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 Country Director, Sir Moses Ekwere. As the Project Architect, he played a pivotal role from conception to completion, designing the vision and orchestrating every aspect of its realization.
We extend our heartfelt gratitude to these Ariel Foundation International Young ChangeMakers, whose impact cannot be overstated. Their dedication, passion, and tireless efforts have been instrumental to the success of this initiative: Dr. Ayomide Sina-Odunsi, MD, MPH, MBA, MSC,(Physician) Dr Queen Ibanga (Physician), Ms. Emaeyak Udeme (Pharmacist), Ms. Mercy Nkereuwem (Education Manager), Sir Michael Ufia (Monitoring & Evaluation Specialist), Lady Inemesit Ekwere (Head of Nutrition Management and Education)
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, education and management tools they need to combat malaria and other public health challenges. Together, we are building a healthier, brighter future.
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EXECUTIVE SUMMARY
On October 26, 2024, Ariel Foundation International, in collaboration with local health stakeholders and community leaders, conducted a Malaria Elimination Outreach and Public Health Education Event at the Ekamba Nsukara Community Health Post, strategically located between the Use Offot and Idu Uran communities in Akwa Ibom State, Nigeria The program was designed with a data-driven approach to reduce the burden of malaria among vulnerable populations, particularly women with children aged 0–5 years; a demographic disproportionately affected by malaria morbidity and mortality
A total of 987 participants were engaged during the outreach, which included a comprehensive public health education component delivered in the indigenous Ibibio language. This ensured cultural sensitivity, effective communication, and better community participation The intervention consisted of distributing insecticide-treated mosquito nets, providing structured training for health workers and volunteers, and administering pre- and post-intervention questionnaires to assess changes in Knowledge, Attitudes, and Practices (KAP) among participants. This report presents the detailed Methodology, Data Analysis, and Key Findings from the event. Data was collected using a structured survey tool and analyzed to evaluate:
Baseline understanding of malaria etiology, symptoms, and transmission vector
Community attitudes toward malaria prevention strategies
Preventive practices and health-seeking behaviors before and after the educational intervention.
8.0. INTRODUCTION
Malaria remains one of the most pressing public health concerns in Nigeria, accounting for a significant portion of outpatient visits, hospital admissions, and mortality, particularly among children under five years of age and pregnant women Despite nationwide efforts, the burden of malaria persists in many lowresource and peri-urban communities due to a combination of socio-economic, environmental, and educational barriers. In response to this challenge, Ariel Foundation International implemented a community-centered, data-informed Malaria Elimination Outreach and Public Health Education Initiative in Akwa Ibom State, Nigeria Conducted on October 26, 2024, at the Ekamba Nsukara
Community Health Post, the outreach was strategically situated to serve the neighboring communities of Nsukara Offot, Use Offot, and Idu Uran communities with limited access to preventive health services and high malaria prevalence rates.
The program sought not only to deliver preventive resources such as insecticidetreated mosquito nets, but also to strengthen health literacy through indigenous language education and behavioral change communication strategies The approach combined health intervention delivery with rigorous data collection and analysis, enabling a robust evaluation of community-level Knowledge, Attitudes, and Practices (KAP) regarding malaria before and after the outreach By deploying structured questionnaires and observational metrics, the project team aimed to quantify the impact of targeted education and assess the effectiveness of outreach strategies across diverse demographic groups. This publication presents the analytical framework, methodology, and key
Insights derived from the intervention, offering evidence-based recommendations for policy, programming, and future malaria elimination campaigns. The analysis also aims to contribute to national and global efforts to align malaria control strategies with the Sustainable Development Goals (SDGs), notably SDG 3 (Good Health and Well-being), SDG 6 (Clean Water and Sanitation), and SDG 17 (Partnerships for the Goals).
8
OBJECTIVES
The primary goal of the Ariel Foundation International Malaria Elimination Outreach was to reduce the incidence and transmission of malaria in high-risk communities through a combined model of health education, direct intervention, and community empowerment The specific objectives of the outreach were as follows:
1. To assess and enhance community knowledge on malaria causes, symptoms, transmission vectors, and prevention strategies using culturally relevant educational materials delivered in the Ibibio language
2. To distribute insecticide-treated mosquito nets to households with children aged 0–5 years and other vulnerable members of the community, increasing their access to proven malaria prevention tools
3. To evaluate baseline and post-intervention levels of Knowledge, Attitudes, and Practices (KAP) related to malaria prevention and treatment through structured questionnaires administered before and after the outreach event.
4. To strengthen local health system engagement by training healthcare workers and volunteers on community-based malaria prevention techniques, data collection methodologies, and patient education.
5 To collect and analyze demographic and behavioral data, including age distribution, number of children per household, testing history, and preventive practices to identify trends, gaps, and opportunities for future public health programming.
6. To foster community ownership and trust in health interventions by actively involving local leaders, traditional rulers, and health facility personnel in the planning and implementation of the project. Through these objectives, the outreach served not only as a public health intervention but also as a data-rich case study on the effectiveness of integrated malaria control strategies in underserved rural communities.
METHODOLOGY
This outreach was designed using a community-based participatory approach, integrating epidemiological fieldwork with structured data collection, stakeholder collaboration, and real-time evaluation to ensure measurable public health outcomes The methodological framework was guided by principles of inclusivity, cultural sensitivity, and evidence-based intervention. The project adopted a pre and post assessment model to evaluate shifts in Knowledge, Attitudes, and Practices (KAP) regarding malaria prevention and treatment. The KAP Survey was developed by Dr. Ariel Rosita King.
