AFI Malaria Elimination Outreach & Public Health Education Report_20250221_201941_0000

© Ariel Foundation International, 2024. All rights reserved.

ISBN: 978-1-958662-90-8

Acknowledgements

Editors:

Dr. Ariel Rosita King Moses Ekewre

Coverpage and Layout artist:

Oyaide Joshua Silver

PARTNERS

AUTHORS

HIS ROYAL HIGHNESS, ILLUSTRIOUS SIR ETEIDUNG,

Opening Remarks From The Royal Palace of The Village Head of Nsukara Offot.

Nwed ekom otọho esa ọbọñ nsukara offot

Dr. Ariel Rosita King, MPH, MBA, PHD (UK), DTM&H, PHD (FRANCE)

Cerebral Malaria – I Survived!

Ekamba udọñọ uto-eyin ake bọkọke

Moses Ekwere

Empowering Communities for a Malaria-Free Future: A Collective Journey Towards Health and Resilience.

Ediwam Mme idụñ edidụñ Ke idun uto-eyin Mbibaha Ke ini iso

Dr. Ayomide Sina-Odunsi, MD, MPH, MBA, MSc

Malaria in Nigeria: Challenges and Opportunities – a Brief Iba ni orile-ede Naijiria: Awọn italaya ati Awọn anfani –Ni Soki

Dr. Queen Ibanga Ufia

The Future of Malaria Control in Nigeria: Community-Based Approaches and Partnerships. Naña Eda Etre, Udono Uto-Eyin ke Nigeria ke Iso

Ms. Emaeyak Udeme Udo

Insecticide-Treated Nets in Africa: No Longer Farm Nets, Now a Key Measure for Malaria Prevention

ufok ọbọñ, idoho ufok ñkpọ iwañ aba Ke Africa edi-do akpan ñkpọ ekama Ke ekpan Uto eyin

Ms. Mercy Nkereuwem

Empowering Communities through Indigenous Knowledge: Natural Herbs for Malaria Prevention

Edinam Idịd Nnyin ediọñọ Ke mfañ ikot ye ọruñ akeme adi kpan udọñọ uto-eyin

Sir Michael Ufia

Evaluating the Cost-Effectiveness of Health Care Outreach Programs: A Case Study of Malaria Prevention Initiative by Ariel foundation international

Editre ntak udọñọ uto-eyin

Lady Inemesit Ekwere

Integrating Public Health Education with Food Safety Standards: A Holistic Path to MalariaFree Communities in Nigeria

Ekamba Udọñọ utọ eyin Ke idịd Nnyin Nigeria

INTRODUCTION

On October 26, 2024, Ariel Foundation International proudly hosted the Malaria Elimination Outreach and Public Health Education Event at the Ekamba Nsukara Community Health Centre, Akwa Ibom State, Nigeria This groundbreaking initiative, designed to reduce malaria prevalence among vulnerable groups, reached over 987 women with children aged 0-5 years, providing them with treated mosquito nets and life-saving education

The program underscores Ariel Foundation International's unwavering commitment to achieving the United Nations Sustainable Development Goals (UN SDGs): SDG 3: Good Health and Well-being, SDG 6: Clean Water and Sanitation, SDG 17: Partnerships for the Goals

We extend our profound gratitude to the Rotary Club De Javea, whose financial support was instrumental in the success of this project. We honor and acknowledge the exceptional vision and leadership of Dr. Ariel Rosita King, Founder and President of Ariel Foundation International, whose humanitarian efforts continue to inspire change across the globe This remarkable achievement would not have been possible without the dedication of our ChangeMakers :

Sir Moses Ekwere – Country Director

Dr Ayomide Sina-Odunsi, MD, MPH, MBA, MSC

Dr. Queen Ibanga - Phisician

Ms Emaeyak Udeme -- Pharmacis

Ms. Mercy Nkereuwem – Education Manager

Sir Michael Ufia – Monitoring & Evaluation Specialist

Lady Inemesit Ekwere – Head of Nutrition

Additionally, we appreciate the cooperation and hospitality of the local leaders who supported this initiative, including the village Chiefs and Heads of the three target communities: Illustrious Sir Eteidung Eyo Asuquo Esen, Village Head of Nsukara Offot, The Chiefs of Idu Uran and Use Offot Community. Their endorsement and participation were vital in fostering trust and ensuring the program's impact within these communities.

This event is not the culmination but a milestone in Ariel Foundation International's ongoing mission to empower communities with the knowledge and tools they need to combat malaria and other public health challenges. Together, we are building a healthier, brighter future. PAGE |

Royal Palace of The fot

HIS ROYAL HIGHNESS, ILLUSTRIOUS SIR ETEIDUNG, EYO ASUQUO ESEN.

"It is with immense gratitude and a deep sense of pride that I welcome the Ariel Foundation International to our community of Ekamba Nsukara, a central home that connects our neighboring communities of Idu Uran and Use Offot Today marks a significant milestone in our journey toward improved health and well-being for our people, and I am especially honored to see our mothers, children, and families benefit from the recent Malaria Elimination Outreach and Public Health Education

For many years, our community has worked together to support each other in times of need However, some critical health needs still remain unmet. Our village has long held a parcel of land intended for a community clinic, but it has yet to receive the sponsorship or support from an NGO or government body necessary to build, equip, and staff this facility. Such a clinic would provide essential medical services close to home, reducing the distance families must travel to access even the most basic healthcare

Moreover, the fight against malaria is an ongoing battle here in Ekamba Nsukara With the high prevalence of this disease, our community faces challenges in accessing sufficient medications and treatments.

Having readily available malaria medications would go a long way in protecting the health of our people, particularly our vulnerable young children and mothers.

I extend my heartfelt thanks to Ariel Foundation International and her Founder and President Dr Ariel Rosita King for answering our call I am hopeful that this partnership will not only help eliminate malaria from our community but also bring attention to the broader health needs of our people. Let us continue working together to make a lasting impact on the health and future of Ekamba Nsukara and our surrounding communities "

Ibibio translation

Nwed ekom otọho esa ọbọñ nsukara offot

HIS ROYAL HIGHNESS, ILLUSTRIOUS SIR ETEIDUNG, EYO A

Aneke naltion

Ke, id amba usen okeyin ekeke a eda ekpan

Ke ata Udoño Uto ey

Idun n ha ito NGO dinam

utom k. Uto ufok ib edikpe Usun

Anwa ukara, Idun n esobo

Idem. akpan akpan

Mmeneke Nkom Ariel Foundation International Ye mme dalbout, Dr Ariel king ye Sir Moses Ekwere ke omo adiboro Ikote nnyin. Mme nie idoreyin ke edidiana Keed aya awam ediben udono uto eyin nsio ke idun nnyin, yun benufon nti Mkpo nsok mbon idūn nnyin. Yak nnyin isukidiane Keed inam utom use nkpo mbànaidùn nnyin yenkuk nnyin

Cerebral Malaria – I Survived!

Dr. Ariel Rosita King, MPH, MBA, PHD(UK) DTM&H, PHD(FRANCE) Founder & President. Ariel Foundation International

In Maseru, Lesotho, getting ready to enter a door of the office of a major international organization, a veil covered my ears, my eyes, and my body had a flash of heat and I collapsed on the floor. Perhaps I faint because I had no breakfast, the stress of the visit pace, or because I caught a flu? I was picked up from the floor. Finally, but not focus my eyes. I could not speak I could not control my arms or legs I could hear and understand that I was in crisis. Put into a car and delivered to the local hospital, it was all a blur. I would go into and out of consciousness quickly I was so thankful I was not alone

Lights, many tests, drifting in and out of consciousness Finally, a diagnosis, Malaria in its worse and most fatal format, “Cerebral Malaria ” Lesotho does not have a malaria problem, so the diagnoses was difficult. I had been in Zambia only weeks before for my work with Ariel Foundation International Since my youngest daughter was with me, she wanted to see animals in their environment, so I booked a tour for safari. This was the first time she learned the word, “Elephant” by watching them in the wild

The hospital staff scrambled to find the medicine I needed to live. After looking throughout the country, it was decided to transfer me to a larger tertiary care hospital in South Africa, only hours away. I arrived at the airport with a medical doctor but could not walk and once again fainted while waiting We were denied boarding I was taken back to the local hospital My country embassy was called to be informed about my illness and likely death. The embassy called my family to prepare them for my pending death and likely repatriation of my body back to them My toddler daughter, stayed with me in the hospital in my bed playing and adapting to the new people and routines.

A young physician from Cote d’Ivore or Ivory coast came back to the hospital after a 2 week leave home Coming from a malaria endemic area, he had brought back some of the latest medications with him for himself. This medical angel of mercy donated the boxes of medication needed for me to have a second chance at life. After the first several doses, I started to keep consciousness, eat more, and became more lucid in my thinking. No more than a week in the hospital with the care of all the hospital staff, and supporters from the Presidents office, and a family that hosted my daughter and me at their home

After over a week in the hospital, I finally walked out, recovering from cerebral malaria into a waiting car to drive me and my toddler daughter to the home of our host family. I remember calling my family and letting them know that I was finally out of the hospital and needed time to recover and gain back my full abilities and energy Only after the miracles, I understood that I had almost become one of the 98% who have died from “Cerebral Malaria”. Yet, I had one miracle after another – Hospital, testing, medical assistance, newly developed medication from another country, Presidents’ staff attention and consistent care.

Malaria education, prevention and treatment are personal to me and my family because I experienced it, was treated for it, and now live because I had access and a blessing to be only 2-3% of the population who survived “Cerebral malaria” Now, we give back to various communities so that children, their mothers, and elders have a chance to prevent Malaria with education and bed nets

Thank you to the Ariel Foundation International volunteers, The Ariana-Leilani Children’s Foundation, Rotary Club of Javea (Spain), the community chiefs and leaders, health centre staff and the people who have trusted us to be of service.

If I am not for myself, who will be for me?

If I am only for myself, what am I?

If not now, then when? – Hillel

If not me, then who? – Dr Ariel Rosita King

Thank you for allowing me to remember, that my life, your life is a blessing to others!

NOTE:

“According to the World Health Organization (WHO), cerebral malaria is defined as a severe form of P falciparum malaria that causes cerebral manifestations The severity of malaria (in) areas that have a stable endemic of P falciparum will often find that severe malaria commonly occurs in children up to 5 years of age, whereas older children and adults will experience less severe forms of the infection due to partial immunity Initially, malaria will cause nonspecific flu-like symptoms including malaise, anorexia, lassitude, dizziness, headache, body aches, nausea, vomiting, and chills The progression of malaria into more severe symptoms will often depend upon the infecting parasite

Most of the severe complications of malaria will occur in individuals who have been infected with P falciparum Severe malaria is often defined as the presence of Plasmodium in peripheral blood Some of the complications of severe malaria can involve the central nervous system, which is otherwise referred to as cerebral malaria, the pulmonary system, renal system, and/or the hematopoietic system The progression to these complications is often rapid and can lead to death in many cases

If left untreated, cerebral malaria is almost always fatal; therefore, aggressive treatment immediately should be initiated immediately after a diagnosis of cerebral malaria is made. Even after treatment is initiated, cerebral malaria still has a mortality rate of 20% and 15% in adults and children, respectively. Fortunately, many of the patients who do survive cerebral malaria will typically experience a rapid recovery and a complete reversal of their neurological symptoms.”

Ibibio SUMMARY

Ekamba

udọñọ uto-eyin ake bọkọke

Dr. Ariel Rosita King, MPH, MBA, PHD(UK) DTM&H, PHD(FRANCE)

Founder & President; Ariel Foundation International & Dr. king Solutions

Dr. Ariel King, anie ifok abaña udoho uto-eyin idaha enyeabaha ke Lisothoake enye akeben Udono uto eyinami Kezămbia.

Enye ama osoke ndien ama eben enye eka ufok ibok idun odo dien owo ikikana idiono se ido ata mfina ommo, Kentak adoho owo idonokeudono utoeyin Ke Lesotho.

