Simple Malaria Home Care of Children Between 0-5year Old in Benin: Stakes and Opportunities of Communities Action in the Reduction of the Anti Malarial Households Expenditures and Which Perspectives on MDGs Achievement Process

Since the adoption of Artemisinin-based combination therapy (ACT) by WHO in April, 2004 as a main treatment of the simple malaria, the new policy of simple malaria treatment is based on the participation of the Local communities organizations (LCO) to assure the homecare. .

Objective of this study was to Evaluate the economic incidence of LCO action in the treatment access, as factor of reduction or not of anti malarial households expenditure, in the simple malaria homecare of 0 to 5 year-old children.

This transverse case study, realized at Ganvié lakeside in Benin between January to June, 2010 targeted 250 mothers and or household heads of 0-5 year old children and 8 members of LCO. The data were collected in these groups respectively by a questionnaire and interview guide.

The actions of OCB teams were known by 90 % of the households studied and more than 86 % (IC [0.8145; 0.9114]) of these had at least once adopted CTA to treat at home a case of simple malaria their children. To equal number of 0-5-yearold children, the anti malarial expenditures of households which did not adopted ACT was on 697 F FCFA averages, against only 337 F FCA for households which adopted ACT. However, the systematic treatment of all fevers likened to the simple malaria and the lake of confirmation test are elements which weaken this approach. The MDGs achievement process based on elimination of the simple malaria in 2015 requires one adjustment. The promotion of the malaria confirmation fast tests in communities and the transmission of the results to a doctor via the mobile phone for drug prescription are some actions which can promotion a fast treatment of simple malaria at home.