Participants were surveyed before the public health education sessions and again afterward using a structured, interviewer-administered questionnaire. These instruments were designed to capture both quantitative and qualitative data across several dimensions: malaria knowledge (causes, symptoms, and transmission), attitudes toward prevention (net usage, medication, testing), and existing preventive practices (use of mosquito nets, environmental sanitation). Data was cleaned, encoded, and statistically analyzed using descriptive and comparative methods Measures of central tendency (mean, median, mode) and standard deviation were used to analyze demographic variables such as age and family size. Frequency distributions and cross-tabulations were applied to evaluate knowledge retention, behavioral change, and response distribution before and after the intervention.
In addition, the methodology included: Volunteer training workshops for data collectors and facilitators to ensure standardized instruments.
Community mobilization efforts through local leaders and grassroots networks to drive attendance, build trust, and enhance cultural relevance. Direct observation and structured feedback from health workers and traditional leaders to contextualize quantitative findings delivery of both the education sessions and the survey
A total of 987 participants, primarily women with children under five years old, were engaged during the outreach. These individuals were chosen due to their high risk for malaria and their pivotal role as caregivers within the household. The structured, localized methodology enabled the project team to gather a rich dataset reflecting both community health realities and intervention impact.
Study Site
The outreach took place at the Ekamba Nsukara Community Health Post, an accessible and strategically located facility that serves as a central point for three peri-urban communities: Nsukara Offot, Use Offot, and Idu Uran, all situated within Akwa Ibom State, Nigeria.
These communities were selected based on a needs assessment that identified them as malaria-endemic zones with:
High population density among women of reproductive age and young children
Inadequate access to consistent public health education
Limited household-level adoption of malaria prevention tools such as treated mosquito nets.
Positive community receptivity toward health-based NGO partnerships and previous engagement with outreach initiatives.
The Ekamba Nsukara Health Post offered logistical advantages due to its location along inter-community paths, ensuring that participants from the surrounding communities could attend without significant transportation barriers. Furthermore, the presence of pre-existing health infrastructure at the site allowed for direct integration of outreach activities with the local healthcare system.
Health Facility Selection
To reinforce the impact of the outreach, the Ariel Foundation International team conducted pre-intervention engagements with hree local health facilities:
Table 1: Health Facilities.
S/N Communities Health Facilities Visited
These pre-event visits served multiple purposes: introducing the intervention to health workers, aligning on referral and support protocols, mobilizing target groups, and conducting baseline KAP assessments. The inclusion of multiple health facilities ensured that the outreach’s influence would extend beyond the primary event site, fostering continuity in care and amplifying community-wide impact.
2.
3. Idu Uran Use Offot
Nsukara Offot
Idu Uran Health Clinic
Use Offot Health Clinic
Nsukara Offot Community Health Post
Training
Prior to deployment, all health professionals, volunteers, and Ariel Foundation International staff underwent a standardized training workshop on malaria transmission dynamics, community engagement strategies, and ethical data collection. The training was crucial to ensure consistency in delivery and the reliability of collected data It emphasized respectful engagement, use of the indigenous Ibibio language, and techniques for addressing misconceptions without judgment.
Target Population
The intervention focused specifically on women who care for children aged 0–5 years, as they are statistically among the most vulnerable to malariarelated morbidity and mortality. A total of 987 participants were engaged,representing a significant sample size for community-level evaluation. This cohort was carefully selected through local mobilization efforts in collaboration with health workers and traditional leaders to ensure inclusivity and diversity within the sample.
Program Duration
The outreach was executed as a one-day intensive event on October 26, 2024, commencing at 7:00 AM WAT and concluding at 19:00 PM WAT. While the core event spanned 12 hours, preparatory activities took place over the preceding weeks to ensure logistical and operational readiness
PREPARATION
Preparatory work included:
Community sensitization campaigns using local radio, flyers, and town hall meetings
Coordination with health facilities and community leaders for participant mobilization
Procurement and logistics planning for distributing insecticide-treated mosquito nets
Setup of data collection stations and survey orientation sessions
These steps ensured the outreach was both visible and trusted, laying the groundwork for successful engagement and high participant turnout.
Data Management
A tailor made structured questionnaire was developed by Dr. Ariel Rosita King to capture baseline and post-intervention data across five key domains:
1. Demographic indicators (age, household size, number of children)
2. Knowledge of malaria (causes, symptoms, prevention).
3 Attitudes toward malaria and its preventability and treatment
4. Preventive practices, Health-seeking behavior and treatment.
Data was collected using paper-based survey with unique individual numbers that was later digitized for analysis Quantitative data were cleaned and coded in Microsoft Excel and SPSS. Descriptive statistics, mean median, mode, and standard deviation were used to summarize demographic data, while crosstabulations, frequency distribution tables, and comparative analysis (pre- vs. postintervention) were employed to assess changes in Knowledge, Attitudes and Practices (KAP) scores
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Results and Data Analysis
DEMOGRAPHIC PROFILE
The outreach was conducted at the Ekamba Nsukara Community Health Post, a strategically located facility serving three interconnected peri-urban communities in Uyo Local Government Area, Akwa Ibom State: Nsukara Offot, Use Offot, and Idu Uran. These communities were selected following a needs-based assessment that identified the following factors:
• High incidence of malaria cases, especially among children under five.
