Assessment of Malaria Incidence among Children Aged Three to Fifty- nine Months From a Seasonal Malaria Chemoprevention (SMC) Area in Burkina Faso
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Abstract
In Burkina Faso, malaria is a public health problem, with an estimated morbidity of 12 million cases and more than 4,000 deaths annually. In response to this situation and following the recommendations of the World Health Organisation, Burkina Faso adopted seasonal malaria chemoprevention (SMC) in 2014 as a major prevention strategy for children aged 3–59 months. This study was conducted to assess the impact of this strategy on malaria incidence in the Garango Health District of Burkina Faso. This was an evaluative and descriptive study of the seasonal malaria chemoprevention campaign. Data were collected from 22 July to 15 November 2019 from 628 children aged 3–59 months, followed for four (4) months. The coverage rate for all four SMC cycles was 32.17%. The proportions of children compliant with SMC in cycles 1, 2, 3, and 4 were 60.99%,60.99%, 54.30%, and 55.89%, respectively. The incidence of malaria varied ccording to the cycle and the SMC compliance. The range was 28.95% to 0.28%. In cycle 1, it was 3/380 (0.79%) among compliant children and 55/190 (28.95%)among noncompliant children. The relationship between treatment compliance and malaria occurrence was statistically significant during the four cycles (p=0.00). Children who were not compliant were more likely to have malaria attacks after the cycle than those who were compliant. The effectiveness of SMCin the Garango health district is reflected in the remarkable reduction in malaria incidenceinthe study population, which in turn is dependent on the level of reatment adherence and coverage.
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References
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