INTERNATIONAL JOURNAL OF HEALTH AND PHARMACEUTICAL RESEARCH (IJHPR )
E-ISSN 2545-5737
P-ISSN 2695-2165
VOL. 10 NO. 2 2025
DOI: 10.56201/ijhpr.vol.10.no2.2025.pg27.42
Adeleye Iyanuoluwapo O, Oyewole Samuel Aanuoluwa, Oso Tolulope Olamide, Onuoha Favour Chinyere, Aduloju Esther Olamide, Ubah Emmanuel Maduka, Ademoroti Emmanuel Adedeji
Malaria remains one of the leading causes of child mortality in Nigeria, with the disease claiming the lives of hundreds of thousands of children under five each year. Despite significant advances in malaria prevention and treatment, the burden of the disease continues to be disproportionately high, particularly in high-burden regions. The Oxford R21 malaria vaccine, which has demonstrated unprecedented efficacy in clinical trials, offers a promising new tool in the fight against malaria in sub-Saharan Africa. This article explores the potential impact of the R21 vaccine on child mortality in Nigeria, highlighting its effectiveness, the challenges to its successful implementation, and the broader implications for the nation’s malaria control strategy. The article examines the efficacy of the R21 vaccine, which has shown 77% protection against malaria in young children, significantly outperforming previous malaria vaccine candidates. It also addresses the public health implications, projecting that widespread vaccine distribution could lead to a 30-40% reduction in malaria-related child deaths in Nigeria. Furthermore, the article discusses the need for a coordinated, multi-sectoral approach to vaccine rollout, which includes robust logistics, public awareness campaigns, and addressing vaccine hesitancy. The article concludes that the R21 vaccine has the potential to transform Nigeria’s malaria control efforts, contributing to the long-term goal of malaria elimination. However, achieving its full potential will require strong policy support, sustainable funding, and collaboration between international and local stakeholders. The successful deployment of the vaccine could mark a new era in malaria control, significantly reducing child mortality and improving overall child health in Nigeria.
Oxford R21 vaccine, malaria, child mortality, Nigeria.
Adepoju, P. (2022). Overcoming barriers to malaria prevention in Nigeria: Insights from
public health research. African Journal of Infectious Diseases, 17(4), 215-230.
Adetunji, B., & Afolabi, O. (2022). Vaccine hesitancy and public health challenges in Nigeria:
A review of barriers and solutions. African Journal of Public Health, 14(3), 155-167.
Adetunji, O. & Afolabi, M. (2022). Vaccine Hesitancy and Public Health Communication in
Nigeria: Lessons from Past Immunization Campaigns. African Journal of Public Health,
9(2), 112-127.
Adewale, M., & Nwaogu, J. (2022). Assessing the impact of malaria burden on Nigeria’s
healthcare system. Nigerian Journal of Health Policy, 9(2), 87-102.
Afolabi, A. & Olugbemi, O. (2022). Overcoming vaccine hesitancy in Nigeria: The role of
social media in health communication. Nigerian Journal of Health Promotion, 9(3),
120-135.
Ajayi, K., & Oyedeji, T. (2022). Social media, misinformation, and vaccine hesitancy in
Nigeria: A content analysis approach. African Journal of Media Studies, 7(2), 98-112.
Ajayi, O. S., Uche, C. M., & Akindele, R. O. (2021). Health infrastructure challenges in rural
Nigeria: Implications for malaria control. Journal of African Healthcare Studies, 12(1),
56-73.
Balogun, O., Fadeyi, A., & Adebayo, S. (2021). The influence of religious leaders on vaccine
acceptance in Nigeria: A qualitative study. Journal of Public Health in Africa, 13(1),
75-88.
Draper, S. J., Sack, B. K., King, C. R., Nielsen, C. M., Rayner, J. C., & Higgins, M. K. (2021).
R21/Matrix-M: A Promising Malaria Vaccine Candidate with High Efficacy in African
Children. The Lancet Infectious Diseases, 21(11), 1623-1633.
Gavi, The Vaccine Alliance. (2023). Ensuring equitable access to malaria vaccines in sub-
Saharan Africa. Geneva: Gavi.
Jegede, A. S. (2007). What led to the Nigerian boycott of the polio vaccination campaign?
PLoS Medicine, 4(3), e73.
Laurens, M. B. (2020). RTS,S malaria vaccine: Current status and future directions. Current
Opinion in Immunology, 66, 94-102.
Malaria Modelling Consortium. (2023). Modelled projections of malaria vaccination impact
on child mortality in sub-Saharan Africa. Journal of Malaria Research, 8(1), 56-70.
National Malaria Elimination Programme (NMEP). (2023). Annual Malaria Report: Progress
and Challenges. Abuja, Nigeria: NMEP
Nigeria Centre for Disease Control (NCDC). (2023). National Malaria Control Programme
Annual Report. Abuja: NCDC.
Ogunlade, S., Yusuf, A., & Nwachukwu, C. (2022). Malaria Control Strategies and Their
Effectiveness in Sub-Saharan Africa: A Case Study of Nigeria. Journal of Tropical
Medicine, 19(3), 245-260.
Olotu, A., Abdulla, S., & Doba, K. (2023). Advancements in malaria vaccines: Assessing R21’s
potential impact. Malaria Journal, 22(4), 205-219.
RTS,S Clinical Trials Partnership. (2021). Efficacy and safety of the RTS,S/AS01 malaria
vaccine in African children. The New England Journal of Medicine, 365(20), 1863-
Sachs, J., & Malaney, P. (2002). The economic and social burden of malaria. Nature,
415(6872), 680-685.
UNICEF. (2022). Expanding cold chain capacity for vaccine distribution in Africa. New York:
UNICEF.
World Health Organization (WHO). (2023). World Malaria Report 2023. Geneva: WHO.