Nomadic Fulani communities manage malaria on the move

摘要: As in other public health efforts, the current promotion of insecticide-treated net (ITN) usage and prompt treatment malaria has left nomadic populations behind. The hypothesis that nomads can apply community-directed intervention (CDI) strategy for fever management children under-5 was tested among Fulani communities northeastern Nigeria. Twenty camps selected representatives who were trained to provide artemisinin-based combination therapy ITNs their members. Coverage compared with existing practice 20 communities. At baseline, none had ITNs, antimalarial only 2.7% 5.8% comparison camps. redesigned negotiated delivery approach suit culture. Within 12 months appropriate reached 88.0% 81.7%, respectively, within 24 they 87.9% 86.1%, surpassing Roll Back Malaria target 80% coverage by 2011. In contrast, <5% ITN possession 66.7% 73.2% first second years, camps, but unchanged However, remained low at 21.7% year (P < 0.05). When empowered, will appropriately manage using CDI approach.