Sani Njobdi | Modibbo Adama University of Technology, Yola (original) (raw)
Papers by Sani Njobdi
International Health, 2012
As in other public health efforts, the current promotion of insecticide-treated net (ITN) usage a... more As in other public health efforts, the current promotion of insecticide-treated net (ITN) usage and prompt treatment of malaria has left the nomadic populations behind. The hypothesis that nomads can apply the community-directed intervention (CDI) strategy for fever management in children under-5 was tested among nomadic Fulani communities in northeastern Nigeria. Twenty camps selected representatives who were trained to provide artemisinin-based combination therapy and ITNs to their members. Coverage was compared with existing practice in 20 other nomadic Fulani communities. At baseline, none of the camps had ITNs, and antimalarial usage was only 2.7% in intervention camps and 5.8% in comparison camps. The nomads redesigned the negotiated intervention delivery approach to suit their culture. Within 12 months antimalarial usage and appropriate management of malaria in children under-5 reached 88.0% and 81.7%, respectively, and within 24 months they reached 87.9% and 86.1%, respectively, surpassing the Roll Back Malaria target of 80% coverage by 2011. In contrast, usage was <5% in the comparison camps. ITN possession reached 66.7% and 73.2% in the first and second years, respectively, within intervention camps, but was unchanged in comparison camps. However, ITN usage remained low at 21.7% in the second year (P < 0.05). When empowered, nomads will appropriately manage malaria using the CDI approach.
Context: The University-Community Partnership Project (UCPP) aims to improve health by influencin... more Context: The University-Community Partnership Project (UCPP) aims to improve health by influencing its social determinants. It is a partnership between a purposively selected community and two universities. To improve health status and community readiness for developmental transformation, a baseline demographic baseline survey was carried out focusing on reproductive health was inevitable. Setting: Makali village in post conflict eastern Sudan is one of the poorest regions of the country with poor health indicators and the worst maternal mortality ratio of 713 per 100,000 live birth in the country. Objectives: to collect baseline data about maternal health issues in Makali in order to establish tailor-made interventions to improve maternal health. Design: a demographic and epidemiological survey was conducted to document a comprehensive, quantitative data on health and related indices for the community. Main outcomes and results: Participants who attended antenatal care at least onc...
International Journal for Equity in Health, 2012
Background: An understanding of the febrile illness experience of Nigerian nomadic Fulani is nece... more Background: An understanding of the febrile illness experience of Nigerian nomadic Fulani is necessary for developing an appropriate strategy for extending malaria intervention services to them. An exploratory study of their malaria illness experience was carried out in Northern Nigeria preparatory to promoting malaria intervention among them.
International Health, 2012
As in other public health efforts, the current promotion of insecticide-treated net (ITN) usage a... more As in other public health efforts, the current promotion of insecticide-treated net (ITN) usage and prompt treatment of malaria has left the nomadic populations behind. The hypothesis that nomads can apply the community-directed intervention (CDI) strategy for fever management in children under-5 was tested among nomadic Fulani communities in northeastern Nigeria. Twenty camps selected representatives who were trained to provide artemisinin-based combination therapy and ITNs to their members. Coverage was compared with existing practice in 20 other nomadic Fulani communities. At baseline, none of the camps had ITNs, and antimalarial usage was only 2.7% in intervention camps and 5.8% in comparison camps. The nomads redesigned the negotiated intervention delivery approach to suit their culture. Within 12 months antimalarial usage and appropriate management of malaria in children under-5 reached 88.0% and 81.7%, respectively, and within 24 months they reached 87.9% and 86.1%, respectively, surpassing the Roll Back Malaria target of 80% coverage by 2011. In contrast, usage was <5% in the comparison camps. ITN possession reached 66.7% and 73.2% in the first and second years, respectively, within intervention camps, but was unchanged in comparison camps. However, ITN usage remained low at 21.7% in the second year (P < 0.05). When empowered, nomads will appropriately manage malaria using the CDI approach.
