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Ladi-Akinyemi, et al.: Knowledge and implementation of NMCP

Table 2: Knowledge of respondents on signs and symptoms and mode of transmission of malaria (n=325)
Variables Frequency (%) Total (%) Test statistic χ 2 P
Ado‑odo/ota Ewekoro Ijebu‑ode
Most of malaria infection in Nigeria is due to plasmodium falciparum
Yes 122 (97.6) 77 (96.3) 116 (96.7) 315 (96.9) 0.347** 0.841
No 3 (2.4) 3 (3.8) 4 (3.3) 10 (3.1)
Malaria is transmitted by a bite of an infected anopheles mosquito
Yes 122 (97.6) 79 (98.8) 116 (96.7) 317 (97.5) 0.940** 0.625
No 3 (2.4) 1 (1.3) 4 (3.3) 8 (2.5)
Knowledge of complicated malaria
Correct 51 (40.8) 27 (33.8) 55 (45.8) 133 (40.9) 2.900 0.235
Incorrect 74 (59.2) 53 (66.2) 65 (54.2) 192 (59.1)
Knowledge of simple malaria
Correct 40 (32.0) 14 (17.5) 36 (30.0) 90 (27.7) 5.628 0.060
Incorrect 85 (68.0) 66 (82.5) 84 (70.0) 235 (72.3)
Knowledge of signs and symptoms of simple malaria
Correct 117 (93.6) 72 (90.0) 113 (94.2) 302 (92.9) 1.409 0.494
Incorrect 8 (6.4) 8 (10.0) 7 (5.8) 23 (7.1)
**Likelihood ratio

Table 3: Knowledge and perception of respondents on National Malaria Control Programme (n=325)
Variables (NMCP) Frequency, n (%) Total, n (%) χ 2 P
Ado‑odo/ota Ewekoro Ijebu‑ode
Goals
Correct 108 (86.4) 71 (88.8) 102 (85.0) 281 (86.5) 0.577 0.749
Incorrect 17 (13.6) 9 (11.2) 18 (15.0) 44 (13.5)
Is preventive only
Yes 33 (26.4) 15 (18.8) 27 (22.5) 75 (23.1) 1.644 0.400
No 92 (73.6) 65 (81.2) 93 (77.5) 250 (76.9)
Is case management only
Yes 63 (50.4) 39 (48.7) 61 (52.8) 163 (50.2) 0.088 0.957
No 62 (49.6) 41 (51.3) 59 (49.2) 162 (49.8)
Is prevention and case management
Yes 107 (95.0) 76 (95.0) 107 (89.2) 290 (89.2) 4.486 0.106
No 18 (5.0) 4 (5.0) 13 (10.8) 35 (10.8)
Reduced prevalence of malaria
Yes 105 (84.0) 68 (85.0) 107 (89.2) 280 (86.2) 1.489 0.475
No 20 (16.0) 12 (15.0) 13 (10.8) 45 (13.8)
Is not health worker friendly
Yes 23 (18.9) 12 (15.0) 22 (18.3) 57 (17.5) 0.473 0.789
No 102 (81.6) 68 (85.0) 98 (81.7) 268 (82.5)
Add no benefit to the member of the community
Yes 20 (16.0) 11 (13.8) 12 (10.0) 43 (13.2) 1.945 0.378
No 105 (84.0) 69 (86.3) 108 (90.0) 282 (86.8)
**Likelihood ratio. NMCP=National Malaria Control Programme

Test kits to diagnosis malaria and use artemisinin‑based DISCUSSION
combination therapy (ACT) to treat malaria.
This study demonstrates that higher percentage of
In all the three LGAs, the older health‑care workers as health‑care workers in the PHC had good knowledge on the
well as health workers who had 15 or more year of work mode of transmission of malaria and signs and symptoms
experience had good knowledge score of the NMCP. of simple malaria. Less than half and less than one‑third
The doctors and the community extension workers, of the health‑care workers had good knowledge of case
then the nurses also had good knowledge score of the definition of simple and complicated malaria respectively.
program. Higher percentage of the health‑care workers The mean age of the respondents was the same with
who implemented the program correctly also had good a similar study in southeastern part of Nigeria, [11] but
knowledge score of the program. All these differences were differ from a study in southwest LGA in Nigeria. [12]
statistically significant [Table 5]. Older respondents were statistically significantly more

JOURNAL OF CLINICAL SCIENCES, VOLUME 15, ISSUE 1, January-March 2018 Page | 51