Omo ikinieke ibok keuto Udoño ami, ndien Dr. Eketoho

Coted'ivoire amadi no enye Usobo uwem. Ndien enye adikom mmeanam utom ke ufok ibiokyeMme mbong idun ye Mme mbon se ikibere ye enye, koro k'imo imiboko udono ado.Ifiok enye aniehe do anam enye esin idem ke edi-kpan udono uto enyin, yun mkpeb me owo mkро bаña naña eda ekpan Udoño uto eyin.

event gallery

Empowering Communities for a Malaria-Free Future: A Collective Journey Towards Health and

Moses Ekwere, Country Director

he achievements of our Malaria Elimination and Public Health ober 26, 2024, in Akwa Ibom State, Nigeria This event, which participants, was strategically located in Ekamba Nsukara a vibrant community nestled between Use-offot and Idu Uran Our choice of venue enabled us to extend our reach and make a meaningful impact across these neighboring areas, where the need for malaria prevention and health education is crucial

The success of this initiative underscores Ariel Foundation International’s commitment to addressing several United Nations Sustainable Development Goals, particularly SDG 3 (Good Health and Well-being), SDG 6 (Clean Water and Sanitation), and SDG 17 (Partnerships for the Goals) By focusing on malaria prevention for mothers and their young children, we are promoting lasting health benefits and helping communities develop resilience against preventable diseases This program exemplifies our belief that sustainable change starts with local action, rooted in partnerships and fueled by community empowerment.

The impact of this project has been profound. Participants, primarily mothers with children aged 0-5, received life-saving education on malaria prevention, along with treated mosquito nets to shield their families from this devastating disease. The commitment of our ChangeMakers was evident in every interaction; their knowledge-sharing, their compassionate care, and their dedication helped ensure each participant left with practical, actionable tools to protect their children. This publication will allow you to hear directly from these ChangeMakers, whose voices and stories give life to the results we achieved together

This project’s success would not have been possible without the invaluable support of our partners and the unyielding vision of our founder, Dr. Ariel Rosita King. Her humanitarian spirit is the heartbeat of Ariel Foundation International, inspiring young leaders globally to champion health, humanity, and community responsibility A special acknowledgment goes to the Rotary Club de Jávea and Dr. King Solutions, whose support made this endeavor a reality. Our sincere gratitude also extends to the Akwa Ibom State government and to the frameworks established by the World Health Organization, both of which played a key role in reinforcing our efforts The reach and visibility of this event were further amplified thanks to the generous media coverage provided by the Nigeria Television Authority (NTA - Uyo), NairaLand Blog, Nowupdateonline.co.ng, The Noisemaker News Blog, and especially THE INK PORTAL, one of Nigeria’s esteemed print media outlets

To prevent duplicate distribution and manage resources effectively, we assigned teams to manage participant flow and ensure every individual received materials in a fair and organized manner. Attendance was carefully logged, and participants’ thumbs were marked upon receiving their items, enhancing tracking accuracy

Reflecting on this program, we are deeply moved by the commitment of our participants and partners alike. To witness mothers actively engaging, learning, and sharing best practices to protect their children was both humbling and inspiring. This event serves as a vivid reminder of the transformative power of health education and the impact of accessible resources in underserved communities. It is a privilege to be part of an organization dedicated to empowering individuals through knowledge, compassion, and shared purpose

Our work continues, and the need for sustained action remains critical We invite each of you to join us in our mission to combat malaria and improve public health Your involvement whether through advocacy, partnership, or personal commitment—strengthens our collective impact and brings us closer to a future where health equity is a reality for all Together, let us continue this journey, creating a healthier, more resilient world, one community at a time.

IBIBIOSUMMARY

Ediwam Mme idụñ edidụñ Ke idun uto-eyin

Mbibaha Ke ini iso

Moses Ekwere - Country Director

Ado mkpo inemesit amindi neme ino mbufo mbaña edinam udono uto eyin ye adikpeb owo nkpo naña ekeme adikema idem ye adikpan, Udono uto-eyinake Ariel foundation International ekenama ke ofion duop usen edib ye itiokeed Ke Isua 2024. Keekamba Nsukara Offot Akwa Ibom state, Uyo. Nigeria.

Owo ikie ye usukked mme añan ye itiaba KeedukeEdinamodo.

Ndien edimam odo eke bana eka ndito ye ntok-eyen, isua 0-5.

Edinam odo ama ekpeb mkpo abaña naña ekeme ndiekpan utoeyin, ke akpatre ema edemeomoufok obon ye mkpose eben eka inua.

Edinam ode ama owuo ada mfon-mfon. ke uwam eka nnyin Dr Ariel Rosita King ye Rotary Club Owu ada meen-mfonke iwcem eka nnym Dr Ariel Hwcem Play ye you’r Rotary Clubde Jávea yeMme nka ami enama mkpo atebe. Nkoye mme Local media.

Malaria in Nigeria: Challenges and a Brief

Dr Ayomide Sina-Odunsi, MD, MPH, MBA, MSC

Malaria is a significant public health issue in Nigeria, where it remains a primary source of morbidity and mortality, especially among children under five and pregnant women. The illness caused by Plasmodium parasites via the bite of infected Anopheles mosquitoes, thrives across the country’s tropical climate Elevated humidity, recurrent precipitation, and insufficient drainage systems facilitate the expansion of mosquito breeding habitats, intensifying the disease’s effects on communities.

The country has adopted many initiatives to control malaria, including the distribution of insecticide-treated nets, indoor residual spraying, and the promotion of rapid diagnostic tests and successful treatment. Health campaigns highlight the significance of sleeping under insecticide-treated nets, maintaining adequate environmental sanitation, and seeking prompt medical care for symptoms such as fever and chills Notwithstanding these initiatives, malaria prevalence remains high due to obstacles including restricted access to healthcare services, poverty, and treatment resistance

Poor waste management and stagnant water bodies in both urban and rural regions foster optimal circumstances for mosquito breeding, hence compromising control initiatives A significant number of residents are uninformed about preventive measures, and some refrain from pursuing treatment owing to financial constraints or the remoteness of healthcare services

To resolve these difficulties, the government and stakeholders must strengthen healthcare infrastructure, improve access to affordable antimalarial medications, and enhance public education initiatives. Community involvement, sustainable financing, and enhanced research into more efficacious malaria control measures are important By emphasizing these measures, Nigeria can achieve substantial progress in alleviating the malaria burden and enhancing the welfare of its population.

YORUBA translation

Iba ni orile-ede Naijiria: Awọn italaya ati Awọn anfani –Ni Soki

Nipasẹ: Dr Ayomide Sina-Odunsi, MD, MPH, MBA,

MSC

Iba jẹọrọilera ilera ti gbogbo eniyan ni Naijiria, nibiti o ti jẹorisun akọkọti aisan ati iku, paapaa laarin awọn ọmọde labẹọdun marun ati awọn aboyun. Aisan ti o fa nipasẹawọn parasites Plasmodium nipasẹjijẹti awọn ẹfọn Anopheles ti o ni arun, n dagba ni gbogbo ojuọjọotutu ti orilẹ-ede. Ọriniinitutu ti o ga, ojoriro loorekoore, ati awọn eto idominugere ti ko to dẹrọimugboroja ti awọn ibugbe ibisi ẹfọn, npọsi awọn ipa ti arun na lori awọn agbegbe.

Orile-ede naa ti gba ọpọlọpọawọn ipilẹṣẹlati ṣakoso ibà, pẹlu pinpin awọn àwọn ti a tọju kokoro-arun, fifin inu ile, ati igbega awọn idanwo iwadii iyara ati itọju aṣeyọri. Awọn ipolongo ilera ṣe afihan pataki ti sisun labẹawọn idọti ti a ṣe itọju kokoro, mimu itọju ayika to peye, ati wiwa itọju ilera ni kiakia fun awọn aami aisan bii iba ati otutu. Laibikita awọn ipilẹṣẹwọnyi, itankalẹiba jẹgiga nitori awọn idiwọpẹlu iraye si ihamọsi awọn iṣẹilera, osi, ati idena itọju

Abojuto egbin ti ko dara ati awọn omi ti o duro ni ilu mejeeji ati awọn agbegbe igberiko ṣe atilẹyin awọn ipo ti o dara julọfun ibisi ẹfọn, nitorinaa ba awọn ipilẹṣẹiṣakoso bajẹ Pupo ninu awọn olugbe ko ni alaye nipa awọn ọna idena, ati diẹninu awọn yago fun ṣiṣe itọju nitori awọn inọnwo owo tabi isakoṣo ti awọn iṣẹilera

Lati yanju awọn iṣoro wọnyi, ijọba ati awọn ti o nii ṣe gbọdọteramo awọn amayederun ilera, mu iraye si awọn oogun ajẹsara ti o ni ifarada, ati ilọsiwaju awọn ipilẹṣẹetoẹkọgbogbogbo Ilowosi agbegbe, inawo alagbero, ati iwadii imudara si awọn ọna iṣakoso iba ti o munadoko diẹsii jẹpataki. Ti a ba tẹnumọawọn ọna wọnyi, orilẹ-ede Naijiria le ṣaṣeyọri ilọsiwaju pupọni idinku ẹru iba ati imudara ire awọn olugbe rẹ

PAGE | 21

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The Future of Malaria Control in Nigeria: Community-Based

Approaches and Partnerships.

Dr. Queen Ibanga Ufia, hysician

Introduction

Malaria remains one of Nigeria's most pressing public health challenges, especially in rural communities where healthcare resources are scarce. Despite decades of global and national efforts to combat the disease, malaria still claims thousands of lives annually, with children and pregnant women most at risk. Traditional approaches, focusing on centralized treatment and preventive measures, have proven effective but often struggle to reach the country’s vast, underserved areas

Recent community-based initiatives, like the Ariel Foundation’s outreach program, underscore the potential of localized approaches that bring malaria education, testing, and preventive resources directly to the communities in need These programs not only increase access to vital resources, such as mosquito nets and medication, but also foster partnerships with local leaders, healthcare facilities, and volunteers. As Nigeria seeks to reduce its malaria burden, it is essential to explore and expand community-based approaches These interventions can empower communities, mobilize resources, and create sustainable pathways toward a malaria-free

The Current Malaria Situation in Nigeria. Nigeria bears the highest burden of malaria globally, accounting for about 27% of the world’s malaria cases. The impact of malaria is particularly severe in rural communities, where access to healthcare facilities, preventive resources, and awareness about malaria transmission is often limited Despite nationwide campaigns and increased funding in malaria control, the gap between urban and rural access to prevention and treatment remains wide. Centralized programs often fail to reach remote regions effectively, underscoring the need for a community-centered approach that can adapt to the local context.

Challenges of Centralized Approaches: Programs implemented from central points, such as large hospitals or government centers, struggle to reach rural populations due to logistical issues, lack of healthcare infrastructure, and limited local outreach

Impact on Vulnerable Populations: High malaria prevalence in regions with limited healthcare access underscores the importance of building grassroots solutions that can adapt to local needs

Community-Based Approaches to Malaria Control

Community-based malaria control strategies involve engaging community members directly in the fight against malaria, empowering them to take charge of prevention and treatment initiatives within their communities By addressing malaria through local actors and culturally relevant practices, community-based approaches enhance the reach and effectiveness of malaria control

Educational Outreach and Awareness: Community members trained as health educators can help spread awareness about malaria prevention, proper bed net usage, and the importance of early testing.

Local Testing and Treatment Centers: Setting up small, accessible centers for testing and treatment, particularly in remote areas, can reduce the travel and time burdens that deter many from seeking medical care.

Benefits of Community-Based Approaches: This strategy encourages local engagement, improves adherence to preventive measures, and reduces delays in diagnosis and treatment. Communities are more likely to adopt and sustain health practices if they are involved in the design and implementation of solutions.

The Role of Partnerships in Malaria Control

Partnerships with local leaders, healthcare providers, and NGOs are essential for expanding the reach and efficacy of community-based malaria control efforts. These partnerships bring resources, expertise, and cultural knowledge that enhance the adaptability and impact of malaria interventions

Working with Local Leaders and Community Stakeholders: Local leaders play a pivotal role in mobilizing community participation and trust. By engaging chiefs, religious leaders, and youth representatives, organizations like the Ariel Foundation International foster an environment conducive to health promotion

Collaborating with NGOs and Health Workers: Non-governmental organizations and local health workers are often well-acquainted with the communities they serve Leveraging their knowledge and connections helps build credibility and establish an efficient malaria control network

Case Study of Ariel Foundation’s Outreach Partnerships: Ariel Foundation’s partnerships with local leaders and health workers were crucial for the successful execution of their recent outreach, which addressed malaria awareness and prevention across multiple communities

Case Study: Ariel Foundation’s Malaria Outreach

A recent outreach program led by the Ariel Foundation International exemplifies the effectiveness of community-based malaria control and the value of partnerships This initiative included a one-month advocacy campaign to build community support and a series of malaria prevention activities, including education, distribution of mosquito nets, and data collection.