• Low household coverage of mosquito nets, despite known high-risk indicators.
• Limited access to formal health education on malaria prevention and treatment
• Strong potential for community partnership due to prior engagement with non-profit health programs.
The health post’s central location and accessibility via footpaths and community roads made it an ideal hub for participants from surrounding areas. Its existing infrastructure allowed for the integration of outreach activities with routine services, enhancing continuity of care post-event In addition to the primary outreach site, Ariel Foundation International conducted pre-intervention visits to three health facilities participant demographics, and prepare ground logistics:
In the target communities to engage stakeholders, validate
Table 3: list of Communities and Health Facilities
S/N COMMUNITIES
NSUKARA OFFOT USE OFFOT
HEALTH FACILITIES VISITED
NUSKARA OFFOT COMMUNITY HEALTH POST
USE OFFOT HEALTH CLINIC
3 IDU URAN
IDU URAN HEALTH CLINIC
These site visits helped in participant recruitment, increased awareness about the event, and ensured alignment with community healthcare goals.
Figure 1: Communities Distribution
This figure illustrates the geographic spread of participants involved in the malaria elimination outreach, drawn from three neighboring communities: Nsukara Offot, Use Offot, and Idu Uran, all located within Akwa Ibom State. The distribution reflects the strategic planning of the outreach, which leveraged the central location of the Ekamba Nsukara Community Health Post to maximize accessibility Each community was selected based on its malaria vulnerability and the presence of a functional health facility. The balanced representation across these areas ensured inclusivity and allowed for comparative analysis of
knowledge, attitudes, and practices related to malaria prevention across local subpopulations.
Figure 2 Age Distribution
This figure presents the age distribution of the 987 participants who attended the malaria elimination outreach The majority of respondents fell within the 19–35 (265 individuals) and 36–60 (278 individuals) age ranges, together accounting for over 55% of total participants. This demographic concentration aligns with the target group of reproductive-age women and caregivers of young
children. A smaller number of participants were from the 0–18 age group (38 individuals) and the 61–100 age group (49 individuals), reflecting intergenerational community engagement and the inclusive nature of the outreach. The distribution provides insight into the dominant age brackets reached and helps contextualize knowledge, attitudes, and practices data across different life stages
Demographic Profile
Participants’ ages ranged from 0–100 years, with the majority (543 individuals) falling between 19 and 60 years, consistent with the target population. The average household size was assessed through number of children per woman, revealing:
30% of women had no children, indicating participation beyond maternal caregivers (e.g., guardians, sisters).
26% had 3–4 children, followed closely by 25% with 5–6 children, aligning with national fertility trends in rural Nigeria
Table 3: Age category from the chart
This table breaks down the age distribution of participants into four key categories: 0–18 years (38 participants), 19–35 years (265), 36–60 years (278), and 61–100 years (49). The highest representation was from the 36–60 age group (28%), closely followed by the 19–35 age group (27%), highlighting a strong turnout from adult women within parenting and caregiving age. The 0–18 and 61–100 groups had comparatively fewer participants, indicating that the outreach effectively reached its primary target audience of reproductive-aged women and caregivers, while also including a cross-generational presence reflective of the broader community
Figure3:
Mean, Median, Mode, Standard Deviation
This figure presents the key measures of central tendency and variability for the age distribution of outreach participants. The mean (average) age indicates the overall central point of the dataset, while the median reflects the middle age value, reducing the influence of outliers. The mode shows the most frequently occurring age, providing insight into the most represented age group. The standard deviation illustrates the degree of spread in participants’ ages, helping to assess whether the sample was concentrated around a specific age bracket or widely dispersed. Together, these metrics offer a comprehensive snapshot of the demographic composition, supporting more nuanced interpretation of health knowledge and behavioral trends across age groups.
Statistical Insights
Mean age: 34 8 years
Median age: 32 years
Mode: 29 years
Standard deviation: 12 6 years, indicating a moderately dispersed age group
Data on malaria knowledge, symptoms, and prevention were presented using bar graphs, pie charts, and cross-tabulated frequency tables, providing visual clarity on the comparative impact of the intervention
Figure 4:
Table 4: Number of Children Range
NUMBER OF CHILDREN PER WOMAN COUNT
1-2 children
3-4 children
5-6 children
7-8 children
9-10 children
0 children 11 children
This table outlines the distribution of participants based on the number of children they have, offering insights into household size and caregiving responsibilities among respondents. Notably, 30% (34 participants) reported having no children, suggesting the presence of guardians, family members, or younger women participating in the outreach. The largest group with children had 3–4 children (26%), closely followed by those with 5–6 children (25%),
which reflect typical fertility patterns in the region Smaller percentages were recorded for women with 1–2 children (6%), 7–8 children (10%), and 9 or more children (3%), indicating variability in household size and caregiving capacity. These figures are crucial for understanding the scale of potential malaria exposure within households and tailoring prevention interventions such as net distribution accordingly.
Figure 5: Education Distribution
This figure highlights the educational backgrounds of participants in the malaria elimination outreach, showcasing a broad spectrum from no formal education to tertiary-level attainment. While a significant proportion of participants had primary and secondary education, the data also includes individuals with tertiary qualifications, including graduates, which reflects a growing engagement of educated members of the community in grassroots health initiatives. The presence of graduates suggests a valuable opportunity to cultivate peer educators and community health advocates within the population. Conversely, the inclusion of participants with no formal education reinforces the importance of using simplified communication methods such as indigenous language instruction, storytelling, and visual aids to ensure accessibility of malaria prevention knowledge across all literacy levels.
