi.org/10.1016/S0140-6736(10)60577-6
[20]  Imperial College London (2019) Africa Innovators.
http://www.imperial.ac.uk/be-inspired/magazine/issue-46/african-innovators
[21]  NMEP (2014) Malaria Business Plan 2014-2017.
[22]  Global Malaria Programme (2017) Achieving and Maintaining Universal Coverage with Long-Lasting Insecticidal Nets for Malaria Control.
[23]  WHO (2016) World Malaria Report 2016.
[24]  National Population Commission (NPC) [Nigeria] and ICF International (2014) Nigeria Demographic and Health Survey 2013. NPC and ICF International, Abuja and Rockville.
[25]  WHO (2017) World Malaria Report 2017.
https://www.who.int/malaria/publications/world-malaria-report-2017/en/
[26]  Saleh, J.-E.A., Nemecek, J. and Jones, C. (2015) Antenatal Care Services and Neonatal Tetanus: An Outlook at the Northeastern Nigeria. Paediatric Infectious Diseases Journal, 7, 1-32. https://doi.org/10.1016/j.pid.2015.03.001
[27]  Cheng, H.G. and Philips, M.R. (2014) Research Methods in Psychiatry. Secondary Analysis of Existing Data: Opportunities and Implementation. Shanghai Archives of Psychiatry, 26, 371-375.
[28]  Baird, K. (2017) Malaria Control by Commodities without Practical Malariology. BMC Public Health, 17, 590. https://doi.org/10.1186/s12889-017-4454-x
[29]  World Health Organization (2014) Global Fund Concept Note Development. WHO Policy Brief. WHO/HTM/GMP/2014.1.
[30]  Saleh, J.-E.A., Saddiq, A. and Uchenna, A.A. (2018) LLIN Ownership, Utilization, and Malaria Pre-Valence: An Outlook at the 2015 Nigeria Malaria Indicator Survey. Open Access Library Journal, 5, e4280. https://doi.org/10.4236/oalib.1104280
[31]  Patouillard, E., Griffin, J., Bhatt, S., et al. (2017) Global Investment Targets for Malaria Control and Elimination between 2016 and 2030. BMJ Global Health, 2, e000176. https://doi.org/10.1136/bmjgh-2016-000176
[32]  WHO (2011) Universal Access to Malaria Diagnostic Testing: An Operational Man-ual. https://www.who.int/malaria/publications/atoz/9789241502092/en/
[33]  OCHA Nigeria (2017) Humanitarian Needs Overview 2017.
[34]  Malaria Consortium (2017) Advocacy Brief.
https://www.malariaconsortium.org/resources/publications/add-issue/Malaria
[35]  Scott, N., Hussain, S.A., Martin-Hughes, et al. (2017) Maximizing the Impact of Malaria Funding through Allocative Efficiency: Using the Right Interventions in the Right Locations. Malaria Journal, 16, Article No. 368.
https://doi.org/10.1186/s12936-017-2019-1
[36]  Bruxvoort, K.J., Baptiste Leurent, B., Chandler, C.I.R., et al. (2017) The Impact of Introducing Malaria Rapid Diagnostic Tests on Fever Case Management: A Synthesis of Ten Studies from the ACT Consortium. The American Journal of Tropical Medicine and Hygiene, 97, 1170-1179. https://doi.org/10.4269/ajtmh.16-0955
[37]  National Malaria Elimination Programme (NMEP), National Population Commission (NPopC), National Bureau of Statistics (NBS), and ICF International (2016) Nigeria Malaria Indicator Survey 2015. NMEP, NPopC, and ICF International, Abuja and Rockville.
[38]  Steketee, R.W. and Eisele, T.P. (2017) Watching the Availability and Use of Rapid Diagnostic Tests (RDTs) and Artemisinin-Based Combination Therapy (ACT). Malaria Journal, 16, Article No. 165. https://doi.org/10.1186/s12936-017-1821-0
[39]  World Health Organization (2017) World Malaria Day 2017: Malaria Prevention Works Let’s Close the Gap. WHO/HTM/GMP/2017.6.

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