International Health, 2012
As in other public health efforts, the current promotion of insecticide-treated net (ITN) usage a... more As in other public health efforts, the current promotion of insecticide-treated net (ITN) usage and prompt treatment of malaria has left the nomadic populations behind. The hypothesis that nomads can apply the community-directed intervention (CDI) strategy for fever management in children under-5 was tested among nomadic Fulani communities in northeastern Nigeria. Twenty camps selected representatives who were trained to provide artemisinin-based combination therapy and ITNs to their members. Coverage was compared with existing practice in 20 other nomadic Fulani communities. At baseline, none of the camps had ITNs, and antimalarial usage was only 2.7% in intervention camps and 5.8% in comparison camps. The nomads redesigned the negotiated intervention delivery approach to suit their culture. Within 12 months antimalarial usage and appropriate management of malaria in children under-5 reached 88.0% and 81.7%, respectively, and within 24 months they reached 87.9% and 86.1%, respectively, surpassing the Roll Back Malaria target of 80% coverage by 2011. In contrast, usage was <5% in the comparison camps. ITN possession reached 66.7% and 73.2% in the first and second years, respectively, within intervention camps, but was unchanged in comparison camps. However, ITN usage remained low at 21.7% in the second year (P < 0.05). When empowered, nomads will appropriately manage malaria using the CDI approach.
Context: The University-Community Partnership Project (UCPP) aims to improve health by influencin... more Context: The University-Community Partnership Project (UCPP) aims to improve health by influencing its social determinants. It is a partnership between a purposively selected community and two universities. To improve health status and community readiness for developmental transformation, a baseline demographic baseline survey was carried out focusing on reproductive health was inevitable. Setting: Makali village in post conflict eastern Sudan is one of the poorest regions of the country with poor health indicators and the worst maternal mortality ratio of 713 per 100,000 live birth in the country. Objectives: to collect baseline data about maternal health issues in Makali in order to establish tailor-made interventions to improve maternal health. Design: a demographic and epidemiological survey was conducted to document a comprehensive, quantitative data on health and related indices for the community. Main outcomes and results: Participants who attended antenatal care at least onc...
International Journal for Equity in Health, 2012
Background: An understanding of the febrile illness experience of Nigerian nomadic Fulani is nece... more Background: An understanding of the febrile illness experience of Nigerian nomadic Fulani is necessary for developing an appropriate strategy for extending malaria intervention services to them. An exploratory study of their malaria illness experience was carried out in Northern Nigeria preparatory to promoting malaria intervention among them.
International Health, 2012
As in other public health efforts, the current promotion of insecticide-treated net (ITN) usage a... more As in other public health efforts, the current promotion of insecticide-treated net (ITN) usage and prompt treatment of malaria has left the nomadic populations behind. The hypothesis that nomads can apply the community-directed intervention (CDI) strategy for fever management in children under-5 was tested among nomadic Fulani communities in northeastern Nigeria. Twenty camps selected representatives who were trained to provide artemisinin-based combination therapy and ITNs to their members. Coverage was compared with existing practice in 20 other nomadic Fulani communities. At baseline, none of the camps had ITNs, and antimalarial usage was only 2.7% in intervention camps and 5.8% in comparison camps. The nomads redesigned the negotiated intervention delivery approach to suit their culture. Within 12 months antimalarial usage and appropriate management of malaria in children under-5 reached 88.0% and 81.7%, respectively, and within 24 months they reached 87.9% and 86.1%, respectively, surpassing the Roll Back Malaria target of 80% coverage by 2011. In contrast, usage was <5% in the comparison camps. ITN possession reached 66.7% and 73.2% in the first and second years, respectively, within intervention camps, but was unchanged in comparison camps. However, ITN usage remained low at 21.7% in the second year (P < 0.05). When empowered, nomads will appropriately manage malaria using the CDI approach.