SECTION II: KNOWLEDGE
Pre-Intervention KAP Analysis
Table 5: what is MALARIA?
This table presents participants’ baseline understanding of what malaria is prior to the health education intervention. The responses show a mixed perception
of the disease, with 636 participants (85%) correctly identifying malaria as a blood disease, indicating a strong foundational knowledge within the community. However, notable misconceptions were also recorded: 68 respondents believed malaria is a spiritual disease, while a few selected options suggesting it is a skin disease or selected multiple incorrect combinations. These findings underscore the importance of targeted health education to dispel myths and reinforce accurate biomedical information. The data also reveals a small subset of participants who selected "all of the above" or combinations involving spiritual causes, highlighting the need for culturally sensitive messaging that address traditional beliefs while promoting scientific understanding.
This table captures participants' initial knowledge of malaria symptoms before the educational intervention The most frequently recognized symptom was fever, with over 200 respondents identifying it independently, followed by headache, chills, and vomiting.
A total of 74 participants were able to identify the three classic symptoms fever, chills, and headache demonstrating a moderate level of health literacy within the community However, some participants indicated limited or incorrect knowledge, with a small number unsure of any symptoms, or attributing unrelated signs such as stiff muscles. These results emphasize the need for comprehensive symptom education, as early and accurate symptom recognition is critical for timely diagnosis and treatment. The variety of symptom combinations selected also highlights gaps in understanding, underscoring the value of reinforcing malaria literacy using community-focused, language-accessible education.
Table7: How malaria is transmitted
This table illustrates participants’ baseline understanding of malaria ransmission pathways prior to the health education session A strong majority 630 out of
respondents (approx. 85%) correctly identified
mosquito bites as the primary mode of transmission, indicating a generally high awareness of the biological vector.
However, the presence of misconceptions remains notable: 20 participants believed malaria is contracted from drinking dirty water, 4 from contaminated food, and 10 indicated they did not know the cause.
Additionally, 40 respondents selected a combination of mosquito bites and incorrect causes, revealing lingering confusion. These findings highlight the importance of reinforcing specific and accurate messaging during malaria education, especially in communities where traditional beliefs or generalizations about illness sources persist. Clarifying the exclusive link between Anopheles mosquito bites and malaria transmission is vital to encouraging proper preventive behaviors such as net usage and vector control.
Table 8: How to prevent malaria Draining stagnant water (3)
Using insect repellent (2)
Taking malaria medication (4)
Don’t know (5)
This table outlines participants’ knowledge of malaria prevention methods prior to the educational intervention. The most commonly identified method was sleeping under mosquito nets, selected by 384 respondents, which reflect a relatively strong awareness of the primary prevention tool. Other preventive methods such as using insect repellents, draining stagnant water, and taking malaria medication were less frequently mentioned.
Notably, 93 participants identified medication as a preventive tool, while a considerable number 82 participants selected a combination of mosquito nets and medication, indicating partial understanding of multi-pronged prevention strategies. However, a subset of respondents (16 participants) admitted to having no knowledge of any prevention method, and 8 selected "don’t know" as a standalone response
These gaps, along with the diversity in response combinations, suggest an incomplete or inconsistent grasp of comprehensive malaria prevention The data reinforces the need for targeted education on both personal and environmental preventive practices, emphasizing the importance of integrating multiple strategies such as consistent net use, repellents, and environmental management to reduce malaria risk.
SECTION III: ATTITUDES
Figure 6: Malaria is?
Malaria is ?
This figure explores participants’ perceptions of malaria, providing insight into prevailing community attitudes toward the disease. The majority of respondents described malaria as a serious but preventable illness, which aligns with public health messaging and demonstrates a positive attitudinal foundation for behavioral change. However, a portion of respondents viewed malaria as inevitable or a normal part of life, reflecting an attitude of resignation that could hinder adoption of preventive measures. These perceptions are critical, as they influence health-seeking behaviors and openness to interventions such as mosquito net use or testing The data suggests that while basic understanding exists, continued attitudinal reorientation is essential
particularly through culturally sensitive health education that repositions malaria as both avoidable and controllable with the right tools and practices.
is malaria hard to prevent ?
This figure captures participants’ beliefs about the preventability of malaria, revealing critical insights into behavioral drivers and psychological barriers to malaria control. While a significant number of respondents disagreed with the statement that malaria is hard to prevent indicating confidence in existing preventive measures like mosquito nets and environmental sanitationa portion of participants agreed or remained uncertain, reflecting underlying skepticism or misinformation. Such attitudes may stem from past experiences of recurrent malaria despite preventive efforts, or a lack of access to consistent protection These findings emphasize the importance of reinforcing not just knowledge, but belief in the efficacy of prevention tools during public health
Figure 7: Malaria is hard to prevent
education. Addressing fatalistic attitudes through storytelling, community testimonials, and clear demonstration of prevention outcomes can shift perceptions and increase proactive health behaviors.
