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ABSTRACT
In Nigeria, malaria accounts for 30% mortality in children <5years (U5). World Health
Organisation guidelines recommend parasite-based diagnosis prior to commencement of
antimalarial treatment. However, empirical treatment remains a common phenomenon at homes
and in clinical settings because of presumed high malaria prevalence. This is compounded by
inadequate information on accuracy of malaria rapid diagnostic test (RDT). Data on factors
affecting the utilisation of malaria laboratory services (MLS) is not readily available. We
conducted a study to assess the diagnostic accuracy of Standard Diagnostic (SD) Bioline malaria
rapid diagnostic test, and to determine the factors affecting the utilisation of MLS in febrile
children in Kaduna State, Northern Nigeria.
We conducted a cross-sectional study of 296 caregivers of febrile U5 at Makarfi General
Hospital (MGH), Kaduna state from December 2010 to August 2011. We used structured
questionnaires to collect data on socio-demographics of caregivers, clinical information on
febrile U5, and utilisation of MLS. Blood samples were collected from 296 U5 and examined for
malaria parasites with SD Bioline rapid diagnostic test (RDT) and routine microscopy. The
diagnostic accuracy of the RDT was determined. Focus group discussions (n=4) were conducted
at Makarfi communities to determine the factors affecting utilisation of MLS among caregivers
of children U5. Eight key informants were interviewed to determine the capacity for malaria
diagnosis at MGH.
VI
The sensitivity, specificity, negative and positive predictive values of SD Bioline RDT were
100%, 98.5%, 100% and 88.6% respectively. The prevalence of malaria in the febrile children
was 10.5% and 11.8% by RDT and microscopy respectively. Plasmodium falciparum infection
rate was 100%. Overall, 3.7% of caregivers were offered any malaria laboratory test by health
staff and 5.5% have ever heard about MLS. Non-request of MLS by health staff, lack of
awareness, presumptive treatment, and long distance from health centre, caregiver’s perceived
severity of illness, high cost, and non-availability of MLS were responsible f
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SIMILAR PUBLIC HEALTH FINAL YEAR PROJECT RESEARCH TOPICS
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1. DETERMINANTS OF RESPONSIVE EMERGENCY OBSTETRIC REFERRALS AND REFERRAL INTENTIONS AMONG TRADITIONAL BIRTH ATTENDANTS IN LAGELU LGA, OYO STATE, NIGERIA
» ABSTRACT Despite all efforts to reduce maternal mortality rate during the Millennium Development Goals (MDGs) initiative, maternal mortality remains u...Continue Reading »Item Type & Format: Project Material - Ms Word | 73 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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2. DETERMINANTS OF ADHERENCE TO ANTI-RETROVIRAL THERAPY AMONG ADULTS WITH HIV/AIDS IN DALHATU ARAF SPECIALIST HOSPITAL LAFIA, NASSARAWA STATE
» SUMMARY HIV/AIDS is a disease of public health importance with about 35 million people worldwide living with the disease and Sub Saharan Africa accoun...Continue Reading »Item Type & Format: Project Material - Ms Word | 61 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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3. ASSESSMENT OF QUALITY OF DRINKING WATER IN BOSSO TOWN, NIGER STATE
» SUMMARY Water is an important ingredient for life and it is an effective vehicle for the transmission of diseases when contaminated. Therefore every r...Continue Reading »Item Type & Format: Project Material - Ms Word | 92 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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4. PREVALENCE AND DETERMINANTS OF HYPERTENSION AMONG CIVIL SERVANTS, IN KANO STATE, NIGERIA
» SUMMARY Hypertension or high blood pressure is a leading cause of cardiovascular disease (CVD) worldwide. The proportion of the global burden of disea...Continue Reading »Item Type & Format: Project Material - Ms Word | 114 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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5. DISTRIBUTION OF ABO, RHESUS(RH) BLOOD AND HEPATITIS B IN BLOOD OF DONORS IN NATIONAL BLOOD TRANSFUSION SERVICE, KADUNA STATE
» CHAPTER ONE INTRODUCTION 1.1 Background of Study Blood is defined as the red viscous fluid that circulates round the body supplying O2 and nutritive s...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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6. THE EFFECT OF IONIZING RADIATION ON CHILDREN IN NIGERIA A CASE STUDY OF SHEHU MOHAMMAD KANGIWA MEDICAL CENTRE KADUNA POLYTECHNIC, KADUNA SOUTH LOCAL ...
» ABSTRACT Exposure of children to ionizing radiation is most commonly from the environment, chiefly through cosmic x rays and radon, or from medical te...Continue Reading »Item Type & Format: Project Material - Ms Word | 41 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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7. MALARIA PARASITE AND ITS EFFECT TO HUMAN HEALTH (A CASE STUDY OF UNIVERSITY OF NIGERIA TEACHING HOSPITAL (UNTH), ENUGU)
» ABSTRACT The detection of malaria parasite in the blood, which is as the major aim of this project was carried out and experimental data shows the exi...Continue Reading »Item Type & Format: Project Material - Ms Word | 52 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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8. EVALUATION OF DRUG REVOLVING FUND (DRF) IN GENERAL HOSPITAL, TORO, BAUCHI STATE
» ABSTRACT Context: The “out of stock syndrome” and irrational drug use with their associated consequences that characterized our health fac...Continue Reading »Item Type & Format: Project Material - Ms Word | 95 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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9. JOB SATISFACTION AMONG DOCTORS AND NURSES (A case study of Federal Medical Centre Yola)
» SUMMARY Job satisfaction refers to how well a job provides fulfilment of a need or want or how well it serves as a source or means of enjoyment. The p...Continue Reading »Item Type & Format: Project Material - Ms Word | 78 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT
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10. PREVALENCE OF ABNORMAL CERVICAL SMEARS AND KNOWLEDGE OF CERVICAL CANCER SCREENING AMONG WOMEN ATTENDING GYNAECOLOGY CLINIC OF GENERAL HOSPITAL MINNA, ...
» ABSTRACT Cervical cancer is an important women‟s reproductive health problem. It is a preventable disease of significant public health concern espec...Continue Reading »Item Type & Format: Project Material - Ms Word | 87 pages | Instant Download | Chapter 1-5 | PUBLIC HEALTH DEPARTMENT