Evidence shows that malaria is one of the diseases with many variations in treatment. If you have one hundred health care workers today to treat uncomplicated malaria, you will probably have more than 50% treat malaria differently (emphasis is mine). Most times policy is not followed in providing malaria treatment. Efforts have been made in training health care workers in the public sector on malaria treatment but not enough has been done for the private sector.
We reside in a country where policies are not based on emperical, long time scientific evidence. Data where available may not be credible as many people involved in the collection of such data may not even understand the implication of poor quality data.
Background: Artemisinin combination therapy (ACT) has been the first-line treatment for uncomplicated malaria in Cameroon since 2004 and Nigeria since 2005, though many febrile patients receive less effective antimalarials. Patients often rely on providers to select treatment, and interventions are needed to improve providers' practice and encourage them to adhere to clinical guidelines.
Over the past decade, efforts to increase the use of insecticide-treated bed nets (ITNs) have relied primarily on the routine distribution of bed nets to pregnant women attending antenatal services or on the mass distribution of bed nets to households.