Figure 8: Importance of sleeping under mosquito net
This figure assesses participants’ attitudes toward the use of mosquito nets as a key preventive measure against malaria The data shows a strong majority recognizing the importance of sleeping under a net, suggesting that awareness of its protective value is well established within the community. This positive attitude forms a solid foundation for behavioral adoption. However, a minor segment of respondents expressed doubt or indifference, which may indicate previous negative experiences (e g , discomfort, lack of access, or incorrect usage) or gaps in knowledge about the effectiveness of nets. These
insights underscore the need for continued health promotion efforts that not only distribute nets but also emphasize proper use, comfort, and maintenance to reinforce consistent adoption, especially among households with young children and pregnant women.
SECTION IV: PRACTICES
Figure 9: Do you have mosquito net at home?
This figure evaluates the practical availability of mosquito nets in participants’ households, providing a critical link between knowledge, attitude,
and real-world behavior The data reveals that while a majority of respondents reported owning at least one mosquito net, a notable portion still lacked access, highlighting an important gap between awareness and resource availability. This disparity may be due to economic limitations, inadequate distribution, or household overcrowding, where the number of nets is insufficient for all members. Ownership alone does not guarantee usage, but this indicator serves as a baseline for measuring the reach and equity of net distribution efforts The findings support the need for routine community-level assessments and targeted redistribution to ensure that high-risk groups especially children under five and pregnant women are adequately protected.
Those That Have Mosquito Nets and Those That Don’t
This section provides a deeper look into the distribution of mosquito net ownership among outreach participants. While a majority reported having at least one mosquito net at home, the data also identifies a significant minority who lacked access, exposing an important vulnerability in the community’s malaria prevention infrastructure
The absence of nets in some households may reflect socioeconomic barriers, limited availability, or prioritization challenges within large households Even among households with nets, issues such as damaged nets, insufficient quantity, or improper usage could undermine protection efforts. These insights underscore the need for follow-up assessments to evaluate actual net usage and condition, beyond mere ownership.
To bridge the gap, the intervention must not only distribute more nets but also promote equitable allocation, ensuring that all household membersparticularly children under five, pregnant women, and the elderly are consistently protected during high transmission periods. This calls for continued net monitoring, replacement programs, and behavioral reinforcement campaigns to maximize the impact of this essential malaria prevention tool.
This table provides insight into the recent malaria testing behavior of participants and their children. Out of 710 respondents, 304 (43%) reported that they or their children had been tested for malaria within the past year, while 406 (57%) indicated they had not. This reveals a testing gap, with more than half of the respondents lacking recent diagnostic confirmation despite living in high-risk areas.
The low testing rate may be attributed to factors such as limited access to diagnostic services, financial constraints, lack of awareness, or a tendency to rely on self-diagnosis and presumptive treatment This highlights the need for increased community education on the importance of early and accurate testing, as well as greater investment in accessible and affordable malaria testing centers Encouraging routine testing is essential for timely treatment, accurate data reporting, and improved malaria control outcomes at the community level.
Table 10: How to protect from malaria
Mosquito net(1) Insect repellent (2) Clearing stagnant Non (4) water(3)
Total 745
This table outlines participants’ knowledge of practical strategies for malaria prevention. Among the 745 responses analyzed, the most frequently cited
method was use of mosquito nets, selected by 348 participants, reaffirming strong awareness of this widely promoted intervention. Other preventive strategies such as insect repellents (53 respondents) and clearing stagnant water (33 respondents) were also identified, though at significantly lower rates. Interestingly, 60 participants reported using no preventive methods at all, highlighting critical gaps in either awareness, access, or perceived importance of prevention. Moreover, a substantial number of respondents chose combined strategies:
96 selected both mosquito nets and insect repellent,
87 combined nets, repellents, and environmental control,
39 opted for mosquito nets and stagnant water clearance.
These combination responses suggest a partial understanding of integrated vector management but also point to the need for clearer, community-based education on the complementary nature of multiple prevention methods. The data reveals a strong opportunity to build on existing knowledge of mosquito net use while expanding awareness and accessibility of other preventive tools, including environmental sanitation, repellents, and prophylactic medication especially for high-risk groups like children under five and pregnant women.
RESPONSES AFTER EDUCATION.
Post-Intervention Shifts
Following the targeted public health education sessions delivered during the outreach, the data reveals substantial and measurable improvements across key knowledge, attitude, and behavioral domains related to malaria prevention and control.
Enhanced Symptom Recognition: There was a marked increase in participants’ ability to correctly identify core malaria symptoms, such as fever, chills, and headache, either individually or in combination. This shift reflects improved health literacy and is expected to contribute to earlier detection and treatment-seeking behavior, particularly among caregivers of young children.
Broadened Understanding of Preventive Methods: Post-intervention responses indicated a stronger grasp of multi-faceted prevention strategies. More participants correctly recognized the importance of draining stagnant water and using insect repellents, in addition to the already well-known method of sleeping under insecticide-treated mosquito nets This shift signifies growing awareness of integrated vector control practices.
Positive Attitudinal Change: The intervention led to a clear positive shift in attitudes, with a majority of respondents now expressing the belief that malaria is both preventable and controllable. This psychological shift is crucial, as perceptions of inevitability or helplessness often deter the adoption of preventive behaviors. Participants also demonstrated increased confidence in and willingness to adopt recommended practices such as net usage and testing
Improved Access to Protective Tools: The distribution of insecticide treated nets during the outreach significantly expanded household
access While baseline data showed gaps in net ownership, it is projected that post-intervention usage will rise as more households are now equipped with the necessary tools for protection. Future follow-ups are recommended to monitor actual usage behavior and ensure sustained impact.
