The Prevalence of Malaria and Community Knowledge, Attitude and Practice about the Transmission and Control Measures among Households in Pawe Woreda, North West Ethiopia.

Bedemo, Habtamu (2011) The Prevalence of Malaria and Community Knowledge, Attitude and Practice about the Transmission and Control Measures among Households in Pawe Woreda, North West Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background - Epidemiological information regarding the prevalence of various parasitic infections in different localities is a key to develop appropriate control strategies. A High Knowledge score about the cause, transmission and habit of practicing the available effective preventive and control measures by the individual households and the community at large could contribute much to the overall reduction of the malaria burden. Objectives - To determine the prevalence of malaria and asses the community knowledge, attitude and practice about the transmission, prevention and control measures among households at Pawe Woreda, North West Ethiopia. Methods and Materials - A community based, cross sectional study was carried out from November to December, 2010. A multi-stage random sampling technique was carried out to select representative households. A pre tested structured questionnaire (n=406) and blood film examination format (n=403) were used for data collection. Data was entered and analyzed using SPSS 16.0. Proportions, Odds ratio and 95% CI were computed. Results - The overall malaria prevalence was 14.7%. Respondents that mentioned at least three symptoms of malaria constitute 71.5%. Fifty six percent of the respondents associated malaria with hunger/skipping meals, as a cause and most (67%), affirmed that mosquitoes transimt the disease. Significant proportions (79.8%) were aware that mosquitoes bite during night. Use of bed net and draining of stagnant water were identified as major malaria preventive measures by 89.7% and 34% of respondents, respectively. About 69.2% reported that they were using bed nets correctely. Over 50% of the respondents stated that they would not seek for malaria treatment in 24 hours. Participants who had many years education ( > 5 th grade) and those who received health education reported high malaria Knowledge score, correct use of bed nets and early treatment seeking habits [OR (95%CI) =4.9(1.4-8), 1.8(1.4-2.5), 2.2(1.7-4.1), respectively. Living in areas which would take 60 minutes and longer distances to health facility was found to be associated with delay in treatment (OR=1.3, 95%CI= (1.1-2.0). Conclusions and recommendation - The Prevalence of malaria reported in this study was higher than reports in many areas of the country. Though malaria knowledge scoreamong the study participants were observed to be more than 50%, the practice of effective preventive and control measures were relatively poor. Hence, a comprehensive health education and promotion of community education should be given with a special emphasis given to assure that individual households use ITNs correctly, adapt integrated vector control approach, avoid misconception about cause of malaria and seek treatment early.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Prevalence, knowledge, attitude, practice, community, early treatment seeking behavior, high knowledge score, correct use of ITNs.
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 18 Sep 2018 12:53
Last Modified: 18 Sep 2018 12:53
URI: http://thesisbank.jhia.ac.ke/id/eprint/5366

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