Community acceptance, satisfaction, and support for case management of malaria of various degrees in selected rural communities in Ibadan, Oyo-State

Abstract

Objectives: This study aimed to assess communities’ perception and adoption of the evidenced-based malaria diagnosis and case management intervention targeted at under-five children. The effectiveness of trained Volunteer Community Health Workers (VCHWs) to diagnose malaria among under-five children using rapid diagnostic testing kit, provide treatment using Artemisinin Combination Therapy and rectal Artesunate were assessed.Design: A qualitative evaluation study was conducted in October 2015.Setting: Communities in the 6 rural wards in Ona-Ara Local Government Area, Oyo State Nigeria.Participants: Caregivers of under-five children, community–based frontline health workers, and community leaders selected using purposively sampling.Methods: Nine Focus Group Discussions and 15 Key Informant Interviews were conducted using a pre-tested guide. Data were subjected to thematic analysis.Results: It was disclosed that VCHWs promoted people’s access to prompt and appropriate malaria treatment. The communities accepted the VCHWs; the reasons given for this included the following: effectiveness of VCHWs in case management of malaria; good inter-personal relationship with caregivers; and the positive health outcomes associated with services provided by them. In addition, community members expressed satisfaction with the VCHWs and provided them with all the support needed to function throughout the malaria case management intervention. The VCHWs considered the support as a great source of encouragement.Conclusions: The use of VCHWs to treat malaria was adjudged to be effective and considered acceptable to the communities. The adoption of the intervention and its integration into the primary health system by the government is advocated for in medically underserved rural communities.

Mitigation of top‐ and bottom‐of‐the‐line CO2 corrosion in the presence of acetic acid (II): Inhibition using azole derivatives

“…The results agree with our previous work on CO 2 + acetic acid corrosion. [8] 3.2 | BLC: Inhibition with 2-PI, 2-MBI, and 2-AETD Potentiodynamic polarization of carbon steel immersed in CO 2 saturated 1% (0.17 M) NaCl at 70°C with varying concentrations of 2-PI, 2-MBI, and 2-EATD are shown in Figures 4-6, respectively. Evidently, 2-PI is not effective in this application as it accelerates the overall cathodic kinetics and, hence, corrosion rate.…”

“…Pojtanabuntoeng et al found that corrosion mitigation was effective between pH 6.5 and 7, [7] while, in an earlier paper, we demonstrated that MDEA has useful, but limited, effectiveness for both TLC and BLC. [8] Organic corrosion inhibitors are commonly used to mitigate damage to carbon steel by restricting the kinetics of the cathodic reaction, or the anodic metal dissolution reaction, or both. As the review by Schmitt [9] shows, the efficiency of an organic inhibitor is generally related to its tendency to dynamically adsorb and desorb onto electrochemically active sites on metallic substrates.…”

“…In this contribution, we use the experimental cell design reported previously, [8] with capability for electrochemical measurements at the bottom-and the top-of-the-line, to explore corrosion inhibition under a CO 2 /acetic acid environment. For effective corrosion suppression at the top-of-the-line, a species with low vapor pressure might not be expected to be effective.…”