Household Expenditure on Treatment of Presumptive Malaria in a Rural Community of North-western Nigeria

Abstract

Background: Malaria is endemic in Nigeria and there is a vicious cycle between it and poverty. It contributes towards poverty, while poverty influences the risk of its infection. Majority of Nigerians, 70%, live in rural areas, below poverty line. They earn less than $1.25 a day. Subsistence farming is their main occupation. The cost of malaria treatment represents a significant portion of their income.

Objective: This study was conducted to assess the direct cost of presumptive malaria treatment on households in Gimba Village of Soba Local Government Area of Kaduna State, Nigeria.

Methodology: A cross-sectional descriptive study conducted during community diagnosis posting of final year medical students of Ahmadu Bello University, Zaria in July 2012. An interviewer- administered questionnaire was used to collect data from household heads.

Results: Most of the respondents (69.7%) were farmers. A large proportion of the respondents (47.3%) earned between N10,000.00 to N20,000.00. monthly. The average household size was 6 while the average number of presumptive malaria cases per household per year was 13. On average, the direct cost of presumptive malaria treatment alone, consumes 4.9 % of the annual income of household heads. There was a statistically significant association between cost of treatment and place of seeking treatment (p <0.001).

Conclusion: The direct cost of presumptive malaria treatment alone consumed a large proportion of the meagre annual income of households in the study area. For effective malaria control in Nigeria, free or subsidized malaria treatment and rural health insurance scheme are recommended.

Keywords: Household, expenditure, Treatment, presumptive malaria, Gimba Community, Nigeria.