Advocacy Campaign and Community Mobilization: During the one-month advocacy, Ariel Foundation engaged local leaders, health facilities, and media outlets to raise awareness about the upcoming outreach. This ensured robust turnout and a receptive audience.

Educational Components and Material Distribution: The outreach provided community members with crucial information on malaria prevention, emphasizing the importance of bed nets and environmental hygiene A significant number of nets were distributed, and volunteers managed resources to ensure fair access among participants.

Preliminary Outcomes and Impact: Over 987 participants attended, with many reporting increased knowledge on malaria prevention. Surveys conducted before and after the event revealed improved awareness, with many participants expressing willingness to adopt preventive practices.

Challenges Encountered: Despite its successes, the outreach faced a few challenges, such as unexpected turnout and limited resources. However, careful resource management and community support helped Ariel Foundation maximize impact, demonstrating the importance of adaptability and partnerships in such initiatives.

The Future of Malaria Control in Nigeria

Building on community-centered approaches and expanding partnerships offers a promising path forward for malaria control in Nigeria. A stronger emphasis on local participation, coupled with diversified funding and governmental support, can help Nigeria achieve substantial progress in malaria elimination.

Expanding

Community-Based Approaches Nationwide: To scale community-based malaria control, initiatives should prioritize training local health workers and community members in malaria prevention and treatment. Continuous education campaigns are essential for maintaining community engagement

Strengthening Partnerships and Securing Funding: Increased collaboration with government agencies, NGOs, and private sector sponsors will enable sustainable funding This will ensure that resources like mosquito nets, testing kits, and educational materials are always available

Policy Support for Grassroots Initiatives: Government policy can facilitate communitycentered programs by providing training, incentives, and infrastructure for local health workers, thereby reducing dependency on centralized facilities and increasing access to malaria services in rural areas

Actions

Drawing from research, knowledge, and extensive field experience, it's clear that malaria control in Nigeria requires a multipronged approach tailored to the country’s unique social and environmental conditions. From a professional perspective, there are four critical actions that, if prioritized, could advance the country toward a malaria-free future

1. Strengthening Community-Based Health Education and Behavioral Change

Action: Mobilize community health workers to lead consistent, targeted malaria education efforts at the grassroots level Community involvement is essential to instill preventive behaviors, such as the consistent use of bed nets and immediate care-seeking for symptoms.

Professional Insight: Research and field observations show that health outcomes improve significantly when education aligns with local beliefs and practices. Tailoring messages to specific cultural contexts makes malaria prevention practices more relatable and encourages long-term behavioral change.

Outcome: Enhanced awareness and behavioral change at the community level will increase the adoption of preventive measures, significantly reducing malaria transmission.

2. Expanding Accessibility to Malaria Testing and Early Treatment

Action: Prioritize the deployment of mobile health units equipped with diagnostic tests and treatment, especially in remote and underserved areas where malaria prevalence is highest.

Professional Insight: Limited access to testing and treatment often delays diagnosis, leading to disease progression and wider transmission From experience, it's evident that early diagnosis and treatment, made accessible through mobile clinics, can contain outbreaks and significantly reduce mortality rates

Outcome: Improved accessibility to testing and treatment in rural areas will lead to early malaria detection, reducing severe cases and transmission chains within these communities

3. Implementing Environmental Management Initiatives

Action: Encourage community-led projects focused on reducing mosquito breeding sites, such as cleaning up stagnant water, managing waste effectively, and maintaining drainage systems.

Professional Insight: Research underlines that controlling the mosquito population is key to malaria prevention During on-site evaluations, it’s apparent that communities engaged in regular environmental sanitation activities have a visibly lower incidence of malaria, emphasizing the need for ongoing local involvement.

Outcome: By reducing mosquito breeding grounds, transmission rates will decrease, which lessens the overall malaria burden and promotes healthier community environments

4. Securing Long-Term Partnerships and Funding for Sustainable Control Programs

Action: Forge strong partnerships with international organizations, local governments, NGOs, and the private sector to establish a sustainable funding model for malaria control

Professional Insight: Observations in practice indicate that programs with consistent funding and external support have a higher success rate, as they can maintain a steady supply of resources and personnel. Collaborations also allow for knowledge transfer and resource sharing, which improves program efficiency

Outcome: Reliable funding and partnerships will ensure a consistent supply of essential resources and enable long-term planning, preventing the lapses in malaria control efforts that often lead to resurgence.

In Nigeria, the battle against malaria remains urgent and essential, especially as it is too often underestimated in certain areas. In many rural communities, where healthcare facilities are frequently under-resourced, malaria is seen as a routine illness, something that "comes and goes" rather than a serious, life-threatening disease Yet, the reality is that malaria claims lives daily, often affecting the most vulnerable—pregnant women and young children—with long-term consequences For example, undiagnosed and untreated malaria during pregnancy can lead to severe complications, including brain damage in unborn children.

Malaria's impact is deep and far-reaching, yet it often goes unrecognized. This misconception underscores the need for a comprehensive approach, encompassing community education, increased access to testing and treatment, and robust partnerships to provide the resources needed for effective control and prevention.

Achieving a malaria-free Nigeria demands tireless effort, sustained commitment, and innovative strategies that empower communities with knowledge and tools to fight malaria at the grassroots level By prioritizing these actions, Nigeria can move closer to a future where malaria is not a silent killer but a controlled and eventually eradicated disease. Now more than ever, we must rally together to provide every community with the healthcare resources and support they deserve, paving the way for a healthier, malaria-free Nigeria.

Ibibio SUMMARY

Naña Eda Etre, Udono Uto-Eyin ke Nigeria ke Iso

Dr. Queen Ibanga Ufia, Physician

Udoño uto eyin odo akpan udoño afanaka Nigera, akpan-akpan ke mme esin iduñ emi eke ufok ibok mibaha. Okposuk editoño Ke eset enwana naña eda ekpan udoño uduto eyen, Udoño uto eyen osuk owo-wot owo kwa isua, akpan-akpan ntoeyien ye iban idip.

Mbia ibok eyem naña eda etre Udono emi, owo ikaña. Mmimi emi, Ke Ariel foundation eke edinam edinam Ukpan udoño uto eyin.

Edinam emi,ke ekedi deme ufok oboñ, Owo Ikedeme Ufok obon, ikpoñ, odo mme mboñ

Idun ye Ariel foundation International ye Ufok ibok ema edidiana keed enam utom oro.

Naña Nigeria eyem ñaña esio mfina udoño Uto-eyin, odo akpan nkpo adinam yek ufok Ibok aba ke esit idu ninyin

event gallery

Ain Africa: No Longer Farm for Malaria Prevention

Ms. Emaeyak Udeme Udo, Pharmacist

q , p y , pose a significant health burden in Nigeria, with young children and pregnant women being particularly vulnerable. Since the introduction of insecticide-treated mosquito nets by UNICEF in 2000 and in Nigeria by 2004 these nets have emerged as one of the most effective tools in malaria prevention Initially, some communities viewed mosquito nets as practical resources for farming rather than for health protection, illustrating a need for widespread education on their proper use This article explores the multifaceted benefits of mosquito nets, addressing public health, economic, and social advantages, while also discussing ongoing challenges to effective usage and distribution Further, it underscores the role of community education, as exemplified by Ariel Foundation International's recent outreach efforts, in promoting the adoption of insecticidetreated mosquito nets in Nigeria’s malaria-prone regions

Introduction

Malaria remains a leading cause of illness and death in Nigeria, a tropical country with an ideal climate for mosquito breeding. With millions affected each year, the World Health Organization (WHO) advocates the use of long-lasting insecticide-treated mosquito nets as a primary preventive measure. Despite this recommendation, cultural beliefs and inadequate understanding have limited the proper use of these nets, with some rural communities initially repurposing them as farming tools Addressing this misconception, Ariel Foundation International recently embarked on an outreach initiative aimed at educating vulnerable populations, including farmers, pregnant women, and nursing mothers, on the benefits of mosquito nets in malaria prevention.

1. Health Benefits of Mosquito Nets

Preventing Malaria Transmission

Insecticide-treated mosquito nets act as both a physical and chemical barrier, significantly lowering malaria transmission. By offering protection at night, when mosquitoes are most active, they are especially effective for young children and pregnant women, who are more susceptible to malaria's severe effects.

Mitigating Other Mosquito-Borne Diseases

In addition to malaria, insecticide-treated mosquito nets can reduce the transmission of other diseases like dengue fever, yellow fever, and Zika virus Although less common than malaria, these diseases can still have serious health impacts, and preventing them can further ease the burden on Nigeria's healthcare system

Reducing Drug Resistance

Widespread insecticide-treated mosquito nets use reduces reliance on antimalarial drugs, helping to prevent the emergence of drug-resistant malaria strains. This also strengthens immunity, allowing individuals, especially those in rural communities, to experience fewer malaria episodes and reducing the strain on health resources.

2. Economic Impacts of Mosquito Net Usage

Reducing Healthcare Costs, for low-income households, malaria treatment can be costly, encompassing medications, hospital fees, and other associated costs By preventing malaria, mosquito nets help reduce these expenses, thus easing the financial burden on both families and the national healthcare system

Enhancing Productivity

Malaria-induced absenteeism affects productivity, especially in rural areas where manual labor is the primary source of income. By lowering malaria cases through insecticide-treated mosquito nets use, individuals can maintain consistent work and schooling, contributing to economic stability and growth.

Easing Healthcare Facility Demands

Decreasing malaria cases allows healthcare facilities to allocate resources to other pressing health issues For Nigeria's under-resourced and understaffed healthcare system, this relief is essential to ensure overall public health improvements.

3. Social and Community Benefits

Boosting School Attendance, Malaria is a major cause of school absenteeism in Nigeria. By reducing malaria cases, insecticide-treated mosquito nets enable children to attend school consistently, promoting better academic outcomes and contributing to a healthier, more educated future generation

Fostering Health Awareness and Collective Responsibility

Mosquito net distribution programs often include health education campaigns that encourage communities to adopt preventive health practices, such as using nets consistently and maintaining sanitation to reduce mosquito breeding.

Empowering Vulnerable Populations

Women and children bear the greatest burden of malaria Increased mosquito net usage can alleviate some of these burdens, allowing women to focus on economic and educational pursuits and enabling children to develop healthier lives with enhanced educational opportunities

4. Challenges to Effective Mosquito Net Utilization

Cultural Misconceptions

Some Nigerian communities believe that sleeping under a net feels confining, while others mistakenly view insecticides as harmful These misconceptions prevent widespread acceptance and usage of insecticide-treated mosquito nets, underscoring the need for ongoing public health education

Accessibility Issues

Despite national and international distribution efforts, some rural or underserved communities face barriers to accessing insecticide-treated mosquito nets. Effective distribution depends on overcoming logistical challenges, including inadequate funding and distribution inefficiencies

Misuse and Maintenance Challenges

Improper use, such as repurposing nets for farming, reduces insecticide-treated mosquito nets effectiveness Additionally, a lack of awareness about necessary upkeep, such as retreatment, further limits their protective potential.

5. Strategies for Increasing insecticide-treated mosquito nets Usage

Community Education and Behavioral Change Campaigns

Educational initiatives are crucial for fostering behavioral change By collaborating with community leaders and healthcare workers, programs can address misconceptions, demonstrate proper insecticide-treated mosquito nets use, and emphasize its health benefits

Enhancing Distribution Networks

To ensure all Nigerians have access to mosquito nets, distribution channels must be strengthened. Combining government efforts with NGOs and local communities, such as through door-to-door campaigns, can overcome accessibility barriers and promote widespread insecticide-treated mosquito nets use.

Sustained Government and Policy Support

Ongoing support from the Nigerian government, including subsidies for low-income populations and policy enforcement, is essential to making insecticide-treated mosquito nets a staple of Nigeria’s malaria prevention strategy. Continued commitment will reinforce the role of insecticide-treated mosquito nets in public health efforts

Conclusion

The utilization of mosquito nets is a crucial component of Nigeria's malaria prevention strategy, offering an affordable and effective means to safeguard public health. Beyond individual health benefits, insecticide-treated mosquito nets contribute to socio-economic stability, enhancing productivity, improving educational outcomes, and empowering vulnerable groups.

