Knowledge and practices on malaria prevention in two rural communities in Wakiso District, Uganda

Musoke, David; Karani, George; Ssempebwa, John C.; Etajak, Samuel; Guwatudde, David; Musoke, Miph Boses

doi:10.4314/ahs.v15i2.13

Cited by 35 publications

(41 citation statements)

References 22 publications

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“…This observation has been previously reported by Uzochukwu et al [28,29] that cost of malaria diagnostic tests and treatment were major influencers of self-treatment options for malaria in Nigeria. The preventive practices also reported in this study where using mosquito nets, maintaining clean surroundings, taking herbs and using indoor sprays that agrees with those earlier reported by Okeke et al [5] and Musoke et al [30]…”

Section: Pattern Of Drug Treatment Practices Ofsupporting

confidence: 92%

Home Based Management of Uncomplicated P. falciparum Malaria in Children Below Five Years in Delta State

Arute

Odili

2019

Galician med. j.

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Background: The world health organization (WHO) estimates that every 45 seconds an African child dies of malaria while several others lay ill. Also, studies have shown that home-based management of malaria could improve prompt access to antimalarial medications for African children. Objective: This study aimed at assessing the home based management practices among care givers of children below five years in Delta State. Methods: This study was a descriptive cross-sectional survey used to assess the home based management practices of malaria in children under age five. 459 consenting Caregivers of children under five (6 to 59 months) were purposively selected from different churches during Sundays and Wednesdays midweek services through balloting from two communities in Central and North Senatorial Districts of Delta State (Oghara and Obiaruku). Prior to the commencement of the study, the caregivers were thoroughly counselled on the objectives of the study, and a pretested structured interviewer administered questionnaire was used for administration in English, Urhobo and Ukwuani languages. Results: The study revealed that 86.93% respondents have good knowledge of malaria, and 60% commenced treatment within 24hrs. It also showed that 58.4% preferred anti-malarial combination therapies with arthemether-lumefantrine combination accounting for 34.0% drug options. Drug sources for home based malaria management were mainly from Pharmacy 40.5%, Drug sellers such as chemist 55.1% while information sources on choice of therapy and dosage were mainly from chemist 32.7%; health personnel 25.7%; neighbours 7.5% and self-based on previous experience 36.6%. Conclusion: The study revealed very good knowledge of malaria and good management practices as well as good treatment seeking behaviours amongst the caregivers.

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Section: Pattern Of Drug Treatment Practices Ofsupporting

confidence: 92%

Home Based Management of Uncomplicated P. falciparum Malaria in Children Below Five Years in Delta State

Arute

Odili

2019

Galician med. j.

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“…Higher level of education affirmatively influences the knowledge of linking sleeping under net with malaria prevention [6]. In this study, the knowledge of respondents that sleeping under net prevents malaria transmission positively predicted net ownership.…”

Section: Discussionmentioning

confidence: 78%

Factors influencing the ownership and utilization of long-lasting insecticidal nets for malaria prevention in Ethiopia

Tassew

Hopkins

Deressa

2017

Malar J

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BackgroundUtilization of long-lasting insecticidal nets (LLINs) is regarded as key malaria prevention and control strategy. However, studies have reported a large gap in terms of both ownership and utilization particularly in the sub-Saharan Africa (SSA). With continual efforts to improve the use of LLIN and to progress malaria elimination, examining the factors influencing the ownership and usage of LLIN is of high importance. Therefore, the current study was conducted to examine the level of ownership and use of LLIN along with identification of associated factors at household level.MethodsA cross-sectional study was conducted in Mirab Abaya District, Southern Ethiopia in June and July 2014. A total of 540 households, with an estimated 2690 members, were selected in four kebeles of the district known to have high incidence of malaria. Trained data collectors interviewed household heads to collect information on the knowledge, ownership and utilization of LLINs, which was complemented by direct observation on the conditions and use of the nets through house-to-house visit. Bivariate and multivariable logistic regression analyses were used to determine factors associated to LLIN use.ResultsOf 540 households intended to be included in the survey, 507 responded to the study (94.24% response rate), covering the homes of 2759 people. More than 58% of the households had family size >5 (the regional average), and 60.2% of them had at least one child below the age of 5 years. The ownership of at least one LLIN among households surveyed was 89.9%, and using at least one LLIN during the night prior to the survey among net owners was 85.1% (n = 456). Only 36.7% (186) mentioned at least as the mean of correct scores of all participants for 14 possible malaria symptoms and 32.7% (166) knew at least as the mean of correct scores of all participants for possible preventive methods. Over 30% of nets owned by the households were out of use. After controlling for confounding factors, having two or more sleeping places (adjusted odds ratio [aOR] = 2.58, 95% CI 1.17, 5.73), knowledge that LLIN prevents malaria (aOR = 2.51, 95% CI 1.17, 5.37), the presence of hanging bed nets (aOR = 19.24, 95% CI 9.24, 40.07) and walls of the house plastered or painted >12 months ago (aOR = 0.09, 95% CI 0.01, 0.71) were important predictors of LLIN utilization.ConclusionsThis study found a higher proportion of LLIN ownership and utilization by households than had previously been found in similar studies in Ethiopia, and in many studies in SSA. However, poor knowledge of the transmission mechanisms and the symptoms of malaria, and vector control measures to prevent malaria were evident. Moderate proportions of nets were found to be out of use or in poor repair. Efforts should be in place to maintain the current rate of utilization of LLIN in the district and improve on the identified gaps in order to support the elimination of malaria.

