Context:
Malaria, HIV/AIDS and TB remains an important cause of mortality and morbidity in Sub-Sahara Africa.
In Nigeria, for instance, (NARHS plus II 2012) showed a declined to 3.4 percent in HIV prevalence, while malaria accounted for 32 percent of global estimate of 655,000 malaria death in 2010 (WHO, 2012). Yet the level of integrated community case management implementation in Nigeria was reported low by the 2012 MPR. Children under age 5 and pregnant women are the group most vulnerable to illness and death from malaria infection across sub-Saharan Africa including Nigeria.
Method: A random cluster sample survey was conducted between 2015-2018 involving over 550 community health workers and volunteers in context of task-shifting and sharing to allow specialized health workers vote in more time to focus on advanced clinical conditions while non-physician providers attend to more stable patient. Along the service line community health worker engage in community outreach, voluntary counseling and testing services.
Result: Although use of ACT for malaria treatment increased from 2 percent in 2008 to 18 percent in 2013, this figure remains below the National target (which is at least 80percent) by 2020, as specified in the National malaria strategic plan). Therefore, there is need to engage a wider network of healthcare workers and volunteers in order to scale up low cost effective evidence based intervention for elimination of malaria.
Conclusion: The current mission of national malaria Elimination program (NMEP) is based on its mission policy to provide equitable, comprehensive, cost effective, efficient and quality malaria control services ensuring transparency, accountability, client satisfaction, community ownership and partnership.
Key Words: Methodology, Community, Health, Worker, Malaria, Case, Management