However, overcoming barriers such as cultural misconceptions, distribution challenges, and maintenance issues remains essential With sustained government support, increased community involvement, and ongoing education, Nigeria can foster a culture of preventive health, ultimately reducing malaria cases and fostering a healthier, more prosperous nation.

Ibibio SUMMARY

ufok ọbọñ, idoho ufok ñkpọ iwañ aba Ke

Africa edi-do akpan ñkpọ ekama Ke ekpan

Uto eyin

Ms. Emaeyak Udeme Udo, Pharmacist

Udonouto eyin odoekamamfanaKie idid nnyin Nigerias, akpan akpan ntokeyin ye iban idip. Ufok obon eke unicef ekebene edi ke sua 2000 eneke awam ata eti-eti. Ndien ubakowo ema ebenefuk nkpo iwan, ntak odo ekenam yek ukpeb mkpo ami odik edi.

Mme Ufon Ufok obon, edikpan uto eyin, edikpan okposun uwemibiok, edikpan okposun ibiad okok ke ufok ibok, oyun anam

Idem oson mme owo, nto ufok nwed ekan eka ufok nwed.

Ukpeb mkpo idun, Nte utoake Ariel Foundation International eke ebene edi do ama awam eti-eti onyun ofon ke edi toiye me owo naña nte ena ke ufok obon.

Ke edineke tim Ntan yun A nene mbon nanaana nteenake idak ufok obon. Ididnnyin Nigeria eyakan ekpan Udoho uto eyin, eyun enam Idem oson mme owomme owo eyun ekan anam UtomMfon-mfon.

nities through Indigenous l Herbs for Malaria Prevention

Ms. Mercy Nkereuwem, Education Manager

”Good health and well-being are the strongest pillars of a thriving community; the wisdom of our ancestors flows in every leaf and root.”

Introduction

In Africa, and indeed globally, malaria continues to be a major public health challenge, especially in regions where favorable climatic conditions allow for the breeding of Anopheles mosquitoes, the primary vectors of malaria Despite progress in recent years, malaria remains prevalent, posing a significant threat to health and economic productivity, particularly in subSaharan Africa For centuries, indigenous communities across West Africa have turned to nature’s pharmacy traditional herbs as a means of combating diseases like malaria.

This article delves into the role of indigenous West African herbs in malaria prevention and treatment, underscoring how integrating traditional knowledge with contemporary health practices empowers communities and contributes to sustainable health goals It highlights the recent efforts made by Ariel Foundation International in Akwa Ibom State, Nigeria, where a public health education initiative educated participants on using indigenous herbs to prevent malaria. This initiative aligns with the global health objectives championed by the World Health Organization (WHO) and the United Nations Sustainable Development Goals (SDGs), reaffirming the value of traditional medicine in the quest for a healthier, more resilient society

Indigenous Knowledge: A Timeless Approach to Malaria Prevention

Throughout history, West African communities have relied on a vast array of medicinal plants, using the knowledge passed down from ancestors to combat diseases, particularly malaria. Herbal medicine, integral to the cultural heritage and health practices of these communities, offers natural, accessible, and affordable means of preventing and treating malaria Among the most valued plants for their antimalarial properties are neem (Azadirachta indica), moringa (Moringa oleifera), lemongrass (Cymbopogon citratus), basil (Ocimum gratissimum), garlic (Allium sativum), and eucalyptus (Eucalyptus globulus).

These plants are traditionally prepared in various forms, such as teas, infusions, and extracts, harnessing their therapeutic qualities to promote health and well-being.

Neem (Azadirachta indica)

Neem is a cornerstone of traditional medicine in many African and Asian cultures, renowned for its ability to deter mosquitoes and other parasites. The bitter leaves and bark of neem contain a compound called azadirachtin, which has been shown to disrupt the growth and reproduction of the Anopheles mosquito, reducing its population and thus malaria transmission. Neem oil, extracted from the seeds, has potent insecticidal properties and is often applied to the skin or used around households to repel mosquitoes Neem leaves are sometimes boiled to make a tea that is taken as a preventive measure against malaria, with the added benefit of supporting immune health

Moringa (Moringa oleifera)

Moringa, often called the “miracle tree,” is prized for its high nutritional value and its medicinal properties. The leaves, rich in vitamins, minerals, and antioxidants, are known to boost the immune system, making the body more resilient to infections, including malaria Moringa has anti-inflammatory and antipyretic (fever-reducing) properties, providing relief from common malaria symptoms such as fever and fatigue. Moringa extracts have also been found to have activity against Plasmodium, the parasite responsible for malaria, making it a valuable component in malaria prevention and supportive care.

Lemongrass (Cymbopogon citratus)

Lemongrass is widely used in West Africa for its medicinal and culinary applications It has a distinctive citrus scent due to its high citronella content, which acts as a natural mosquito repellent Traditionally, lemongrass is boiled to create a tea, which is taken to alleviate symptoms of malaria, such as fever and chills, and to support hydration and recovery. The essential oil of lemongrass, which can be applied around homes, helps in deterring mosquito presence, adding a natural layer of protection against malaria vectors.

Basil (Ocimum gratissimum)

Known locally in many African communities as “African basil” or “scent leaf,” basil is valued for its aromatic leaves and potent medicinal qualities. Basil contains compounds such as eugenol and thymol, which have been found to exhibit antimicrobial and antimalarial effects. In malaria prevention, basil leaves are often crushed and placed around homes to deter mosquitoes. When taken as an herbal tea, basil can help alleviate malaria symptoms, reduce fever, and strengthen the immune system Its widespread availability and ease of cultivation make basil an accessible and sustainable choice for communities.

Garlic (Allium sativum)

Garlic, with its distinctive pungent aroma, is another powerful natural remedy with historical use in preventing malaria and other infections. Allicin, the primary active compound in garlic, possesses antimicrobial, antiviral, and antiinflammatory properties. In traditional practices, garlic is consumed raw or added to meals to boost immunity and protect against infection Some studies suggest that the scent of garlic, when consumed regularly, can deter mosquitoes from biting, providing an added layer of defense against malaria transmission.

Eucalyptus (Eucalyptus globulus)

Eucalyptus leaves and essential oils are well-regarded in West African and other traditional medicine systems for their mosquito-repelling properties. The active compounds in eucalyptus oil, particularly eucalyptol, are known to have a strong, refreshing scent that deters mosquitoes effectively Eucalyptus leaves are often burned to release their fumes, which can help reduce mosquito presence indoors. Additionally, eucalyptus oil, when diluted and applied to the skin, acts as a natural insect repellent Eucalyptus-infused teas are also popular for managing malaria symptoms such as fever and respiratory discomfort.

Integrating Traditional Knowledge for Effective Malaria Prevention

These indigenous herbs have supported generations in fighting malaria and remain valuable due to their accessibility, affordability, and effectiveness Educating communities on identifying, preparing, and using these plants builds resilience against malaria at the grassroots level Moreover, the combined use of these herbs can address various aspects of malaria prevention, from repelling mosquitoes to alleviating symptoms, while promoting natural, self-reliant healthcare solutions.

The recent outreach in Akwa Ibom State reinforced the value of these traditional practices, teaching participants how to use these herbs as preventive and curative measures in their daily lives. Through such community-based initiatives, traditional knowledge not only helps control malaria but also instills a sense of pride and continuity in cultural heritage This integration of indigenous practices represents a sustainable approach to public health, empowering communities to combat malaria with resources readily available to them.

The World Health Organization (WHO): Supporting a Holistic Approach to Malaria Eradication

The WHO has long emphasized a multi-faceted approach to malaria control, combining preventive measures such as insecticide-treated nets (ITNs) and indoor residual spraying with diagnostic testing and treatment

Garlic, with its distinctive pungent aroma, is another powerful natural remedy with historical use in preventing malaria and other infections. Allicin, the primary active compound in garlic, possesses antimicrobial, antiviral, and anti-inflammatory properties. In traditional practices, garlic is consumed raw or added to meals to boost immunity and protect against infection Some studies suggest that the scent of garlic, when consumed regularly, can deter mosquitoes from biting, providing an added layer of defense against malaria transmission However, in recent years, there has been a growing appreciation for the role of indigenous medicine within the WHO framework. Recognizing the efficacy and accessibility of traditional practices, the WHO encourages the integration of such methods in local health strategies, especially in resource-constrained settings.

By supporting the use of indigenous remedies alongside medical interventions, the WHO affirms the value of community knowledge and autonomy in healthcare This recognition extends to initiatives like the Akwa Ibom outreach, which aligns with WHO’s vision for empowering communities to make informed health choices. The WHO’s advocacy for accessible, sustainable healthcare systems acknowledges that indigenous practices can offer valuable, cost-effective alternatives that enhance healthcare outcomes, particularly in rural areas with limited access to conventional medicine

The United Nations Sustainable Development Goals (SDGs): Aligning Indigenous Practices with Global Health Goals

The United Nations Sustainable Development Goals represent a comprehensive framework for advancing global well-being SDG 3, which aims to ensure healthy lives and promote wellbeing for all ages, and SDG 15, which seeks to protect life on land, are directly relevant to the use of natural herbs for malaria prevention. Integrating traditional medicine into public health aligns with SDG targets by promoting low-cost, sustainable solutions that reduce dependency on pharmaceutical imports and support local ecosystems.

In Akwa Ibom, educating the public about sustainable practices, such as cultivating and conserving medicinal plants, contributes not only to health but also to environmental sustainability Encouraging the responsible use of natural resources ensures that future generations can continue to benefit from these remedies, preserving biodiversity while achieving health equity This approach aligns with the “One Health” perspective, which acknowledges the interconnectedness of human health, animal health, and environmental well-being a principle that is becoming increasingly critical in global health discourse.

Akwa Ibom’s Role in Promoting Health and Cultural Heritage

Located in the Niger Delta region, Akwa Ibom State holds a distinctive place in Nigeria and West Africa due to its rich biodiversity, vibrant culture, and strategic natural resources. Known for its lush forests and access to diverse plant species, Akwa Ibom is ideally positioned to harness and showcase the power of indigenous medicine. The state’s commitment to preserving its cultural heritage, including the Ibibio language, contributes to a unique model of health education that respects and incorporates local customs.

Through this recent outreach, Akwa Ibom has demonstrated a forward-thinking approach by not only addressing health challenges but also celebrating cultural identity. By preserving indigenous language and knowledge, Akwa Ibom highlights the importance of cultural heritage as a vehicle for sustainable health education and as a model for other regions striving to balance modernity with tradition. This initiative underscores how local practices can contribute to the global dialogue on public health, positioning Akwa Ibom as a leader in culturally rooted healthcare solutions.

The Efficacy of West African Traditional Herbs in Malaria Prevention

Generations of West Africans have used traditional herbs effectively to prevent and treat malaria. Scientific research has validated many of these practices, demonstrating that herbs like neem and Artemisia contain potent compounds capable of inhibiting the malaria parasite. These natural remedies not only provide an accessible alternative to pharmaceutical treatments but also offer holistic health benefits, supporting the immune system and promoting general well-being

Studies published in ethnopharmacology journals have documented the success of these plants in reducing malaria symptoms and preventing recurrence For instance, compounds in neem have been found to interfere with the parasite’s life cycle, while artemisinin from Artemisia annua disrupts the malaria-causing parasite in the bloodstream The continued use of these plants exemplifies a sustainable, nature-based approach that resonates deeply with the values of West African societies.

Conclusion and Public Advice

The integration of indigenous knowledge into public health strategies represents a promising avenue for achieving sustainable health outcomes By empowering communities with the knowledge and skills to use traditional herbs, we foster resilience and independence in healthcare

Such efforts reduce reliance on costly, imported pharmaceuticals and promote health practices that are environmentally sustainable and culturally resonant.

To the public, we advise a balanced approach: embrace traditional practices where they are proven effective, and seek guidance from local health authorities. The World Health Organization and the United Nations both support such integrative practices, recognizing that a holistic, culturally aware approach can have lasting benefits. Communities are encouraged to cherish and preserve their cultural heritage, understanding that the wisdom of our ancestors provides not only physical health but also a profound connection to our identity

References

World Health Organization (2023) World malaria report Retrieved from [https://www who int](https://www who int)

United Nations. (2015). Sustainable Development Goals. Retrieved from [https://sdgs un org](https://sdgs un org)

Amadi, B., & Nwankwo, E. (2021). Traditional herbal medicine in West Africa: Malaria treatment practices among indigenous communities Journal of Ethnopharmacology, 162, 123-135.