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“…The study showed that the majority of Cape Verdean looks for treatment to the nearest health structure, suggesting a good coverage of and accessibility to health facilities across the country [41]. The same has been concluded in African countries [31,32,42,43], with the majority of studies relating high malaria treatment-seeking behaviour at health facilities with the availability and easy access of the latter. Conversely, this was not the case in Nigeria, where 47.6% of the population rely on selfmedication but not health structures to treat malaria [37].…”

Section: Aptitudes and Practices Of Cape Verdean Population Toward Mamentioning

confidence: 79%

“…The results reported here are critical and encouraging in the context of the Cape Verdean malaria elimination programme, indeed, the study population displays a high level of knowledge about malaria symptoms and people know that the best behaviour when they are sick is to immediately seek for treatment at the nearest health structure. This knowledge must be transformed into routine attitudes and practices all over the country [46] to early detect all malaria infections, as required in malaria elimination strategies in the country [41] and the WHO elimination policies [42,43,47].…”

Section: Aptitudes and Practices Of Cape Verdean Population Toward Mamentioning

confidence: 99%

Knowledge, attitudes and practices about malaria in Cabo Verde: a country in the pre-elimination context

DePina¹,

Dia²,

Martins³

et al. 2019

BMC Public Health

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Background: Malaria in Cape Verde is unstable, with a sporadic and seasonal transmission of low endemicity. In this sense, the community perceptions regarding malaria transmission, their attitudes and practices against the disease are very important to understand and to better develop the best strategical policies to achieve malaria elimination goal. This study aim to assess the knowledge, attitudes and practices (KAP) of Cape Verdean population about malaria, a country in the elimination step of disease. Methods: A cross-sectional malaria KAP Survey was performed at the household level. A structured open questionnaire was developed and applied to residents of randomly selected households from 5 islands and 15 municipalities in Cape Verde. Correlation analyses were performed using a logistic regression model to determine the factors that are associated with the complete knowledge of the population about malaria. Results: A total of 1953 fully completed questionnaires were analysed, with majority of questionnaires administered in Santiago island (68.3%), mainly in the capital city of Praia, 38.43%. About 88% of the population knew the correct form of transmission, 96% had knowledge that the entire population is at risk of malaria and identified the main symptoms. Regarding the attitudes, 58% seek treatment atthe nearest health structure upon the apparition of the symptoms, 64% in the first 24 h and 88% within the first 48 h. More than 97% have heard about mosquito nets but only 19% used it. In practice, 53% use coils, 45% rely on household sprays and 43% have benefited from IRS. About 90% received information about malaria from media, mainly the TV and the radio (83 and 43%, respectively). In summary, 54% of the population has complete knowledge of the disease. Conclusion: The population of Cape Verde has a high level of knowledge about malaria, including its transmission, main symptoms and preventive and control measures. However, some gaps and misunderstandings have been noticed and contribute to the insufficient community involvement in actions against malaria. Therefore, is necessary to increase the knowledge of the population, leading to their full ownership and participation in community actions to contribute to the malaria elimination in the country.

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Knowledge and practices on malaria prevention in two rural communities in Wakiso District, Uganda

Cited by 35 publications

References 22 publications

Home Based Management of Uncomplicated P. falciparum Malaria in Children Below Five Years in Delta State

Home Based Management of Uncomplicated P. falciparum Malaria in Children Below Five Years in Delta State

Factors influencing the ownership and utilization of long-lasting insecticidal nets for malaria prevention in Ethiopia

Knowledge, attitudes and practices about malaria in Cabo Verde: a country in the pre-elimination context

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