Annals of Tropical Medicine & Parasitology
ISSN: 0003-4983 (Print) 1364-8594 (Online) Journal homepage: http://www.tandfonline.com/loi/ypgh19
Current practices for the prevention and treatment of malaria in children and in pregnant women in the Brazzaville Region (Congo) B. Carme, P. Koulengana, A. Nzambi & H. Guillo Du Bodan To cite this article: B. Carme, P. Koulengana, A. Nzambi & H. Guillo Du Bodan (1992) Current practices for the prevention and treatment of malaria in children and in pregnant women in the Brazzaville Region (Congo), Annals of Tropical Medicine & Parasitology, 86:4, 319-322, DOI: 10.1080/00034983.1992.11812673 To link to this article: http://dx.doi.org/10.1080/00034983.1992.11812673
Published online: 15 Nov 2016.
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Citing articles: 8 View citing articles
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Date: 18 August 2017, At: 23:24
Annals of Tropical Medicine and Parasitology, Vol. 86, No.4, 319-322 (1992)
Current practices for the prevention and treatment of malaria in children and in pregnant women in the Brazzaville Region (Congo)
Downloaded by [Australian Catholic University] at 23:24 18 August 2017
BY B. CARME*t, P. KOULENGANAt, A. NZAMBit AND H. GUILLO DU BOD ANt
*Faculte de Midecine et C.H. U., Hopital Sud, 80054 A miens, France tCentre Hospitalier et Universitaire de Brazzaville, Congo and tCentre Hospitalier de Linzolo, Congo Received 28 November 1991, Revised 3 March 1992, Accepted 23 March 1992
Current practices for the prevention and treatment of malaria in children and in pregnant women in the Brazzaville Region (Congo) were studied in 1989 and 1990. Information was obtained by interviewing a total of 1152 subjects. Overall, chemoprophylaxis was used less than was the systematic treatment offever. Fever was treated before seeking medical advice in over 50% of the cases. Two-thirds of those interviewed reported that they slept under mosquito nets. Families with lower socio-economic standards were less likely to use chemoprophylaxis, to have antimalarials in the home, and to own mosquito nets; and they were more likely to prefer injections and to purchase drugs in the local markets.
The preventive measures taken against malaria in Congolese children and by pregnant women living in the Brazzaville region (Congo) were studied in 1989 and 1990. The study was carried out in urban areas [the city of Brazzaville, the capital and principal city of the Congo with a population of 650 000 inhabitants ( 1984 census: 575 000) accounting for 30% of the population of the country] and rural areas (Linzolo, a sizeable village of 2000 inhabitants, situated 25 km southwest of Brazzaville). In the Congo the standard of education and the level of income are high for a sub-Saharan African country. In 1989 the gross domestic product (SUS 880) was five times that of Zaire (SUS 160). The official language is French. In the Brazzaville region Plasmodium falciparum is holoendemic in rural areas without marked seasonable variations. In urban areas the rates of transmission vary considerably according to the district, from less than one 0003-4983/92/040319 + 04 $08.00/0
infective bite per person every two years to over 100 per year (Trape, 1986). Examination of thick blood films (200 microscope fields) showed plasmodial indices in primary school children ranging from under 5% to over 80% (Trape, 1986). Chloroquine resistance of P. falciparum has been noted in the Congo since 1985. In Brazzaville the situation seems to be improving for chloroquine and amodiaquine (Carme eta!., 199la), whereas a decrease in sensitivity has been observed in vitro for quinine and aminoalcohols (Carme et a!., 199lb). No concerted vector control or systematic chemoprophylaxis has been carried out in this region for over 20 years.
METHODS All subjects were interviewed by the same team, composed of graduates of the 'Institut © 1992 Liverpool School of Tropical Medicine
CARME ET AL.
