BY
PATRICK ARIJE
INTRODUCTION
Background of Study
Malaria is a major cause of morbidity and mortality in the developing world. Malaria kills more than 800,000 people annually, of which 91% of them reside in Africa and 85% of them are under five children (WHO,2008).The greatest impact occur in sub-saharan Africa (including Nigeria), particularly in children (Snow et al 1999).
Under nutrition is the underlying cause of more than 50% of all childhood deaths in the world (Pelletier et al, 1995). Malnutrition exposes children less than five years of age to a higher risk of death (Fawzi et al, 1997, Man et al, 1998). Malaria and malnutrition are two major causes of childhood mortality in sub-saharan Africa (Fillol etal, 2009). Undernutrition is associated with growth retardation, impaired mental development, and increased susceptibility to infectious diseases.
Statement of Problem
Malaria and childhood malnutrition co-exist but their relationship remains unresolved. Malaria often afflicts populations that are both impoverished and malnourished. Role of poor nutritional status in the etiology of severe malaria disease needs further clarification (Holding & Kitsao-Wekulo, 2004). There are conflicting results about relationship between stunting or wasting and subsequent susceptibility to malaria. Stunting was the risk factors of malaria in Gambia and Kenya (Deen et al, 2002; Friedman et al,2005)
In contrary, a study in Papua New Guinea showed that stunting protected children from malaria (Genton et al,2005). Contradictory reports on the relationship between malaria and malnutrition in smaller, hospital –based studies compare with larger, community-based studies.
Objectives of Study
General objective :
• To investigate the association between malaria and malnutrition among under five children.
Specific objectives :
• To access the nutritional status using