Kayode, F., & Okoro, A. (2022). Local medicinal plants and their efficacy in malaria control: Case studies in Nigeria African Journal of Biomedical Research, 15(3), 198-205

Yusuf, I. M., & Adebayo, O. (2023). Natural antimalarial compounds in West African herbs: A systematic review* *Journal of Medicinal Plant Research, 17(4), 314-326

Ibibio SUMMARY

Edinam Idịd Nnyin ediọñọ Ke mfañ ikot ye ọruñ akeme adi kpan udọñọ uto-eyin

MS. Mercy Nkereuwem Education Manager

Ke ofri ofriidid.UdoñoUto eyinodo ekambaudoñoami eke afanake afro owo. Akpan -Akpa ke nkan ukannnyin ami owo misehenkpoibanga Obon.

Akpanmfinannyin odo uto eyin, Kentak odoho owo idonoibok obon ke ofin nte enama Ke idun makara. Tono, ke esiet, afid owo ke idid nyin edi beredem ke mfanikot yeOdun edibén nsoboidemKe udono Uto eyin.

Nwed iwete mi atan iko abaña mme odun ye mfan ikot ekamake ekpan enyun Udoño Uto eyin,Naña ibinam udono uto-eyin ami atre, ke Idid nyin. Odo edino mbon idun Mkpo se ekama enwanaUdoño Uto eyin.

Mmi-mi emi Ariel-foundation International emasin Uwam ke akwa ibom state Nigeriake edino Ufok Obong yun Mkpe mkpo abañakeorukyemfan ikot nana ekamaEkpan udono uto eyin.

Evaluating the Cost-Effectiveness of Health Care Outreach Programs: A Case Study of Malaria Prevention Initiative by Ariel foundation international

ir Michael Ufia

Monitoring & Evaluation Specialist, Ariel Foundation International

utreach, several crucial factors come into play one of ugh planning is essential, the financial foundation of an act. Without sufficient resources, even the most wells full potential This article aims to underscore the ves, specifically examining how financial considerations lthcare programs

Drawing from the just conclude malaria prevention outreach conducted by Ariel Foundation International, this article will explore how funding shapes every aspect of an outreach effort From securing educational materials and training personnel to providing necessary resources like mosquito nets, each component relies on the availability of funds By analyzing the costeffectiveness of these efforts, we can assess how effectively resources were allocated and identify strategies for optimizing future programs. In doing so, this article highlights the need to prioritize cost management and financial planning as central pillars of any successful healthcare outreach, emphasizing that careful budgeting is not just a logistical step but a core driver of meaningful, sustainable impact

Program Overview and Objectives

This malaria elimination outreach program, led by Ariel Foundation International, aimed to support the United Nations Sustainable Development Goals (SDGs), focusing particularly on SDG 3: Good Health and Well-being, SDG 6: Clean Water and Sanitation, and SDG 17: Partnerships for the Goals. The primary objective was to educate and protect vulnerable populations, specifically targeting a turnout of 750 participants, including pregnant women, nursing mothers, and children aged 0-5.

The outreach took place at Ekamba Nsukara Use-Offot Health Facility in Uyo Local Government, Akwa Ibom State. This rural health center was strategically selected for its accessibility to neighboring communities, including Idu-Uran and Use-Effot, allowing wider attendance from nearby areas. Although it was a single-location event, people from surrounding communities, such as those from Uran Local Government, attended

Core components of the program included malaria education sessions and free mosquito net distribution, along with refreshments to make the outreach more engaging for participants

The day was marked by a strong turnout and extended program duration, lasting approximately eight hours due to high participation and a delayed start caused by the sanitation activities on the last Saturday of the month.

While the event was spearheaded solely by Ariel Foundation International, valuable support was received from Rotary Club De-Javea and Dr. King Solutions. This outreach aligns with Ariel Foundation's humanitarian mission to improve lives worldwide by fostering partnerships, mutual understanding, and well-being. The expected outcomes were to increase awareness of malaria prevention and to promote preventive practices among participants, laying the groundwork for more impactful outreach programs in the future.

Evaluation

To evaluate the cost-effectiveness of the malaria elimination outreach, several metrics and strategic approaches were employed. This methodology section outlines how cost per participant, resource allocation, data collection, participant management, and educational impact were managed and assessed to measure the outreach’s success

Key Metrics and Targeted Allocation

The primary metric for assessing cost-effectiveness was cost per person, calculated based on the initial target of 750 participants Due to the massive turnout exceeding our expectations our resources were stretched to accommodate a total of 987 participants. To ensure effective utilization, resource distribution was strategically organized While 615 bed nets were provided to participants, specific allocations were also made for key figures, including chiefs, hospital directors, volunteer nurses, and community leaders, who played roles in supporting the outreach

Additional resources included refreshments for participants, with a mix of snacks, drinks, and ample water. To manage high attendance from three communities, refreshments were carefully rationed some participants received snacks while others were given drinks This approach, along with the participation of National TV, online news, and print media, added to the cost but increased outreach visibility and community engagement.

Data Collection and Participant Management

Data collection was managed through a structured registration process. Upon arrival, each participant registered and received a survey form to assess their knowledge of malaria before and after the session. This allowed us to measure awareness levels and capture feedback on malaria prevention. In total, 750 surveys were distributed, with 745 completed and returned, indicating high engagement Each participant was assigned a unique number to ensure orderly distribution of resources; surveys and participant attendance lists were crossreferenced upon exit, where participants would submit completed surveys and receive their net and refreshments.

To prevent duplicate distribution and manage resources effectively, we assigned teams to manage participant flow and ensure every individual received materials in a fair and organized manner Attendance was carefully logged, and participants’ thumbs were marked upon receiving their items, enhancing tracking accuracy.

Evaluation Tools and Educational Approach

We utilized pre- and post-survey data to assess participants' understanding of malaria and preventive measures. The survey revealed that, prior to the outreach, some participants had limited knowledge of malaria prevention and severity Following the educational sessions, there was a notable improvement in their understanding of prevention techniques, the importance of sleeping under mosquito nets, and ways to manage malaria. This survey feedback provided key insights into the effectiveness of the educational component and guided future program planning.

Strategic Venue and Success Indicators

The Ekamba Nsukara Offot Health Facility was chosen as the central venue due to its accessibility for participants from three surrounding communities, including Idu-Uran and UseOffot The facility’s location made it easier for people to attend, helping the outreach surpass initial attendance expectations The location’s proximity to multiple communities contributed to the outreach’s success, as did a month-long advocacy campaign leading up to the event, where village chiefs, community hospitals, and local media were engaged to support attendance and awareness

Additional Cost-Effective Measures

The Ekamba Nsukara Offot Health Facility was chosen as the central venue due to its accessibility for participants from three surrounding communities, including Idu-Uran and UseOffot The facility’s location made it easier for people to attend, helping the outreach surpass initial attendance expectations. The location’s proximity to multiple communities contributed to the outreach’s success, as did a month-long advocacy campaign leading up to the event, where village chiefs, community hospitals, and local media were engaged to support attendance and awareness

Additional Cost-Effective Measures

Several cost-effective strategies were employed to optimize resources. We prioritized critical areas such as travel expenses to meet with community chiefs and hospitals, which facilitated local support and turnout. This also included transportation for team members to distribute pre-event refreshments to chiefs, securing community backing and venue approval.

Printing materials, including brochures in English and Ibibio, flyers, survey forms, attendance sheets, and a rollup banner, were essential in outreach engagement, ensuring clear messaging and broad accessibility. Graphic design and printing costs were carefully managed to support program goals without compromising quality. Finally, refreshments were adjusted to meet the high turnout without exceeding budget constraints, enhancing participant satisfaction.

Success Indicators

The outreach was considered successful based on key indicators: high participant turnout, extended reach to three communities, effective management of resource distribution, and positive educational impact as indicated by survey results These metrics confirmed that our approach effectively utilized allocated resources, achieving both cost-effectiveness and meaningful community impact.

Findings

After carefully listing out and reviewing the expenses associated with the malaria elimination outreach, it became clear that cost played a critical role in determining the overall effectiveness of the program. Without sufficient funding, even the most well-planned initiatives risk falling short of their goals, underscoring the importance of financial preparedness in outreach planning.

By focusing on cost per person, we managed resources effectively to reach our target number, although the unexpected turnout demonstrated the need for contingency funds to cover overflow situations The allocation strategy for bed nets and refreshments, as well as the structured registration process, contributed to cost efficiency, ensuring that essential resources were provided to the maximum number of participants. This method also highlighted areas where additional funding could have extended our reach, such as providing a greater quantity of mosquito nets and extending survey distribution for more comprehensive feedback

The data collection process, supported by the registration and survey system, not only facilitated efficient tracking but also ensured that our resources were utilized optimally Survey responses reflected an increase in malaria awareness, showcasing the effectiveness of the educational component This impact further reinforced that targeted spending on materials like educational brochures, in local languages, and refreshments contributed positively to community engagement and knowledge retention

Strategic venue selection also proved to be a cost-effective decision, as holding the event in a central health facility allowed for easy access for three neighboring communities This expanded our impact without the need for additional locations, maximizing outreach within a single venue Our partnership with local leaders and media was another cost-effective measure, enhancing community turnout and awareness.

Ultimately, the findings illustrate that thoughtful allocation of resources, along with pre-emptive budgeting for unforeseen circumstances, can significantly enhance the cost-effectiveness of healthcare outreach programs Effective financial management was not just a background element but a central factor in achieving the program's goals and maximizing its community impact.

Feedback from One-Month Advocacy Period

In the month leading up to the outreach event, we engaged with local health workers and community members, gaining valuable feedback on the malaria-related challenges faced in their area:

1. Lack of Infrastructure: Health workers at several facilities shared that while land was available, limited building structures restricted their ability to serve more patients effectively This shortage of infrastructure posed a significant barrier to providing accessible healthcare services, both during regular operations and larger community events

2. Staffing Shortages: Some health facilities reported insufficient numbers of health workers, making it difficult to manage patient needs, especially for preventive malaria education and community health campaigns. This lack of personnel reduced the overall effectiveness of malaria programs and highlighted a need for further support

3. Scarcity of Malaria Prevention Resources: Health workers also noted a shortage of critical malaria prevention materials, such as mosquito nets and insecticides, as well as antimalaria medications. This limitation hindered the community’s efforts to manage malaria risks effectively, and facilities often struggled to maintain supplies for ongoing prevention efforts

4. High Cost of Malaria Treatment: Many residents mentioned that the cost of malaria drugs was prohibitive, making it difficult for them to seek treatment This financial obstacle limited community members’ ability to access the care they needed, emphasizing the importance of affordable healthcare resources

Feedback Post-Outreach Event

After the outreach, participants and healthcare providers offered insights on areas for future improvement:

1. Need for Enhanced Training of Health Workers: Several participants pointed out that some healthcare staff appeared to have limited knowledge of malaria prevention and treatment. More extensive training would help ensure that local health workers can confidently address community needs and provide accurate, up-to-date information on malaria

2. Call for Additional Support Staff: Due to the large turnout, both health workers and community members stressed the need for more support staff at future events Additional personnel would help manage logistics, from educational sessions to the distribution of resources, ensuring a smoother experience for attendees

3. Lack of Malaria Testing Kits: Participants noted a shortage of malaria testing kits in local facilities, which hindered accurate diagnoses Feedback emphasized that equipping health centers with sufficient testing kits is essential for effective malaria diagnosis and treatment.

4. Increased Focus on Malaria Prevention: Participants expressed the need for a greater emphasis on malaria-related health services in the community Malaria remains a pressing health concern, and many felt that regular advocacy efforts and resources should prioritize addressing the disease’s impact on their health and livelihoods.

Significance of Financial Preparation and Strategic Cost Management in Achieving a Successful Malaria Outreach.

Effective financial planning is the backbone of any outreach initiative, and this was clearly evident in the preparation and execution of the malaria elimination outreach program Through rigorous financial planning and cost-effective resource allocation, we were able to turn a well-coordinated advocacy campaign into a successful, impactful event From the month-long advocacy efforts to the meticulous resource management on the day of the event, every stage highlighted the critical role of financial readiness in achieving our goals. Here’s a breakdown of how financial preparation underpinned each aspect of our outreach and allowed us to manage resources effectively.

