Assessment of community knowledge, practice, and determinants of malaria case households in the rural area of Raya Azebo district, Northern Ethiopia, 2017


Autoři: Kebede Tesfay aff001;  Mekonnen Yohannes aff002;  Fitsum Mardu aff001;  Brhane Berhe aff001;  Hadush Negash aff003
Působiště autorů: Unit of Medical Parasitology and Entomology, Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia aff001;  Medical Parasitology and Entomology Unit, Institute of Bio-medical Science, College of Health Science, Mekelle University, Mekelle, Ethiopia aff002;  Unit of Microbiology Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Adigrat University, Adigrat, Ethiopia aff003
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0222427

Souhrn

Background

In Ethiopia malaria is one of the leading causes of outpatient visits and admission. Still, it remains a major cause of morbidity and mortality in the study area. Therefore, this study was aimed to assess the knowledge, practice, and determinant of malaria case households in rural areas of Raya Azebo district, Northern Ethiopia.

Method

A community-based cross-sectional survey was conducted in the selected villages of Raya Azebo district from January to June 2017. A multi-stage random sampling method was employed to select a total of 422 study households. Data was collected using a semi-structured questionnaire. The household head was interviewed face to face. Logistic regression analysis was used to determine the determinant of malaria cases households.

Result

A total of 412 (97.6) of the respondents had ever heard about malaria. About 63% of households recognized the causes of malaria to be a mosquito bite. Around 173 (41%) of the study households had been treated for malaria within a year of data collection. This study also revealed that the presence of mosquito breeding sites near to home, bed bug infestation, outdoor sleep due to bed bugs and household with poor bed net practicing were significantly associated with malaria case households.

Conclusion

Although the overall knowledge on malaria transmission, symptoms, and the preventive measure was relatively good, the rate of household insecticide-treated net coverage and utilization were reported low in the area. Therefore, the distribution of adequate bed net with community-based education is a key intervention to promote household insecticide-treated net utilization. In addition, an effective bed bug management strategy is necessary to overcome the outdoor sleeping habit of the community in the area.

Klíčová slova:

Ethiopia – Headaches – Health education and awareness – Insecticides – Malaria – Ponds – Rural areas – Signs and symptoms


Zdroje

1. Federal Democratic Republic of Ethiopia Ministry of Health. Health and Health-Related Indicators 2009/2010, Addis Ababa: FMOH; 2011

2. World health organization. World Malaria Report 2011: https://www.who.int/malaria/world_malaria_report_2011/en /. Accessed 3 Dec 2016.

3. Federal Democratic Republic of Ethiopia Ministry of Health national strategic plan for malaria prevention control and elimination in Ethiopia 2011–2015, Addis Ababa, Ethiopia, 2010.

4. Federal Democratic Republic of Ethiopia Ministry of Health. National Malaria Guidelines. Addis Ababa, Ethiopia, 2102, 3rd edition.

5. Ethiopian Public Health Institute and Partners. Ethiopia National Malaria Indicator Survey 2011. Addis Ababa, Ethiopia, 2012.

6. Federal Democratic Republic of Ethiopia Ministry of Health. Health and health-related indicators. Addis Ababa, Ethiopia: FMOH, 2012/2013.

7. World Health Organization. World malaria report, 2009. https://www.who.int/malaria/world_malaria_report_2009/en/. Accessed 3 Dec 2016.

8. Ghebreyesus TA, Haile M, Witten KH, Getachew A, Yohannes AM, Yohannes M, et.al. Incidence of malaria among children living near dams in northern Ethiopia: community-based incidence survey. BMJ. 1999; 319:663–666. doi: 10.1136/bmj.319.7211.663 10480820

9. Tigrai Regional Health Bureau, Review on malaria prevention and control program, World malaria day, 2016

10. Equbay G. Ethiopia Field Epidemiology Training Program, Compiled Body of Works in Field Epidemiology.College of Health Sciences, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia, 2016. http://localhost/xmlui/handle/123456789/8472 accessed date 03/12/2016

11. Hagos, F, Yohannes, M, Linderhof, V, Kruseman, G, Mulugeta, A, G/Samuel, G, et.al. Micro water harvesting for climate change mitigation: Trade-offs between health and poverty reduction in Northern Ethiopia, 2006.

