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. 2022 Oct 11:7:179.
doi: 10.12688/wellcomeopenres.17888.2. eCollection 2022.

Malaria parasite carriage before and two years after the implementation of seasonal malaria chemoprevention: a case study of the Saraya health district, southern Senegal

Isaac Akhenaton Manga  1 , Mamadou Sarifou Ba  1   2 , Fassiatou Tairou  1 , Amadou Seck  1 , Ekoue Kouevidjin  1 , Doudou Sow  1 , Khadime Sylla  1 , Magatte Ndiaye  1 , Fatou Ba Fall  3 , Alioune Babara Gueye  3 , Ibrahima Diallo  3 , Médoune Ndiop  3 , Mady Ba  3 , Roger Clément Tine  1 , Omar Gaye  1 , Babacar Faye  1 , Jean Louis Abdourahim Ndiaye  1   4
Affiliations

Malaria parasite carriage before and two years after the implementation of seasonal malaria chemoprevention: a case study of the Saraya health district, southern Senegal

Isaac Akhenaton Manga et al. Wellcome Open Res. .

Abstract

Background : Seasonal malaria chemoprevention (SMC) has been adopted and implemented in the southern regions of Senegal in children aged between three and 120 months since 2013. Scaling up this strategy requires its evaluation to assess the impact. This study was carried out to determine the dynamics of Plasmodium falciparum carriage before and after two years of SMC implementation. Methods : Four household surveys were conducted in villages in the health district of Saraya, which is a SMC implementation area in Senegal. These villages were selected using probability proportional to size sampling. Each selected village was divided into segments containing at least 50 children. In each segment, a household questionnaire was administered to the parents or legal representatives of children aged three to 120 months. Blood smears were collected to determine P. falciparum prevalence by microscopy one month before the first round of SMC, one month after the last round of the first SMC campaign and two years after the start of the implementation. Results : A total of 2008 children were included with a mean average age of 4.81 (+/-2.73) years. Of the study population, 50.33% were more than five years old and 50.3% were male. In 2013, mosquito net ownership was 99.4 % before the SMC campaign and 97.4% after. In 2015, it was 36.6% before and 45.8% after the campaign. In 2013, the prevalence of plasmodium carriage was 11.8% before and 6.1% after the SMC campaign. In 2015, the prevalence was 4.9% before the administration of SMC and this increased up to 15.3% after. Malaria prevalence was high among children over five years old and in boys. Conclusions : The decrease in Plasmodium falciparum parasite prevalence, which subsequently increased after two years of SMC implementation in this study, suggests adding an extra cycle of the SMC or adjusting the administration period.

Keywords: Plasmodium; Senegal; carriage; malaria; seasonal malaria chemoprevention.

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Conflict of interest statement

No competing interests were disclosed.

Figures

Figure 1.
Figure 1.. Map of the health district of Saraya in the Kédougou region of Senegal.
(The map was produced by the Saraya health district which also allowed us to include it in this article). Saraya, Road, Health Post, Locality without Health Post, Commune of Saraya
See this image and copyright information in PMC

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