1. Advocacy Campaign Funding and Resource Allocation

During the month-long advocacy phase, we engaged community leaders, healthcare providers, and media to build awareness and foster support for the upcoming outreach Here’s how financial preparedness contributed to this phase:

Community Engagement and Permissions: Costs were incurred to engage with community chiefs and gain approval for using the community space for the event. Part of our financial preparation involved providing small refreshments, like drinks for these community representatives, ensuring a positive and respectful start to our outreach.

·Educational Materials and Promotional Efforts: We invested in designing and printing brochures, flyers, and banners in both English and Ibibio to increase accessibility for all community members This not only informed people about the outreach event but also provided critical information on malaria prevention in local languages. The financial planning for this allowed us to conduct advocacy sessions that reached two communities effectively.

Transportation and Logistics: To meet with community leaders and health facilities, funds were set aside for transportation costs. This enabled our team to reach various parts of the community and discuss malaria prevention initiatives with the health workers who would play a role in the event’s success.

2. Strategic Financial Management During the Main Event

The outreach event itself required careful financial planning to handle an unexpectedly large turnout. Here’s how cost-effective management enabled us to adapt to changing conditions while maximizing impact:

Effective Participant Management through Registration and Survey Tools: We invested in survey tools and registration lists, which served a dual purpose Not only did these tools help us collect essential data for evaluation, but they also helped us distribute resources fairly and systematically By linking the registration number to survey submissions, we ensured that each participant was accounted for and that limited resources like mosquito nets were allocated fairly.

Education Before Distribution: With the funds available, we organized the outreach into two educational sessions due to the high turnout Conducting the event in sections allowed for manageable group sizes, ensuring that every participant received malaria prevention education before receiving a net This segmented approach was a costeffective way to maximize engagement and ensure that resources were distributed only after participants received the necessary knowledge.

Resource Allocation for Community Needs: Financial preparation allowed us to carefully distribute resources like bed nets to various community representatives, such as chiefs, hospital directors, and media representatives We also allocated nets to community volunteers and our team members, acknowledging their roles in executing the outreach.

3. Evaluation and Post-Event Analysis

Surveys to Measure Impact: Although limited by budget, we used as many surveys as possible to assess participants' malaria knowledge before and after the event. This data allowed us to evaluate the educational impact of the outreach, providing insights into the effectiveness of our campaign and guiding future programs.

Recommendations for Future Malaria Outreach Programs

Based on the insights gained from the planning, execution, and evaluation of the recent malaria elimination outreach, several key recommendations can be made to enhance the effectiveness, reach, and impact of similar programs in the future. These recommendations focus on financial planning, resource allocation, community engagement, and post-event evaluation.

1. Increase Financial Buffer for Unforeseen Participant Turnouts

Given the high turnout that exceeded initial projections, future programs should budget for at least a 20-30% participant increase over the target. This financial buffer will ensure adequate resources for unexpected attendance surges and avoid shortages of materials, such as mosquito nets and refreshments, which are critical to participant satisfaction and engagement.

Actionable Step: Allocate a contingency fund that can cover extra nets, educational materials, refreshments, and water to accommodate overflow participants without affecting the primary budget. This will also prevent resource distribution issues that arose due to increased demand.

2. Expand Pre-Event Community Advocacy and Stakeholder Involvement

The one-month advocacy efforts proved essential for program visibility, community buy-in, and logistic support. Expanding this period and involving a broader range of stakeholders, including local health workers, community leaders, and nearby health facilities, can strengthen the impact and resource pool for future programs.

Actionable Step: Develop a two-month pre-outreach advocacy campaign to deepen community engagement Consider partnerships with local community-based organizations, religious groups, and youth organizations to increase awareness, especially in rural areas Hosting pre-event sessions to address misconceptions about malaria prevention will also support the event’s educational objectives

3. Diversify Resource and Funding Sources

Securing additional sponsors and partners would alleviate the financial strain on a single organization and expand program capacity This diversification can ensure a broader range of resources, from mosquito nets and educational materials to refreshments and logistics support

Actionable Step: Establish partnerships with governmental health departments, international NGOs, and private health organizations Future outreach can also benefit from collaborations with local businesses for sponsorship of specific resources like refreshments or materials, reducing reliance on primary sponsors

4. Optimize Educational Delivery for Larger Crowds

To address the challenges of educating larger crowds effectively, structuring the educational segment to ensure full comprehension among all participants is essential Conducting segmented sessions, as was done, proved valuable; however, enhancing this with more visual aids and interactive materials could boost engagement

Actionable Step: Invest in audio-visual equipment to project educational material in crowded settings, ensuring every participant receives clear, engaging information Consider creating malaria education brochures in local dialects or conducting small group sessions with volunteer health workers stationed around the venue

6. Increase Staff and Volunteer Support

With limited volunteer resources and a high participant turnout, many critical tasks, including registration and distribution, became more challenging. Increasing the number of trained volunteers and staff for future outreach events will help streamline participant management and improve the efficiency of resource distribution.

Actionable Step: Partner with local universities or youth organizations to recruit volunteers for the event. Additionally, consider allocating a portion of the budget toward training these volunteers in basic outreach management, data collection, and malaria education

7. Enhance Follow-Up and Post-Event Support

To amplify the long-term impact of malaria education and prevention efforts, consider implementing a follow-up plan Regular engagement with participants through local health centers and community leaders can provide ongoing education and support, reinforcing malaria prevention behaviors

Actionable Step: Schedule a follow-up visit or survey of two months post-outreach to assess the long-term impact of the education provided and gather data on changes in malaria incidence in the community. Working with local healthcare facilities to offer continued support, such as malaria testing and prevention supplies, can also help sustain the program’s benefits

8. Leverage Media Coverage for Greater Reach and Impact

Media presence played an important role in raising awareness of the event. Increasing media engagement with a structured media plan could expand awareness on a larger scale, encouraging more communities to adopt preventive practices and drawing attention to malaria issues

Actionable Step: Develop a media strategy that includes outreach to local, regional, and national media outlets Highlight the program’s alignment with the United Nations Sustainable Development Goals (SDGs) to appeal to broader audiences. Consider inviting more media outlets and influencers to the event, providing them with informational kits on malaria to amplify the outreach message.

9. Prioritize Training for Health Workers and Volunteers in Malaria Education

Feedback indicated a gap in knowledge among some healthcare workers on malaria prevention and treatment. Investing in training these personnel before the outreach would ensure they are well-prepared to answer questions, provide guidance, and enhance the outreach program’s educational impact. PAGE | 54

Actionable Step: Coordinate with local health departments to conduct a pre-event malaria prevention training session for volunteers and health workers Training should cover key information on malaria, proper net usage, and communication strategies for educating participants effectively.

10. Ensure Access to Malaria Testing Kits and Medications

The recent outreach was limited by the absence of malaria testing kits and medications, which would have supported both preventive education and immediate treatment for affected individuals

Actionable Step: Secure malaria testing kits and medications for future programs to enable on-the-spot testing and treatment, especially for communities with high malaria prevalence. Partner with local health facilities or NGOs specializing in malaria prevention to ensure access to these critical resources

Conclusion

In conclusion, the recent malaria elimination outreach exemplifies the power of strategic planning, community engagement, and cost-effective resource management in addressing critical health challenges. Through a well-coordinated month-long advocacy effort, Ariel Foundation successfully laid the groundwork for a transformative impact, engaging local leaders, healthcare facilities, and the media to drive awareness on malaria prevention in rural areas. Our meticulous financial planning and resource allocation enabled us to deliver lifesaving education and distribute mosquito nets to an impressive turnout, extending our reach to neighboring communities.

Despite some unforeseen challenges, such as an overflow of participants and resource limitations, our adaptive measures—particularly segmented educational sessions and the structured distribution of nets ensured that every participant gained a comprehensive understanding of malaria prevention. The data collected from participant surveys highlights the profound need for continued outreach, as well as enhanced healthcare infrastructure and access to affordable malaria treatments within these communities. This initiative not only aligns with the Sustainable Development Goals for health, clean water, and partnerships but also stands as a testament to Ariel Foundation's mission: creating sustainable change through understanding, respect, and strategic collaboration.

As we look to the future, this outreach provides a blueprint for enhancing the effectiveness of similar programs through stronger financial buffers, broader partnerships, and expanded preevent advocacy. With a commitment to community health and a carefully managed approach to resources, Ariel Foundation has set a new standard for impactful, resourceful, and sustainable healthcare interventions. This success serves as both a celebration of what has been achieved and a call to continue empowering communities with the knowledge, tools, and support they need to combat malaria and build healthier futures

Ibibio SUMMARY

Editre ntak udọñọ uto-eyin

Sir Michael Ufia

Monitoring & Evaluation Specialist,

Ariel Foundation International

Nwed iwete mi abaña Naña ekpenam nno idem oson mme owo ke idid nyin Nigeria. Ke ata aditim nse, andisio oknk nsin odo ata akpan nkpo. Okak mibaha akema se enam edinam emi, ndien ifono. Ndien wed iwetde miabitán iko ibaña ata akpan tak anaha nte esio okak esin ke edinam mbet nson idem emi. Ke edinam

Ariel foundation Internationalesako enam ema mi ekena. Nake naña fem naha ekpenam ekpan uto eyin ke Idid nnyin. Nwed ami aya atận nták anaha nte esiooknkesin ke edinam emi.

(1) Nkpo ebiege Iben Ikped mme own.

(2) Ye adimam ufok obon ekemafidowo. Ofid aşine kentak anaha nteesio eti okak esin ke edinam emi.

Integrating Public Health Education with Food Safety Standards: A Holistic Path to Malaria-Free Communities in Nigeria

Lady Inemesit Ekwere

ia, the struggle against malaria isn’t just a battle against a disease ge woven into the very fabric of daily life. With Nigeria bearing the weight of the world’s highest malaria burden, communities like Akwa Ibom State, where mosquito-borne infections are commonplace, face considerable public health threats and economic strains from this preventable disease Amidst this, Ariel Foundation International’s recent outreach on malaria elimination stands as a beacon of hope, advancing public health through education and community empowerment, with a holistic approach that aligns with global health standards

The Heavy Toll of Malaria in Nigeria

Malaria is a disease of staggering impact across Nigeria Accounting for around 25% of global malaria cases and deaths, the country faces significant losses in workforce productivity, educational setbacks, and millions of Naira in healthcare costs each year. In Akwa Ibom State, where the humid climate and vast wetlands create ideal breeding conditions for mosquitoes, nearly every family has a story shaped by malaria’s relentless grip. Children, pregnant women, and elderly community members are particularly vulnerable, making malaria a continuous threat to the health, economic stability, and potential of this vibrant region.

World Health Organisation (WHO) on Malaria: A Preventable and Treatable Disease

The World Health Organization (WHO) has been a global voice for malaria eradication, advocating for evidence-based interventions to prevent and treat the disease. WHO emphasizes that malaria is both preventable and curable when communities are equipped with the right resources and information.

Over the years, WHO’s initiatives, such as the distribution of insecticide-treated bed nets, increased access to antimalarial medications, and community-driven public health education, have laid the groundwork for reducing malaria cases worldwide In high-burden areas like Nigeria, WHO supports holistic strategies, incorporating nutrition, hygiene, and preventive health measures that Ariel Foundation International has taken to heart in its outreach (World Health Organization, 2023).

How a Healthy Lifestyle Contributes to Malaria Prevention

Malaria prevention requires more than medication and bed nets. Maintaining a strong immune system through a healthy lifestyle plays a vital role in resisting infection and reducing symptoms if malaria does strike. Nutrient-rich foods, proper hydration, and sufficient rest are often overlooked elements of disease prevention. A balanced diet that includes foods high in vitamins, antioxidants, and proteins such as citrus fruits, green leafy vegetables, lean meats, and legumes directly supports immune health. These choices not only strengthen the body’s resilience to infections but also help it recover more effectively when disease strikes

The outreach In Akwa Ibom State went beyond merely discussing malaria transmission. It emphasized the links between immunity and nutrition, providing the community with actionable guidelines on incorporating locally available, nutrient-dense foods into their diets. This approach acknowledges that in malaria-prone regions, a robust Immune system can make the difference in both preventing and fighting off the disease.