These post-intervention shifts affirm the effectiveness of community-based, culturally adapted health education and underscore the importance of coupling knowledge dissemination with direct resource provision in malariaendemic settings.
SECTION II: MALARIA IS?
Figure 9: what is malaria?
This figure presents participants’ understanding of malaria after the health education intervention, illustrating notable improvements in conceptual clarity. A majority of respondents correctly identified malaria as a blood disease transmitted by mosquito bites, indicating that the educational component effectively addressed prior misconceptions observed in the pre-intervention data. Compared to earlier responses, there was a reduction in selections that
associated malaria with spiritual causes, skin disease, or contaminated food or water, showing a clear shift toward biomedical understanding of the illness. The figure also shows an increase in single, accurate selections rather than mixed or contradictory responses, suggesting not only improved knowledge but also increased confidence in that knowledge. This post-intervention gain reflects the value of using indigenous language education and culturally relevant teaching methods, which helped reinforce accurate health information among participants of diverse educational backgrounds. These findings are promising for future outreach efforts, as accurate disease understanding is foundational to preventive behavior adoption, timely testing, and appropriate treatment-seeking practices
This table reflects the post-education understanding of malaria symptoms among participants and provides clear evidence of the impact of the health education intervention. Out of 745 responses, there was a significant increase in the number of participants correctly identifying key symptoms such as fever, chills, headache, and vomiting, either individually or in accurate combinations.
Notably:
218 participants correctly identified fever as a symptom, 56 participants selected the classical triad of fever, chills, and headache, and
97 participants chose the comprehensive combination of fever, chills, headache, vomiting, and stiff muscles, showing an enhanced grasp of symptom patterns.
There was a sharp decline in vague or incorrect responses, including "don’t know" or unrelated symptoms, indicating improved symptom recognition Only 2 participants selected don’t know, compared to several pre-intervention. Additionally, multi-symptom comprehension increased, reflecting a deeper understanding rather than surface-level recall. These findings are significant as they demonstrate not just memorization, but a shift toward functional health literacy, equipping participants especially mothers and caregivers with the knowledge to recognize early warning signs
and seek timely care This has important implications for early diagnosis, treatment, and reduction in malaria-related complications and fatalities.
This table presents the post-intervention responses to the question of how malaria is transmitted, showcasing a significant improvement in accuracy and clarity of participant knowledge following the health education session. Out
of 745 responses, a majority 543 participants (73%) correctly identified mosquito bites as the primary mode of malaria transmission. While a small number of respondents still selected incorrect options such as drinking dirty water (16), eating contaminated food (1), or "don’t know" (4) these figures represent a noticeable decline in misinformation compared to the pre-education data Additionally, combination responses (e g , mosquito bites plus other incorrect modes) decreased, though some persisted 45 participants selected both mosquito bites and drinking dirty water, and 90 participants selected all three incorrect and correct responses together.
These results indicate that while the core message on vector transmission was effectively conveyed, some participants still associate malaria with general poor hygiene or unsafe food, likely due to overlapping symptoms with other tropical illnesses This underscores the importance of continuous reinforcement of biomedical facts, using culturally relevant explanations to help communities clearly differentiate between malaria and other diseases. The sharp rise in correct, singular responses confirms that focused health education especially when delivered in local languages—can rapidly correct misconceptions and lay the foundation for behavior change in malaria-endemic regions.
Table 13: How to prevent malaria
Sleeping under mosquito net (1)
Responses
Using insect repellent (2) Draining stagnant water(3)
This table captures participants’ post-intervention understanding of malaria prevention methods and demonstrates a significant improvement in both accuracy and depth of knowledge Of the 745 responses, 420 participants correctly identified sleeping under a mosquito net as a primary preventive measure, reaffirming the outreach’s emphasis on insecticide-treated net (ITN) usage.
There was also an encouraging increase in multi-method responses:
125 participants selected a combination of mosquito nets, insect repellent, draining stagnant water, and taking malaria medication, reflecting a comprehensive understanding of integrated malaria prevention strategies.
59 selected mosquito nets and malaria medication, while 46 identified mosquito nets, repellent, and medication—pointing to an expanded awareness of both environmental and personal protective measures.
Incorrect or limited responses such as "don’t know" or isolated use of repellents or medication without nets, dropped substantially Only 1 respondent indicated complete uncertainty, and fewer than 10 participants listed preventive strategies in isolation without referencing nets, showing marked progress from pre-intervention levels. These results confirm that the health education intervention effectively broadened participants’ preventive knowledge, shifting it from single-action awareness (nets only) to a multi-layered prevention mindset. This deeper understanding is essential for fostering sustainable behavioral change and equipping households with the knowledge to adapt their prevention practices based on risk factors and access to resources.
SECTION III: ATTITUDES
Figure 10: malaria is?
This figure reflects a post-intervention assessment of participants’ attitudes oward malaria and their perceptions of the disease. The data shows a strong shift in public sentiment, with the vast majority of respondents now identifying malaria as a preventable and serious illness, rather than an unavoidable or routine part of life. This marks a significant attitudinal transformation from pre-intervention results, where a portion of respondents viewed malaria as inevitable or spiritually caused. By reinforcing accurate knowledge and empowering participants with practical tools and resources, the health education component successfully reframed
malaria from a passive burden to an active threat that can be managed and prevented. This positive attitudinal shift is critical, as belief in the preventability of disease strongly influences behavioral adoption, such as consistent net use, testing, and environmental hygiene practices.