12. Yohannes M and Haile M. The Potential of in situ Rain Water Harvesting for Water Resources Conservation on Malaria Transmission in Tigray, Northern Ethiopia. MEJS, 2010, 2 (2):49–63.

13. Quiñones LM, Norris ED, Conn EJ, Moreno M, Burkot RT, Bugoro H. et.al. Insecticide Resistance in Areas under Investigation by the International Centers of Excellence for Malaria Research: A Challenge for Malaria Control and Elimination. Am. J. Trop. Med. Hyg, 2015: 93(3) 69–78.

14. Central statistics agency of the Federal Democratic Republic of Ethiopia. http://www.csa.gov.et/component/phocadownload/category/103-census-report. Accessed 4 December 2016.

15. Tesfay G, Gebresamuel G, Gebretsadik A, Gebrelibanos A, Gebremeskel Y, Hagos T. Participatory rural appraisal report: Raya-Azebo Woreda, Tigray region; 2014. http://www.cascape.info. Accessed 3 Dec 2016.

16. Tesfay K, Yohannes M and Bayisa S. Trend analysis of malaria prevalence in Raya Azebo district, Northern Ethiopia: a retrospective study. BMC Res Notes, 2018; 11:900 doi: 10.1186/s13104-018-4003-4 30558667

17. Hlongwana WK, Mabaso LHM, Kunene S, Govender D and Rajendra Maharaj R. Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: A country earmarked for malaria elimination. Malaria Journal, 2009; 8:29 doi: 10.1186/1475-2875-8-29 19228387

18. Dawaki S, Al‑Mekhlafi MH, Ithoi I, Ibrahim J, WAtroosh MW, Abdulsalam MW et.al. Is Nigeria winning the battle against malaria? Prevalence, risk factors and KAP assessment among Hausa communities in Kano State. Malar J, 2016; 15:351 doi: 10.1186/s12936-016-1394-3 27392040

19. Haile S, Abera S, Muhdin S, Kumalo A, and Henok AHenok A. Knowledge and Practice towards Prevention and Control of Malaria in Tepi Town, Sheka Zone, Southwestern Ethiopia. Health Sci J, 2015; 10:1.

20. Haileselassie B, Ali A. Assessment of Insecticide Treated Nets Coverage for Malaria Control in Kafta-Humera District, Tigray: Possession versus Use by High-risk Groups. Ethiop.J.Health Dev, 2008;22(3):259–267

21. Soleimani-Ahmadi M, Vatandoost H, Zare M, Alizadeh A and Salehi M Community knowledge and practices regarding malaria and long-lasting insecticidal nets during malaria elimination program in an endemic area in Iran. Malaria Journal,2014; 13:511 doi: 10.1186/1475-2875-13-511 25539639

22. Forero AD, Chaparro EP, Vallejo FA, Benavides Y, Gutiérrez BJ, Arévalo-Herrera M. et.al. Knowledge, attitudes and practices of malaria in Colombia. Malaria Journal, 2014; 13:165. doi: 10.1186/1475-2875-13-165 24885909

23. Bashar K, Al-Amin MH, Reza SM1, Islam M, Asaduzzaman1 and Ahmed UT Socio-demographic factors influencing knowledge, attitude, and practice (KAP) regarding malaria in Bangladesh. BMC Public Health, 2012; 12:1084. doi: 10.1186/1471-2458-12-1084 23253186

24. Mazigo DH, Obasy E, Mauka W, Manyiri P Zinga M, Kweka JE, Mnyone LL, et. Al. Knowledge, Attitudes, and Practices about malaria and Its Control in Rural Northwest Tanzania. Malaria Research and Treatment,2010;1–9

