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|Title: ||The prevalence of malaria and community knowledge, attitude and practice about the transmission and control measures among households in Pawe Woreda, North West Ethiopia.|
|Authors: ||Habtamu, Bedemo|
|Advisors: ||Professor Asrat Hailu (PhD)|
Ato Nigus Fikrie (MSc, PhD fellow)
|Keywords: ||correct use of ITNs|
high knowledge score
|Copyright: ||May-2011 |
|Date Added: ||2-May-2012 |
|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 ( > 5th 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 score
among 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.|
|Appears in:||Thesis - Medical Microbiology|
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