The Open Public Health Journal

ISSN: 1874-9445 ― Volume 12, 2019

Malaria Case-Management in Urban Area: Various Challenges in Public and Private Health Facilities in Benin, West Africa

Badirou Aguemon1, Barikissou Georgia Damien1, *, Antoine Vickey Hinson2, Géraud Padonou1, Abévi Fleury Bruno Agbessinou1, Edgard Marius Ouendo3, Paul Ayélo2
1 Unit of Public health, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
2 Unit of Teaching and Research in Occupational Health and Environment, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin
3 Institut Régional de Santé Publique (IRSP), Ouidah, Benin



In Benin, malaria remains endemic and perennial throughout the year in most areas. During the last decade, a substantial increase was noticed in the procurement of Artemisinin-based combination therapies and malaria RDT. This study aimed to evaluate the quality of uncomplicated malaria cases-management in public and private health facilities.


A cross-sectional survey was carried out in public and private health facilities in the municipality of Abomey-Calavi in southern Benin from August to September 2016. The study focused on two targets: (i) patients with uncomplicated malaria who sought care in a health facility in Abomey-Calavi during the study period; and (ii) the health care providers in public and private health facilities authorized by the Ministry of Health.


In 27 health facilities investigated, 15 in the public sector and 12 in the private sector, a total of 313 patients and 93 health care providers were included. Forty-four percent (44%) had no education. Among the patients, 60% were identified in the public health facilities. About 87% of uncomplicated malaria patients were tested in public facilities while 63% were tested in private facilities. In the same way, 54% of patients were treated in accordance with National Malaria Control Program (NMCP) guidelines.


The present study showed a poor performance in uncomplicated malaria case-management in private health facilities compared to public health facilities. Strategy to improve access and utilization of malaria case-management supplies needs to be reviewed in both public and private health facilities.

Keywords: Malaria case-management, National Policy, Health facilities, Public and private, Benin, National Malaria Control Program (NMCP).

Article Information

Identifiers and Pagination:

Year: 2018
Volume: 11
First Page: 54
Last Page: 61
Publisher Id: TOPHJ-11-54
DOI: 10.2174/1874944501811010054

Article History:

Received Date: 29/12/2017
Revision Received Date: 30/01/2018
Acceptance Date: 2/2/2018
Electronic publication date: 23/02/2018
Collection year: 2018

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© 2018 Aguemon et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Bénin; Tel: 97483574; Fax: 21304096; E-mail:


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