Key Findings from the 2010 Nigeria Malaria Indicator Survey The 2010 Nigeria Malaria Indicator Survey (NMIS) included interviews with almost 6,000 households, malaria testing of 5,211 children and anaemia testing of 5,146 children. According to microscopy testing, 42% of children age 6-59 months have malaria. Forty-two percent of households in Nigeria own an ITN; 41% own an LLIN (not shown). ITN ownership is highest in North West and North East zones and lowest in South West zone. Malaria prevalence increases as children get older. Almost half of children 48-59 months tested positive for malaria compared to less than 30% of children 6-8 months old. Almost half of children age 6-59 months have moderate of severe anaemia. Anaemia prevalence is highest among children 9-23 months. ITN ownership has increased five-fold since 2008. The increase is most dramatic in rural areas. Malaria prevalence in children ranges from 28% in South East zone to 50% in South West zone. Almost 30% of children under age 5 slept under an ITN the night before the survey. This is almost a five-fold increase since 2008. Still, ownership of ITNs is higher than children’s use. More than half (56%) of nets were obtained through net distribution campaigns; 76% of nets were obtained for free. North Central 49% North East 31% North West 48% South East 28% South South 32% South West 50% Malaria in Children by Zone Nigeria 42% Percentage of children age 6-59 months who tested positive for malaria by microscopy Malaria Prevalence in Children 28 36 38 41 Age in months Percent of children testing positive for malaria by microscopy 6-8 12-17 18-23 24-35 36-47 48-59 46 49 9-11 31 Anaemia Prevalence in Children 55 61 57 47 Age in months Percentage of children with moderate or severe anaemia, by age 6-8 12-17 18-23 24-35 36-47 48-59 42 39 9-11 60 Trends in Ownership of ITNs 1 2 3 Urban Total Rural Percentage of households with at least one ITN 9 8 8 33 42 45 2003 NDHS 2008 NDHS 2010 NMIS Less than 1% of households had interior walls sprayed against mosquitoes (IRS) in the year before the survey. Trends in Children’s Use of Nets 1 6 ITN Any net Percentage of children under age 5 who slept under a net the night before the survey 6 12 29 30 2003 NDHS 2008 NDHS 2010 NMIS North Central 32% North East 63% North West 58% South East 32% South South 44% South West 20% ITN Ownership by Zone Nigeria 42% Percentage of households with at least one insecticide-treated net
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Key Findings from the 2010 Nigeria Malaria Indicator Survey
The 2010 Nigeria Malaria Indicator Survey (NMIS) included interviews with almost 6,000 households, malaria testing of 5,211 children and anaemia testing of 5,146 children. According to microscopy testing, 42% of children age 6-59 months have malaria.
Forty-two percent of households in Nigeria own an ITN; 41% own an LLIN (not shown). ITN ownership is highest in North West and North East zones and lowest in South West zone.
Malaria prevalence increases as children get older. Almost half of children 48-59 months tested positive for malaria compared to less than 30% of children 6-8 months old.
Almost half of children age 6-59 months have moderate of severe anaemia. Anaemia prevalence is highest among children 9-23 months.
ITN ownership has increased five-fold since 2008. The increase is most dramatic in rural areas.
Malaria prevalence in children ranges from 28% in South East zone to 50% in South West zone.
Almost 30% of children under age 5 slept under an ITN the night before the survey. This is almost a five-fold increase since 2008. Still, ownership of ITNs is higher than children’s use.
More than half (56%) of nets were obtained through net distribution campaigns; 76% of nets were obtained for free.
North Central49%
North East31%
North West48%
SouthEast28%
SouthSouth32%
South West50%
Malaria in Children by Zone
Nigeria42%
Percentage of children age 6-59 months who tested positive for malaria by microscopy
Malaria Prevalence in Children
2836 38 41
Age in months
Percent of children testing positivefor malaria by microscopy
6-8 12-17 18-23 24-35 36-47 48-59
46 49
9-11
31
Anaemia Prevalence in Children
55 61 5747
Age in months
Percentage of children with moderateor severe anaemia, by age
6-8 12-17 18-23 24-35 36-47 48-59
42 39
9-11
60
Trends in Ownership of ITNs
12 3
UrbanTotal Rural
Percentage of households with at least one ITN
98 8
3342 45
2003 NDHS 2008 NDHS 2010 NMIS
Less than 1% of households had interior walls sprayed against mosquitoes (IRS)
in the year before the survey.
Trends in Children’s Use of Nets
16
ITNAny net
Percentage of children under age 5 who sleptunder a net the night before the survey
612
2930
2003 NDHS 2008 NDHS 2010 NMIS
North Central32%
North East63%
North West58%
SouthEast32%
SouthSouth44%
South West20%
ITN Ownership by Zone
Nigeria42%
Percentage of households with at leastone insecticide-treated net
2010 NigeriaMalaria Indicator Survey (NMIS)
Malaria Prevalence and Prevention
Response rates and methodology: Malaria and anaemia testing were carried out on all children age 6-59 months living in selected households. Of the 5,612 eligible subjects, 91% were tested for anaemia using the HemoCue, 91% were tested for malaria using the rapid diagnostic test, and 91% were tested for malaria using blood smears collected for malaria microscopy. Coverage rates were uniformly high across the population.
For more information on the results of the 2010 Nigeria Malaria Indicator Survey, please contact:
The 2010 Nigeria Malaria Indicator Survey (NMIS) was implemented by the National Population Commission (NPC) and the National Malaria Control Programme (NMCP). ICF International provided technical assistance through the USAID-funded MEASURE DHS programme. Funding for the 2010 NMIS was provided by the NMCP, Global Funds [through the Society for Family Health (SFH) and the Yakubu Gowon Centre (YGC)], World Bank, United Kingdom Department for International Development (DFID) and the United States Agency for International Development (USAID).
In USA:MEASURE DHS ICF International 11785 Beltsville DriveCalverton, MD 20705 USA Telephone: 301-572-0200 Fax: 301-572-0999 www.measuredhs.com
In Nigeria:National Population CommissionPlot 2031, Olusegun Obasanjo WayZone 7 Wuse, PMB 0281Abuja, NIGERIATelephone: (234) 09 523-9173Fax: (234) 09 523-1024
While half of children with fever took antimalarials, only about one-quarter took antimalarials the same or next day and very few took ACT, the recommended drug.
Only 13% of pregnant women received the recommended preventive treatment—2 or more doses of SP/Fansidar during an ANC visit.
Investing in our future
The Global FundTo Fight AIDS, Tuberculosis and Malaria
Intermittent Preventive Treatmentof Pregnant Women
30
2015
Took anyantimalarial
Took anySP/Fansidar
Took 2+ doses
SP/Fansidar
Percent of women pregnant in the two years beforethe survey, based on their last birth
1713
ReceivedSP/Fansidar during ANC
visit
Received 2+ doses of
SP/Fansidar during ANC visit
Management of Childhood Fever
5
49
6
Had blood taken fromfinger for testing
Took antimalarials
Took ACT
Among children under 5 with fever in the 2 weeksbefore the survey, percentage who:
26
3
Took antimalarialssame/next day
Took ACT same/next day
The World Bank
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