320
TABLE I Preventive and therapeutic measures carried out ~y mothers (N = 600) representative ofthe population of Brazzaville
Measures carried outt
Downloaded by [Australian Catholic University] at 23:24 18 August 2017
Comprehension of French language• Nil Mediocre Good Overall
Chemoprophylaxis of children 6years
Systematic treatment offever
20% 37% 52% (P
ISSN: 0003-4983 (Print) 1364-8594 (Online) Journal homepage: http://www.tandfonline.com/loi/ypgh19
Current practices for the prevention and treatment of malaria in children and in pregnant women in the Brazzaville Region (Congo) B. Carme, P. Koulengana, A. Nzambi & H. Guillo Du Bodan To cite this article: B. Carme, P. Koulengana, A. Nzambi & H. Guillo Du Bodan (1992) Current practices for the prevention and treatment of malaria in children and in pregnant women in the Brazzaville Region (Congo), Annals of Tropical Medicine & Parasitology, 86:4, 319-322, DOI: 10.1080/00034983.1992.11812673 To link to this article: http://dx.doi.org/10.1080/00034983.1992.11812673
Published online: 15 Nov 2016.
Submit your article to this journal
View related articles
Citing articles: 8 View citing articles
Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=ypgh19 Download by: [Australian Catholic University]
Date: 18 August 2017, At: 23:24
Annals of Tropical Medicine and Parasitology, Vol. 86, No.4, 319-322 (1992)
Current practices for the prevention and treatment of malaria in children and in pregnant women in the Brazzaville Region (Congo)
Downloaded by [Australian Catholic University] at 23:24 18 August 2017
BY B. CARME*t, P. KOULENGANAt, A. NZAMBit AND H. GUILLO DU BOD ANt
*Faculte de Midecine et C.H. U., Hopital Sud, 80054 A miens, France tCentre Hospitalier et Universitaire de Brazzaville, Congo and tCentre Hospitalier de Linzolo, Congo Received 28 November 1991, Revised 3 March 1992, Accepted 23 March 1992
Current practices for the prevention and treatment of malaria in children and in pregnant women in the Brazzaville Region (Congo) were studied in 1989 and 1990. Information was obtained by interviewing a total of 1152 subjects. Overall, chemoprophylaxis was used less than was the systematic treatment offever. Fever was treated before seeking medical advice in over 50% of the cases. Two-thirds of those interviewed reported that they slept under mosquito nets. Families with lower socio-economic standards were less likely to use chemoprophylaxis, to have antimalarials in the home, and to own mosquito nets; and they were more likely to prefer injections and to purchase drugs in the local markets.
The preventive measures taken against malaria in Congolese children and by pregnant women living in the Brazzaville region (Congo) were studied in 1989 and 1990. The study was carried out in urban areas [the city of Brazzaville, the capital and principal city of the Congo with a population of 650 000 inhabitants ( 1984 census: 575 000) accounting for 30% of the population of the country] and rural areas (Linzolo, a sizeable village of 2000 inhabitants, situated 25 km southwest of Brazzaville). In the Congo the standard of education and the level of income are high for a sub-Saharan African country. In 1989 the gross domestic product (SUS 880) was five times that of Zaire (SUS 160). The official language is French. In the Brazzaville region Plasmodium falciparum is holoendemic in rural areas without marked seasonable variations. In urban areas the rates of transmission vary considerably according to the district, from less than one 0003-4983/92/040319 + 04 $08.00/0
infective bite per person every two years to over 100 per year (Trape, 1986). Examination of thick blood films (200 microscope fields) showed plasmodial indices in primary school children ranging from under 5% to over 80% (Trape, 1986). Chloroquine resistance of P. falciparum has been noted in the Congo since 1985. In Brazzaville the situation seems to be improving for chloroquine and amodiaquine (Carme eta!., 199la), whereas a decrease in sensitivity has been observed in vitro for quinine and aminoalcohols (Carme et a!., 199lb). No concerted vector control or systematic chemoprophylaxis has been carried out in this region for over 20 years.
METHODS All subjects were interviewed by the same team, composed of graduates of the 'Institut © 1992 Liverpool School of Tropical Medicine
CARME ET AL.
320
TABLE I Preventive and therapeutic measures carried out ~y mothers (N = 600) representative ofthe population of Brazzaville
Measures carried outt
Downloaded by [Australian Catholic University] at 23:24 18 August 2017
Comprehension of French language• Nil Mediocre Good Overall
Chemoprophylaxis of children 6years
Systematic treatment offever
20% 37% 52% (P