25. Paulander J, Olsson H, Lemma H, Getachew A, San Sebastian M. Knowledge, attitudes and practice about malaria in rural Tigray, Ethiopia. Global Health Action,2009;2:1

26. Alelign A and Petros B. Knowledge, attitudes and practices of malaria transmission and preventive measures in Woreta town, Northwest Ethiopia. BMC Res Notes,2018; 11:491 doi: 10.1186/s13104-018-3607-z 30021627

27. Woyessa A, Deressa W, Ali A, Lindtjørn B. Prevalence of malaria infection in Butajira area, south-central Ethiopia. Malar J, 2012; 11:84. doi: 10.1186/1475-2875-11-84 22443307

28. Centers for disease control and prevention. https://www.cdc.gov/malaria/about/disease.html. Accessed 3 June 2019

29. Yimer F, Animut A, Erko B and Mamo H. Past five-year trend, current prevalence, and household knowledge, attitude and practice of malaria in Abeshge, south-central Ethiopia. M Journal, 2015;14: 230

30. Manana NP1, Kuonza L, Musekiwa A, Mpangane DH, and Koekemoer LL. Knowledge, attitudes and practices on malaria transmission in Mamfene, KwaZulu- Natal Province, South Africa 2015. BMC Public Health, 2018; 18:41

31. Bedimo BH, Fikrie TN, Hailu MA. Knowledge, Attitude and Practice on Malaria and Associated FactorsAmong Residents in Pawe District, North West Ethiopia: A Cross-sectional study. Science Journal of Public Health.2015;3 (3): 303–309.

32. Madani A, Soleimani-Ahmadi M, Davoodi HS, Sanei-Dehkordi A, Jaberhashemi AS, Zare M, et.al. Household knowledge and practices concerning malaria and indoor residual spraying in an endemic area earmarked for malaria elimination in Iran. Parasites & Vectors, 2017;10:600

33. President’s malaria initiative. Malaria operational plan FY. Ethiopia: PMI; 2018.

34. President’s malaria initiative. Malaria operational plan FY. Ethiopia: PMI; 2019.

35. Ethiopian Public Health Institute. Ethiopia National Malaria Indicator Survey 2015. Addis Ababa, Ethiopia, 2016.

36. Center for disease control and prevention. Malaria's Impact Worldwide, 2016, https://www.cdc.gov/malaria/malaria_worldwide/impact.html. acess 29 july 2019

37. Astatkie A, Feleke A. Utilization of insecticide-treated nets in Arbaminch Town and the malarious villages of Arbaminch Zuria District, Southern Ethiopia. Ethiop. J. Health Dev. 2009;23(3):207–215

38. The Federal democratic republic of Ethiopia, national malaria program monitoring and evaluation plan 2014–2020, Addis Ababa, Ethiopia, 2014.

39. Sonkong K, Chaiklieng S, Neave P and Suggaravetsiri P Factors affecting delay in seeking treatment among malaria patients along Thailand-Myanmar border in Tak Province, Thailand. Malaria Journal 2015, 14:3 doi: 10.1186/1475-2875-14-3 25567111

40. Sonkong K, Chaiklieng S, Neave P and Suggaravetsiri P Factors affecting delay in seeking treatment among malaria patients along Thailand-Myanmar border in Tak Province, Thailand. Malaria Journal 2015, 14:3 doi: 10.1186/1475-2875-14-3 25567111

41. Mekonnen D, Zenebe Y, Derbie A, Adem Y, Hailu D, Mulu W, et.al. Health impacts of bedbug infestation: A case of five towns in Amhara Region, Ethiopia. Ethiop. J. Health Dev, 2017;31(4)

42. Graves PM, Richards FO, Ngondi J, Emerson PM, Shargie EB and Endeshaw T et.al. Individual, household and environmental risk factors for malaria infection in Amhara, Oromia and SNNP regions of Ethiopia. Trans R Soc Trop Med Hyg, 2009.


Článek vyšel v časopise

PLOS One


2019 Číslo 10