We thank the people of Likoko, Muea, Bomaka, Bolifamba, Meanja and Mutengene localities who kindly cooperated with us for this study.
Distribution of Anopheles breeding sites, percentage of productive breeding sites per locality in the Mount Cameroon region during the study period Locality Distribution of potential % of breeding sites productive breeding sites Temporary Permanent Productive Productive (Unproductive) (Unproductive) Mutengene 12 (4) 0 (4) 60 Meanja 8 (5) 1 (1) 60 Bolifamba 18 (9) 0 (4) 58.06 Bomaka 97 (13) 0 (3) 85.84 Muea 95 (7) 0 (3) 90.47 Likoko 0 (1) 1 (1) 33.33 Total 230 (39) 2 (16) 80.83 Table 2.
Our study revealed a malaria prevalence of 96.2% in rural Muea. The prevalence of 23.3% for children with enlarged spleens confirms that malaria is endemic in Muea.
The high prevalence of anaemia in malaria cases suggests that malaria related anaemia is a problem in Muea. Hypochromia and microcytosis were prominent morphologic findings in children with anaemia.
It was observed that while the inhabitants of Muea were aware that malaria existed in the community, they did not realize the importance of prompt treatment.
The prevalence of iron deficiency in Muea was higher (58.7%) compared to a prevalence of 40% and 50% reported in Tanzania and Nigeria, respectively .
Malaria and malnutrition are highly endemic in children [less than or equal to] 14 years residing in Muea. Iron deficiency and malaria related anaemia were also found to be prevalent in the study population.
In the Fako area, some of the female food crop entrepreneurs cultivate the crops, harvest, transport them on their heads and backs to sell either within the local markets of Buea, Muea, Ekona or external ones like Douala.
Some of them buy from the farmers very early in the morning especially at Ekona and Muea markets and resell in these same markets later on in the day.
Mutengene, Muea and Buea markets that are used by most of the women are closest to Bolifamba than the others (Map 1).
The survey carried out in Bolifamba reveal that although Buea, Limbe and Mutengene are most closer to the local markets (Muea, Ekona, Mile 16, Mutegene and Soppo) where most of these entrepreneurs sell their goods, the highest percentage of their customers (92%) come from Douala, which is the furthest of the towns.
Female entrepreneurs around Ekona, Muea, Tole and Bomaka suffer a lot acquiring farming land.