Self-treatment of malaria in Niamey, Niger.

Self-treatment of malaria with chloroquine is extremely common in West Afri ca for the febrile attacks self-diagnosed as a presumed malaria case. A sur vey was conducted for one year in Niamey to assess the importance of the se lf-treatment practice. Transmission of malaria is permanent along the river banks and seasonal in some suburbs. Chloroquine is made available by local ambulatory sellers. A sample of 199 persons purchase on average four tablets each which is less than the curative dose recommended by WHO. Self-medication is an adequate practice for reaching the primary goal of ma laria strategy in sub-Saharan Africa, i.e. to reduce morbidity and mortalit y through prompt therapy: Developing this practice is a top public health p riority. Even if the dose is not appropriate, self-medication protects agai nst serious attacks without preventing immunization and does not seem to in duce greater risk of extension of chloroquino-resistance.