Awareness, utilization, and satisfaction with free malaria test-and-treat services in government primary healthcare facilities in Benin City, Edo State, Nigeria: a cross-sectional study

Abstract

Malaria remains a leading public health concern in Nigeria, contributing significantly to morbidity and mortality, particularly among children under five years and pregnant women. The World Health Organization recommends prompt diagnosis and treatment of malaria to reduce its burden. The Edo state Government recently launched a free diagnosis and treatment services in all its healthcare facilities. This study evaluated the free malaria diagnosis and treatment services provided in government primary healthcare facilities in Benin City, Edo State. A purposeful cross-sectional study design was employed, using a structured self-administered questionnaire distributed to 200 patients selected through convenience sampling across primary healthcare centres in five local government areas in Benin City. A structured questionnaire was used as data collection tool. Data were analyzed using the Statistical Package for the Social Sciences (SPSS version 23), and results were summarized with frequencies and percentages. A total of 200 respondents took part in the study. Findings revealed that 63 (31.5%) of respondents were aware of the free malaria diagnosis and treatment programme. Community health workers were the main source of information about the free test and treat service [36 (18%)], followed by traditional media [12(6%)].  Actual utilization of the service was among 24(12%) participants from the subset of [63 (31.50%)] respondents who were aware of the free services. Of those tested, 22 (11%) were positive for malaria and received free antimalarial treatment. All those [24 (12%)] who have used the service expressed satisfaction with the services. Malaria free test and treatment services were available in government facilities investigated; however, awareness and utilization remain significantly low. Strengthening community sensitization, expanding communication through other channels to enhance public participation and ensuring the sustainability of the malaria control program is necessary.