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[Monitoring and assessment indicators in 2001 of "Roll Back Malaria" initiative in Benin]
D Kinde-Gazard1, D Gbenou, S Tohon
1Professeur Agrégé en Parasitologie-Mycologie, Coordonnatrice du PNLP, 03 BP 1428 Cotonou, Bénin. kindegazard@yahoo.fr
Insights
A 2001 survey in Benin found high malaria morbidity and mortality in children under five. While non-impregnated bednets were common, few households used insecticide-treated nets, highlighting a gap in malaria prevention strategies.
Area of Science:
- Public Health
- Epidemiology
- Tropical Medicine
Context:
- A 2001 survey was conducted by Benin's National Malaria Control Program, aligning with WHO/CDS/RBM/2000 guidelines.
- The survey was strategically implemented across health areas corresponding to distinct epidemiological regions.
- Malaria poses a significant public health challenge in Benin, particularly affecting vulnerable populations.
Purpose:
- To assess the malaria situation in Benin, focusing on morbidity, mortality, and current prevention practices.
- To gather data for defining indicators for the monitoring and evaluation of the "Roll Back Malaria" initiative in Benin.
- To evaluate the utilization of bednets, both treated and untreated, and chemoprophylaxis among pregnant women.
Summary:
- Malaria morbidity is high in children under five, with 44.3% of external clinic cases and 46.5% of hospitalizations attributed to the disease.
- The crude mortality rate due to malaria was recorded at 129%.
- Bednet usage revealed a significant disparity: 47.4% of households had non-impregnated bednets, while only 5.4% had impregnated ones. Among pregnant women, 43.3% used impregnated bednets, and 3.8% received chemoprophylaxis.
Impact:
- The survey data provided essential process, result, and impact indicators for the "Roll Back Malaria" program in Benin.
- These indicators are crucial for establishing and refining a robust monitoring and assessment system for malaria control efforts.
- The findings underscore the need to improve access to and utilization of insecticide-treated bednets and chemoprophylaxis to reduce malaria burden.
Abstract:
Within the context of WHO/CDS/RBM/2000, a survey was conducted in 2001 by the National Malaria Control Program of Benin. Following a well-thought-out choice, the survey took place simultaneously in health areas corresponding to epidemiological regions. Morbidity due to malaria is very high among children under five years admitted in external clinic (44.3% of cases) and (46.5%) for hospitalization. The crude rate of mortality is 129%. The use of non-impregnated bednet is usually met in three health areas, where 47.4% of the household have at least one non-impregnated bednet versus 5.4% of household with impregnated bednets. Percentage of pregnant women sleeping under an impregnated bednet and following chemoprophylaxis is respectively 43.3% and 3.8%. Results obtained at the end of this database survey in 2001 have facilitated the definition of indicators of the process, results and impact which remain very useful for the implementation of the monitoring and assessment system of "Roll Back Malaria" in Benin.
