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Malaria Prevention and Treatment Patterns Among Under-Five Children in Juba
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Abstract
Malaria remains a leading cause of morbidity and mortality among children under five in South Sudan. This prospective cohort study investigated prevention practices, treatment-seeking behavior, and clinical outcomes among 1,200 children in Juba County. Our findings reveal significant gaps in insecticide-treated net usage and delayed treatment-seeking that contribute to severe malaria cases.
Methodology
Prospective cohort study following 1,200 children under five for 12 months. Household surveys collected data on prevention practices, while clinical records tracked malaria episodes and treatment outcomes. Rapid diagnostic tests confirmed malaria cases.
Key Findings
ITN ownership was 67% but consistent usage was only 34%. Average treatment-seeking delay was 3.2 days from symptom onset. Community health worker training reduced severe malaria cases by 28%. Artemisinin-based combination therapy adherence was suboptimal at 61%.
References
1. WHO. (2023). World Malaria Report.
2. National Malaria Control Program. (2023). South Sudan Malaria Strategic Plan.
3. Roll Back Malaria Partnership. (2022). Progress Report.
Publication Details
- Category
- Clinical Research
- Published
- Mar 23, 2026
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