The improvement captured in this figure illustrates how culturally appropriate, language-accessible education can reshape deeply rooted community beliefs and foster a mindset more aligned with public health principles.
Figure 11: Is malaria hard to prevent?
is malaria hard to prevent ?
This figure presents post-education responses to the question of whether participants perceive malaria as difficult to prevent. The data reveals a notable
shift toward optimism and empowerment, with a majority of respondents disagreeing with the notion that malaria is hard to prevent. This marks an important attitudinal change from earlier beliefs, where uncertainty or resignation may have limited engagement in proactive health behaviors.
The reduction in ; yes or unsure responses suggests that the outreach succeeded in clarifying the effectiveness and accessibility of preventive measures such as sleeping under insecticide-treated nets, draining stagnant water, and using repellents. This attitudinal transformation is critical because perceived difficulty is a known barrier to behavioral adoption in public health.
By increasing confidence in personal and community-level control over malaria transmission, the intervention strengthened the psychological readiness of participants to act on the knowledge gained Continued reinforcement of this message through follow-up visits and community champions will be vital to sustaining the shift from awareness to action.
Figure 12: To sleep under mosquito net is important
This figure assesses participants’ post-intervention attitudes toward the importance of sleeping under mosquito nets as a preventive measure against malaria. The data shows a strong consensus among participants recognizing the critical role of mosquito nets in protecting against mosquito bites and reducing malaria transmission.
The overwhelming agreement with this statement reflects the effectiveness of the health education session in reinforcing evidence-based prevention practices. It also highlights the successful alignment
of knowledge, attitudes, and practices a key goal of behavior change communication.
Importantly, this positive perception creates a strong foundation for sustained net usage in the community However, consistent reinforcement through follow-up visits, reminders, and net care instructions will be essential to ensure that these attitudes translate into daily behavioral routines, especially among caregivers of young children and pregnant women who are at greatest risk.
SECTION IV: PRACTICES
Figure 13: Do you have mosquito net at home?
This figure presents participants’ self-reported access to mosquito nets following the outreach intervention. A clear increase in mosquito net ownership was observed, reflecting the impact of the insecticide-treated net distribution conducted during the program. The majority of respondents confirmed that they now have at least one net in their household, signifying a positive shift in resource availability and a closing of previously identified gaps in net coverage. This increase in access is a critical enabler of behavior change, especially when combined with the improved knowledge and attitudes recorded in earlier sections However, the figure also suggests that a small proportion of participants still lack nets, underscoring the need for continued distribution, monitoring, and follow-up particularly in larger households or those with multiple high-risk individuals (e.g., children under five, pregnant women).
Ensuring equitable access to mosquito nets across all demographic and geographic segments remains essential to achieving sustained community-level protection and reducing malaria incidence.
Figure 14: Have you or your children been tested for malaria in the past year?
This figure illustrates participants’ responses regarding recent malaria testing within their households, providing insights into health-seeking behavior postintervention. While a significant number of respondents reported undergoing testing either for themselves or their childrentl there remains a notable proportion who had not accessed testing services in the past year. These findings suggest that despite improved knowledge and awareness from the outreach, barriers to diagnostic access still exist These may include cost, availability of testing centers, transportation challenges, or a reliance on presumptive self-treatment rather than formal diagnosis.
Encouragingly, the education intervention appears to have influenced a greater willingness to seek testing, especially when paired with symptoms or during seasonal malaria peaks. However, to improve early detection and reduce complications, there is a need to:
Expand access to community-based rapid diagnostic testing (RDTs); Strengthen referrals between outreach and local health facilities; Continue reinforcing the importance of testing through community dialogue.
Regular malaria testing is essential for accurate diagnosis, timely treatment, and effective surveillance in endemic communities.
This table summarizes the various malaria prevention practices adopted by participants within their households following the intervention. Among the 744 responses, the most frequently cited strategy was the use of mosquito nets (345 participants), reaffirming the community’s strong alignment with the core message of the outreach.
Importantly, many participants demonstrated an understanding of integrated prevention:
98 respondents selected a combination of mosquito nets and insect repellents,
191 participants identified the full set of preventive strategies: mosquito nets, repellents, and clearing stagnant water, 37 selected nets and stagnant water control.
These results suggest that the outreach successfully broadened participants' preventive behavior beyond single-action reliance to multilayered protection approaches, including environmental management and personal protection tools.
Only 1 respondent indicated using no preventive methods, and 29 did not respond, which is a significant improvement compared to preintervention data. The low rate of non-prevention indicates increased awareness, commitment, and accessibility to malaria control measures.
This data confirms that the intervention not only improved knowledge and attitudes but also translated into practical household-level behavioral change, an essential step toward reducing malaria transmission in endemic communities.
Key Findings:
Prior to the outreach, only 84.6% (630 of 744) participants correctly identified mosquito bites as the primary mode of transmission. This figure improved postintervention, with over 90% (543 of 745) correctly associating malaria with mosquito bites.