The Role of Food Safety In Public Health

Food safety isn’t often the first concern in malaria prevention, but it’s a critical piece of the health puzzle Ensuring clean food and water sources helps communities avoid other illnesses that weaken the immune system, making individuals more susceptible to malaria

The Ariel Foundation International outreach included practical demonstrations on food hygiene, reinforcing how safe food handling and preparation are foundational to good health and disease prevention. By adopting better food safety standards, communities can reduce the risk of foodborne illnesses and strengthen their overall resilience

United Nations (UN) Impact: Aligning with Sustainable Development Goals

This project aligns closely with the United Nations Sustainable Development Goals (SDGs), especially SDG 3, which calls for ensuring healthy lives and promoting well-being for all. Malaria elimination is a priority within SDG 3, with targets to reduce malaria incidence globally and end preventable deaths from diseases.

Initiatives like those led by Ariel Foundation International are directly contributing to these goals by addressing malaria prevention in an accessible, community-driven way that aligns with the UN’s vision for sustainable development (United Nations, 2015)

Moreover, the foundation’s approach touches on other SDGs, such as SDG 2, which aims to end hunger and improve nutrition, and SDG 6, focused on clean water and sanitation. By integrating nutrition education and food safety practices into the malaria outreach program, the foundation is addressing these interconnected goals, fostering a holistic, sustainable path to health and resilience for communities in Akwa Ibom State and beyond.

Conclusion

A Vision of Malaria-Free Communities

Ariel Foundation International’s malaria elimination outreach offers more than just information; it’s an invitation to lasting change By merging public health education, nutrition, and food safety, the foundation is laying a foundation for healthier, more resilient communities. Every shared guideline and preventive measure brings Akwa Ibom State a step closer to breaking free from malaria’s grip, while contributing to a global mission for health equity and sustainable development.

As we look to the future, the work of organizations like Ariel Foundation International and the broader support from WHO and the UN inspire us to imagine a world where malaria is no longer a daily threat. Through local commitment and global collaboration, we are closer than ever to realizing a malaria-free world for Nigeria and beyond

References

World Health Organization (2023) World malaria report 2023 https://www.who.int/teams/global-malaria-programme/reports/world-malaria-report-2023

United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development. https://sdgs.un.org/2030agenda

Ariel Foundation International. (2024, October 26). Malaria elimination and public health outreach, Akwa Ibom State, Nigeria

National Malaria Elimination Programme, Federal Ministry of Health, Nigeria. Malaria situation in Nigeria https://nmep gov ng

Ibibio SUMMARY

Ekamba Udọñọ utọ eyin Ke idịd Nnyin

Lady Inemesit Ekwere

Ke idid anyin akwa ibom State, Nigeria. Anwan eke nnyinnwanake yeUdonouto eyin idoho etok awan ado mfana afanake owo ofid Usen. Nigeria enie udonoUto eyin ekan ke ofid idid, ntok idun nte Akwa ibom State ami, ake obon awake eti –eti, ado omo inieke Uwam ke sobo Udong meke adikpan udono ami.

Ke afid ami, Ariel foundation Intertonal ema eben uwam edi mi-mi emi ke bana, udoño uto enyin, ndienUwam odo idoreyin onoIdun nyin.

Uwam ado ake akedo, Mme ukpeb nkpo ukama Idem ye adinoufok obon.

EVENT Brochure

EVENT Brochure

Ibibio

contributors biography

DR. ARIEL ROSITA KING, MPH, MBA,PHD (UK), DTM&H, PHD (FRANCE)

Founder and President

Ariel Foundation International & Dr. King Solutions

"Empowerment is not about giving power, but about releasing the power they already have." This quote embodies the spirit of Dr Ariel King's work in fostering empowerment and creating opportunities for individuals and communities to thrive. Dr. King's dedication to empowering children and youth, fostering their active involvement in international decision-making processes, has garnered widespread recognition and acclaim.

As the Founder and President of Ariel Foundation International (www arielfoundation org ), a non-profit organization founded in 2002, holding special consultative ECOSOC Status with the United Nations (2016) and NGO Status at the European Parliament (2015) Registered in the USA, France, Switzerland, and Ghana. Dr. King has made a significant impact on the lives of youth across 30+ countries. With a focus on leadership, entrepreneurship, and community service, AFI has impacted approximately 150,000 young individuals Notably, AFI made history by accrediting children and youth as official Delegates to the United Nations Human Rights Council in Geneva Through her foundation, Dr King has promoted partnerships, peace, and prosperity through entrepreneurship and education.

Dr Ariel Rosita King is an accomplished individual with an extensive background in international health, public health policy, and international management. With over 35 years of experience in government, diplomacy, business, and NGOs, she has worked and lived in 11 countries and travelled to over 65 countries across Asia, Africa, Americas, Middle East, and Europe

As a Professor in International Health, Management, Policy, and Environment, she has shared her knowledge and expertise at various universities in the USA, Europe, and Africa

Dr King's contributions extend beyond her work with Ariel Foundation international She was chosen to be on the Expert AIDS Prevention working Group with the Bill and Melinda Gates Foundation (USA) and the Human Science Research Council (South Africa). Additionally, In 2000, Dr King established Ariel Consulting International, Inc , now known as Dr King Solutions ( www.drkingsolutions.com ), a company focused on enhancing Public-Private Partnerships in international health, policy, and management specifically in developing countries. Her commitment to promoting collaboration and sustainable development has led to the successful implementation of strategic planning initiatives, workshops, coaching, and keynote speeches aimed at empowering individuals and organizations

Notably, Dr King is a strong advocate for professional development Her offerings include comprehensive training programs such as Strategic Planning for International Business Development, Public-Private Partnerships, European and African University Degrees without debt, Ivy League Training without debt, and guidance on starting not-for-profit organizations and international businesses.

Dr. King's dedication to promoting positive change on a global scale has also led her to engage with various international organizations She assists businesses in obtaining Special ECOSOC Status with the United Nations, promotes alliances within the international NGO arena, and encourages business engagements with NGOs and Community-Based Organizations

Beyond her remarkable achievements, Dr King remains committed to environmental sustainability. Through her latest venture, Dr King Solutions, she provides eco-friendly bags that combat plastic pollution. Every purchase contributes to the fight against plastic pollution and supports the Ariel Foundation International's vital work in children and youth development through research and environmental climate services.

Dr. King's commitment to advocating for Children's Human Rights worldwide led her to establish the Ariana-Leilani Children's Foundation International in 2008 By founding this organization, she aimed to educate and advocate for the rights of children globally, emphasizing the importance of their well-being.

A testament to Dr King's impact is her most recent work, the book titled 'Humanity Unveiled ' This profound and enlightening journey invites leaders and seekers beyond the ordinary, guiding them to uncover the essence of humanity and its transformative power in shaping a more compassionate world.

Through intimate encounters with luminaries such as Dr. Maya Angelou, Dr. Nina Simone, President Nelson Mandela, and Dr Elisabeth Kubler-Ross, Dr King weaves a rich fabric of insight and enlightenment. These encounters serve as poignant lessons, revealing the profound impact each human connection can have on our collective understanding of what it truly means to be human.

'Humanity Unveiled' is not merely a book; it is a transformative journey that calls upon leaders and dreamers to embrace their humanity and contribute to the evolution towards a more compassionate and connected world Dr Ariel King's profound insights resonate with readers, sparking a renewed sense of purpose and a profound appreciation for the human experience. Dr King's influence extends beyond her foundation and book She has served as a representative for various non-governmental organizations (NGOs) at the United Nations in Geneva, Vienna, and New York. She has also been an active member of organizations such as Women Impacting Public Policy (WIPP), the Women's Foreign Policy Group (WFPG), and various International Rotary Clubs.

In conclusion, Dr Ariel King's lifetime commitment to empowering children and youth, promoting international health, advocating for Children's Human Rights, and fostering publicprivate partnerships has made a remarkable impact on communities worldwide Her leadership, expertise, and dedication to making a difference position her as an influential woman deserving of recognition Dr Ariel King is a true champion and inspiration, embodying the spirit of empowerment and the pursuit of a more compassionate world. Her Favorite quote by Hillel, "If I am not for myself, who will be for me? If I am only for myself, what am I? If not now, then when?" reflects her belief in taking action and bearing personal responsibility. She has embraced the missing piece in this quote, realizing the importance of asking, "If not me, then who?" Through her remarkable journey, she has become a beacon of hope and inspiration, shining light on the power of empowerment and the significance of making a difference in the lives of others.

Sir Moses Ekwere

Country Director & Permanent Representative of Ariel Foundation to the United NationsGeneva

”A true leader does not merely light the path but walks it with the people, inspiring hope and change along the way.”

This quote reflects the dedication and drive of Moses Ekwere, an exemplary advocate for humanitarian causes and sustainable development, committed to transforming communities and championing the United Nations Sustainable Development Goals (SDGs)

As the Country Director of Ariel Foundation International and Permanent Representative to the United Nations in Geneva, Moses Ekwere embodies leadership with a purpose His recent work in the Ariel Foundation International Malaria Elimination Outreach and Public Health Education stands as a testament to his commitment to community service and humanitarianism. Leading a team of ChangeMakers, he impacted over 1,000 community members by addressing the dangers of malaria, advocating for preventive measures, and facilitating the distribution of treated mosquito nets to protect women and children aged 0-5 from this life-threatening disease. This initiative, which Moses conceptualized and championed, highlights his unwavering commitment to public health and aligns seamlessly with the SDGs.

In addition to his work in malaria prevention, Moses is also the Executive Aide to Dr. Ariel Rosita King, Founder and President of Ariel Foundation International and Dr. King Solutions. His role has him strategically supporting AFI’s mission to promote children’s and youth rights, development, and leadership on an international scale. With over five years of experience as a ChangeMaker, Environmentalist, and Children & Youth Advocate, Moses combines practical expertise with a visionary approach, working to foster resilient, informed, and sustainable communities.

Moses’s academic foundation a Bachelor’s degree in Human Resource Management from the University of Cape Coast in Ghana complements his advocacy by aligning his objectives with SDGs 4 (Quality Education), 5 (Gender Equality), 13 (Climate Action), and 17 (Partnerships for the Goals) He has led initiatives across diverse areas, including climate action and waste management, which reinforce his dedication to environmental sustainability. Through his leadership, Ariel Foundation International ’s youth delegation in Ghana conducted a cleanup operation at the Korle Lagoon Beach, collaborating with local partners to emphasize ecological stewardship and community engagement.

An advocate for sustainability, Moses partners with the Greenway International Foundation Inc to address climate change’s impact on mental health and promote environmental awareness He spearheads the “Roots of Resilience” project to plant one million fruit trees across Nigeria and establish botanical gardens in schools, providing educational resources on climate change and STEM skills in collaboration with the WAAW Foundation

His dedication to empowering youth extends beyond his professional role As former Secretary-General of the National Association of Nigerian Students (NANS) Ghana, he has championed gender equality, peace diplomacy, and community development, fostering a culture of service and leadership among young people Additionally, his active involvement with the Nigerian Red Cross Society further underscores his unwavering commitment to serving humanity and fostering resilience in vulnerable communities

Moses Ekwere’s work exemplifies his belief in accountability, ecological awareness, and social impact, making him a vital contributor to the global effort toward sustainable, inclusive development.

Dr Ayomide Sina-Odunsi, MD, MPH, MBA, MSc

Dr Ayomide Sina-Odunsi (MD, MPH, MBA, MSc) is a medical doctor and public health expert with a special interest in Emergency Response, Recovery and Crisis Management.

He is the Co-founder of AB Global Health Initiative Nigeria with a decade professional experience in clinical medicine, public health, project and program management, Emergency response, Health systems strengthening and Innovation from working across Africa and Europe with the United Nations, non-governmental organizations, and the private sector. He works with the United Nation’s agency for migration, IOM, an Emergency Health Program Officer since 2019, after leaving Ariel Foundation International, Switzerland where he was the Deputy Director and the youngest on the board of directors. He also served as the organization’s Permanent Representative to the United Nations, European Union, and the African Union.