Recognition of key symptoms such as fever, chills, and headache significantly improved. For instance, combined multi-symptom responses (fever + chills + headache) increased from 9.9% to 13%, while comprehensive understanding (fever + chills + headache + vomiting + stiff muscles) rose to 13% postintervention, indicating improved comprehension Positive attitudes toward the efficacy and importance of sleeping under mosquito nets increased dramatically, with more participants acknowledging its role in malaria prevention.
Preventive practices such as clearing stagnant water and consistent net use saw a notable rise in post-intervention responses, affirming the impact of localized education.
Further analysis of age distribution, family size, and household mosquito net ownership provided insight into demographic trends and resource needs. Notably, 30% of respondents initially reported having no children, suggesting the importance of tailoring interventions beyond just maternal demographics to include guardians and extended family members. The outreach also aligned with three key United Nations Sustainable Development Goals (SDGs):
SDG 3 : Good Health and Well-being
SDG 6 : Clean Water and Sanitation
SDG 17 : Partnerships for the Goals
The Ariel Foundation International malaria elimination outreach program demonstrates how data-centric community interventions anchored in cultural competence and evidence-based practices can significantly improve public
health outcomes This report provides a foundation for scaling similar programs and offers actionable insights for health agencies, policy-makers, and global development partners interested in malaria control and health education in lowresource settings.
CONCLUSION
The 2024 Ariel Foundation International Malaria Elimination Outreach and Public Health Education Initiative in Akwa Ibom State successfully demonstrated the power of data-driven, community-based interventions in reducing malaria-related health disparities. The comprehensive analysis of pre- and post-intervention data reveals substantial improvements in knowledge, attitudes, and practices among the target population primarily women with children under five years old
Key highlights of the outreach include:
High participant engagement (987 individuals), signaling strong community trust and mobilization capacity.
Significant increases in the correct identification of malaria methods, demonstrating effective health communication and culturally adapted education delivery. transmission modes, symptoms, and prevention
Observable shifts in attitudinal openness toward adopting preventive behaviors, such as sleeping under insecticide-treated mosquito nets and environmental sanitation.
Strengthened local health system support through collaboration with community leaders, local clinics, and trained health volunteers
The outreach also provided a unique opportunity to gather high-quality data on household demographics, health literacy, and behavioral barriers to malaria prevention in peri-urban Nigerian communities. These findings are vital for tailoring future public health strategies and scaling similar interventions in other malaria-endemic zones.
Moreover, the initiative aligns closely with global health policy frameworks, particularly the United Nations Sustainable Development Goals (SDGs):
SDG 3: Ensuring healthy lives and promoting well-being for all at all ages.
SDG 6: Access to safe water, hygiene, and sanitation.
SDG 17: Strengthening multi-stakeholder partnerships for sustainable development.
RECOMMENDATIONS
Based on the data analysis and field observations, the following recommendations are proposed to sustain and expand the impact of the outreach:
1. Scale Up Community-Based Education: Health education delivered in local languages by trained personnel was highly effective. This model should be institutionalized within local health systems and integrated into routine antenatal, postnatal, and immunization outreach programs.
2. Strengthen Routine Surveillance and Testing: While testing awareness increased, access remains limited. We recommend the expansion of malaria testing points in collaboration with local clinics and community pharmacies, supported by mobile health (mHealth) tracking systems for case reporting.
3. Monitor Net Utilization Rates Post-Distribution: Though insecticide treated nets were distributed during the outreach, follow-up assessments are necessary to track usage, identify any gaps, and mitigate misuse. Community health workers should conduct home visits at 3- and 6-month intervals postdistribution.
4. Increase Access to Comprehensive Preventive Tools: In addition toi insecticide-treated mosquito nets, future interventions should include the provision of malaria prevention medications (e.g., Intermittent Preventive Treatment for infants and pregnant women), mosquito repellents, and environmental control kits such as larvicides and drainage equipment. Diversifying the range of preventive tools ensures better protection for families living in high-risk areas and empowers households with multiple options for personal and environmental protection
5. Integrate Behavioral Change Communication (BCC) into Media: Ariel Foundation International and its partners should continue to community radio, visual aids, and local storytelling formats to reinforce malaria messages and dispel persistent myths, especially around spiritual or waterborne misconceptions
leverage
6. Expand Data Collection to Include Environmental and Housing Conditions: Future surveys should include variables such as housing type, proximity to stagnant water, and drainage systems, which can provide predictive insights for targeted vector control interventions.
7. Institutionalize Multi-Sector Collaboration: The success of this outreach was partly due to the involvement of stakeholders from the public, private, and traditional sectors. Sustained partnerships with local governments, faith-based groups, and pharmaceutical companies are critical for resource mobilization and policy influence.
8. Develop a Longitudinal Study Plan: A longitudinal impact study tracking health outcomes, malaria incidence, and behavioral change over time will provide stronger causal evidence for policy advocacy and future grant applications.
In conclusion, this outreach serves not only as a successful malaria control effort but also as a replicable model of how data, education, and community trust can converge to advance public health equity in underserved settings. Ariel Foundation International remains committed to leveraging insights from this project to inform broader health policy and programming across Nigeria and beyond
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EVENT Brochure
English
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Ibibio
Changemakers 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 public- private 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 SecretaryGeneral 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
Head of Nutrition Management and Education
“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.
Malaria is not just a health issue- it is a matter of equity, access, and human dignity. Every mosquito net distributed, every child protected, and every case treated moves us one step closer to a malariafree world. World Health Organisation - WHO