He gained his medical degree from the Ivano-Frankivsk National Medical University in Ukraine. He also completed a Certificate-Mini-MBA from the London School of Business and Finance and Certificates in Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health, held at Universitat Pompeu Fabra in Barcelona in Spain. He had his postgraduate studies at the University Edinburgh, United Kingdom where he received a MSc in International Development, the Quantic School of Business and Technology where he got a Masters of Business Administration (MBA), and at the University of Aberdeen, United Kingdom where he received a Masters of Public Health (MPH)

In 2018, He joined the World Health Organization at the Rwanda Country Office where he worked both with the HIV, Hepatitis and STDs Department and the Health Systems Department. During this time, he participated in various health programs in association with the Rwandan Ministry of Health and with partner organizations like the Rwanda Biomedical Centre, UNICEF, UNAIDS, CDC. He also Worked on the WHO country office’s technical operations and liaisons with Health Sector partners involved in Health policy and Health care system monitoring

He has participated in many high-level conferences and summits and is passionate about influencing policy in service of communities worldwide. He is a keen volunteer, a research enthusiast with publications in peer-reviewed journals, loves to travel and has participated in various medical volunteer missions in different countries around the world He is also passionate about creating a community of young and vibrant global health leaders.

Dr. Queen Ibanga Ufia

Physician

Dr Queen Ibanga Ufia is a compassionate and skilled medical doctor with over five years of experience, whose work aligns closely with the United Nations Sustainable Development Goals (UN SDGs) and the World Health Organization’s (WHO) commitment to health equity. Driven by a mission to ensure accessible and high-quality healthcare for all, Dr Queen has devoted her career to advancing health outcomes, especially within underserved and crisisaffected regions

In October 2024, Dr. Queen played a vital role in the Ariel Foundation International Malaria Elimination Outreach and public health education initiative She effectively used the Ibibio language to educate over 1,200 participants—including pregnant women, nursing mothers, and young children on malaria prevention and general well-being Her culturally grounded approach emphasized health literacy and prevention, while her support in distributing treated mosquito nets and offering free consultations directly improved the community’s health resilience

Born with a compassionate spirit and an innate drive to serve, Dr Queen Ibanga Ufia has dedicated her life to uplifting communities and contributing to global health. Her formal medical journey began after completing her Doctor of Medicine (MD) Degree at Gomel State Medical University in Belarus, followed by her specialization practice at the University of Uyo Teaching Hospital-Akwa Ibom State, Nigeria. Throughout her career, Dr. Queen has continuously pursued impactful ways to make healthcare accessible, embodying her lifelong commitment to fostering well-being for all. She has led initiatives that offer free medical services, such as malaria and blood sugar testing, ultrasound scans, consultations, and essential medications to thousands of people.

Her service (NYSC – Nigeria) year in Kano Municipal is a testament to her commitment, where she reached over 1,000 individuals, helping build a foundation for sustainable health practices in the region.

In collaboration with global organizations, Dr. Queen has pioneered health solutions that bridge critical healthcare gaps, from supplying medications to health centers to leading emergency response efforts Her advocacy extends to mental health support, maternal and child health, and infectious disease prevention. Through her ongoing contributions to research and policy discussions, Dr Queen remains focused on creating healthcare solutions that address immediate needs while fostering long-term, systemic improvements.

Pharmacist Mrs. Emaeyak Udeme Udo

Pharmacist

Ms Emaeyak Udeme Udo, a dedicated and compassionate healthcare professional, has made pharmacy practice a "Caring Bridge" for all who cross her path. With a Bachelor of Pharmacy Degree from the University of Uyo (2018), she combines her expertise with a commitment to health education and volunteerism, particularly in line with the United Nations Sustainable Development Goals (UNSDGs), advancing good health and well-being (SDG 3) and reducing inequalities (SDG 10)

Mrs. Udo has contributed significantly as a volunteer with renowned organizations, including Family Health International (FHI), where she supported family and reproductive health initiatives through training, health service delivery, and educational outreach. Her work at FHI (2018-2019) involved educating people living with HIV, conducting trainings, and dispensing essential medications. During the COVID-19 pandemic, she was trained to administer COVID19 vaccines, contributing to public health efforts in Nigeria

In 2022, she collaborated with the Excellence Community Education Welfare Scheme (ECEWS) in Akwa Ibom State, focusing on enhancing access to healthcare and education Her work here included educating patients and dispensing antiretroviral medications, thereby supporting improved health outcomes for those affected by HIV/AIDS

Mrs. Udo has also made impactful contributions to the Ariel Foundation International’s malaria elimination outreach in October 2024 As part of this initiative, she supported the management of logistics from Lagos to Akwa Ibom State, and the distribution of treated mosquito nets to Pregnant Women, Nursing Mothers and Children 0-5, and served as facilitator, educating participants on malaria prevention in her native Ibibio language.

Her efforts helped reach over 1,200 community members, promoting sustainable health practices and empowering individuals to take preventive measures against malaria

As the manager of Gudema Pharmaceuticals in Akwa Ibom State, Mrs Udo’s dedication to community health is evident. She has organized multiple free medical outreach programs since the pharmacy's establishment in 2019, including annual prostate health screenings for men, breast cancer screenings for women, and quarterly blind care outreach events with the Church of Christ. Her commitment to providing free medical consultations and services exemplifies her passion for making healthcare accessible to all

Through her work with diverse healthcare initiatives, Mrs Emaeyak Udeme Udo continues to be a compassionate advocate for equitable healthcare access, bridging the gap for underserved populations and aligning her contributions with the broader vision of sustainable, inclusive healthcare

Ms. Mercy Nkereuwem Ecucation

Manager

Ms Mercy Nkereuwem is a seasoned educator with over 23 years of dedication to fostering leadership, responsibility, and active citizenship among young Nigerians. As a passionate advocate for education and cultural preservation, she stands out as one of the few educators in Nigeria proficient in speaking, writing, and interpreting the Ibibio language Through her commitment to teaching the Ibibio language, she actively contributes to preserving Nigeria's rich heritage, language, and cultural identity

In her role as a lead principal in Integrated Science, Mercy has organized numerous professional training programs for educators to enhance the teaching of science across the state. She is a pioneer member of the Science Teachers Association of Nigeria, where she actively participates in initiatives to improve science education nationwide Additionally, she has organized local and state sports programs, promoting physical education and wellness among students, demonstrating her belief in holistic education

Mercy's impact extends deeply into the humanitarian sector. She is the Co-Founder and Women’s President of the Keresifon Cooperative Society, a community platform providing critical support for market women, widows, and homeless children. Through this cooperative, she has mobilized over 10 million naira in interest-free loans and seed capital, enabling women to start or expand businesses, thereby fostering economic empowerment and supporting sustainable communities. Her commitment to children is equally profound she regularly donates educational materials, including books, uniforms, and tuition support, to orphans and underprivileged children, ensuring access to quality education for the most vulnerable

As a proud member of the Nigerian Red Cross Society, Mercy’s training in CPR and first aid has equipped her to save lives and deliver immediate medical assistance in emergencies Numerous students and community members have received essential first-aid care through her expertise, embodying her dedication to community health and well-being Her humanitarian spirit was also evident in her contributions to the Ariel Foundation International Malaria Elimination Outreach, where she educated over 1,000 participants on indigenous West African herbal remedies for malaria prevention and treatment She further facilitated the translation of health information into Ibibio, promoting accessible health education for all.

Mercy Nkereuwem holds a degree in Education Administration (Biology) from the University of Calabar, Cross River State, alongside an NCE double major in Integrated Science Education

She has directly mentored over 15,000 young people in Nigeria with a focus on early childhood education and science, reflecting her commitment to the United Nations Sustainable Development Goals (SDGs), particularly in Quality Education (Goal 4), Gender Equality (Goal 5), Good Health and Well-Being (Goal 3), and Sustainable Cities and Communities (Goal 11)

Principal Mistress(1) Mercy Nkereuwem's lifelong dedication to education, humanitarianism, and community service exemplifies her commitment to empowering future generations, preserving cultural heritage, and building a sustainable, inclusive society.

Sir Michael Ufia Monitoring & Evaluation Specialist, Ariel Foundation International

Michael Ufia is a distinguished ChangeMaker, Environmentalist, Economist, and Youth Advocate with seven years of extensive experience addressing multifaceted development issues. He currently serves as the Monitoring & Evaluation Specialist at Ariel Foundation International and Dr King Solutions

Michael holds a degree in Political Science from Madonna University, Anambra State, Nigeria, and is pursuing a Postgraduate Diploma in Economics Development and Planning. His blend of academic knowledge and practical expertise drives his commitment to sustainable impact and professional growth

During his National Youth Service Corps (NYSC) program, Michael served as an Account Officer at Royal Crown Microfinance Bank – Abuja, where he developed essential skills in financial management and accounting This experience laid a solid foundation for his later work in data analysis and project evaluation

Michael worked with the National Malaria Advocacy Program as a Data Analyst for four years, where he played a crucial role in managing and interpreting data to guide program initiatives. His analytical skills enabled the program to identify key trends, refine intervention strategies, and strengthen malaria prevention efforts. Beyond data analysis, Michael actively participated in community outreach and public health campaigns, including a significant contribution to World Malaria Day 2021 His involvement included organizing comprehensive malaria prevention and treatment activities, offering free malaria tests, distributing medication, supporting environmental sanitation, and providing mosquito nets

Michael’s commitment to the National Malaria Advocacy Program reflects his ability to merge data-driven insights with hands-on community engagement, embodying a holistic approach to public health and development.

As a Monitoring & Evaluation Specialist, Michael made a notable impact during the 2024 Ghana Korle Lagoon Beach-Jamestown Seaside Clean-up, where his leadership in community engagement underscored the importance of collective action in environmental conservation. He also led the graphic design for all event materials, showcasing his multifaceted skills

In his role promoting clean energy and greenhouse gas reduction, Michael contributed significantly to the "Roots of Resilience" project This initiative, aimed at planting one million fruit trees across Nigeria, seeks to foster environmental literacy and climate awareness by establishing botanical gardens in schools In partnership with the WAAW Foundation, the project includes computer training to enhance STEM education, which coincided with the International Day of the Girl Child in 2023 Through this program, Michael educated young adults on the negative impacts of poor environmental practices and the importance of climate action.

Michael’s dedication to personal growth is exemplified by his Certificate of Completion from HRCI Nigeria for the "Growth Dynamics: HR in Business Expansion" course He is considering further education in Human Resources to broaden his skill set.

Beyond his professional commitments, Michael enjoys reading, volunteering, and advocating for sustainable development practices, reflecting his commitment to creating a more sustainable and equitable world

LADY Inemesit Ekwere

“True leadership lies in serving others and inspiring them to become agents of change.” This guiding principle fuels Lady Inemesit Ekwere’s passion for community empowerment and sustainable development. As a graduate of the University of Cape Coast in Ghana with a degree in Human Resource Management (HRM), Lady Inemesit has established herself as a dedicated expert in hospitality management and event coordination, with a keen focus on efficiency and sustainability Her creative, innovative approach consistently drives organizational success while contributing to the broader goals of sustainable development.

In her recent role with Ariel Foundation International’s malaria elimination outreach and public health education program, Lady Inemesit’s leadership was instrumental She spearheaded the Food & Beverage and nutritional education component, providing essential insights into community health that directly impacted the lives of mothers and children Additionally, her hands-on support in registering participants and distributing treated mosquito nets to over 1,000 individuals not only fortified malaria prevention efforts but also addressed SDG targets related to good health and well-being This outreach, conducted in collaboration with the World Health Organization’s vision for malaria elimination, empowered local communities to improve public health outcomes through informed choices and accessible resources

Lady Inemesit’s contributions to sustainable development have consistently extended beyond borders In 2018, she played a pivotal role in climate advocacy with the Greenway International Foundation in Ghana, where she led an effort to mobilize over 100 university students for a climate action event hosted at the Italian High Commission Residence Her attention to detail ensured an exceptional quality of experience, enhancing participants’ engagement with climate awareness.

Her service (NYSC – Nigeria) year in Kano Municipal is a testament to her commitment, where she reached over 1,000 individuals, helping build a foundation for sustainable health practices in the region.

In collaboration with global organizations, Dr. Queen has pioneered health solutions that bridge critical healthcare gaps, from supplying medications to health centers to leading emergency response efforts Her advocacy extends to mental health support, maternal and child health, and infectious disease prevention. Through her ongoing contributions to research and policy discussions, Dr Queen remains focused on creating healthcare solutions that address immediate needs while fostering long-term, systemic improvements.