Adherence to Malaria Preventive Measures and Associated Factors in Badewacho District, Southern Ethiopia
Malaria remains a major public health problem in Ethiopia threatening the lives of 68% of the population. At present, long lasting insecticidal nets and indoor residual spraying are the major malaria prevention and control methods in the country.This study was undertaken to assess adherence to currently available malaria preventive methods its associated factors inBadewacho District, Southern Ethiopia.A community based cross-sectional study was conducted between February and March, 2013. Systematic random sampling method was used to collect data on preventive measures from 138 households through semi-structured questionnaires administered to interviewees during home to home visit. The data was computed using a statistical soft ware SPSS version 16.0. A P-value <0.05 and 95% CI excluding 1 were considered statistically significant.The coverage and the proportion of households with one or more of their members utilizing mosquito nets in the district were 73.2% and 44.2% respectively. Net utilization of households with under-five year children was 32.1%. Dirtiness of the nets, lack of appropriate area for hanging, wearing out, and adherence to other preventive measures were mentioned as reasons for not using the nets. Only 63(45.7%) of the respondents knew that mosquitoes transmit malaria and most households sought treatment in public health facilities.Utilization of mosquito net was significantly associated with previous treatment for malaria in government health institutions and knowledge about malaria prevention methods.Coverage and utilization of the major malaria preventive measures was low in theBadewacho District, Southern Ethiopia. This indicates the necessity of health education to increase the community awareness in utilization of available malaria preventive measures to reduce the disease burden.
Adherence to Malaria Preventive Measures and Associated Factors in Badewacho District, Southern Ethiopia, International Journal of Biomedical Materials Research.
Vol. 4, No. 3,
2016, pp. 49-57.
Alemu, A., Tsegaye, W., Golassa, L., Abebe, G., 2011. Urban malaria and associated risk factors in Jimma town, South-West Ethiopia. Malar J 10, 173.
Alemu, G., 2006. Prevalence of Malaria and its influencing factors in Awassa District, Southern Ethiopia. http://www.pdf4free.com.
Ali, M.S.M., Kadaru, A.A.I.G.M. Y., Mustafa, M.S., 2004. Screening blood donors for malaria parasite in Sudan. Ethiop J Health Dev. 18(2), 70-74.
Animut, A., Balkew, M., Gebre-Michael, T., Lindtjørn, B., 2013. Blood meal sources andentomological inoculation rates of Anophelines along a highland altitudinal transect in south-central Ethiopia. Malar J 12, 76.
Antonio-Nkondjio, C., Defo-Talom, B., Tagne-Fotso, R., Tene-Fossog, B., Ndo, C., Lehman,L.G., Tchuinkam, T., Kengne, P., Awono-Ambene, P., 2012. High mosquito burden and malaria transmission in a district of the city of Douala, Cameroon. BMC Infect Dis 12, 275.
Askling, H.H., Nilsson, J., Tegnell, A., Janzon, R., Ekdahl, K., 2005. Malaria Risk in Travelers. J Emerg Infect Dis 11(3), 2005.
Atkinson, J.A., Johnson M. L., Wijesinghe, R., Bobogare, A., Losi, L., O’Sullivan, M., Yamaguchi, Y., Kenilorea, G., Vallely, A., Cheng, Q., Ebringer, A., Bain, L., Gray, K., Harris, I., Whittaker, M., Reid, H., Clements, A., Shanks, D., 2012. Operational research to inform a sub-national surveillance intervention for malaria elimination in Solomon Islands. Malar J 11, 101.
Balkew, M., Getachew, A., Chibsa, S., Olana, D., Reithinger, R., Brogdon, W., 2012. Insecticide resistance: a challenge to malaria vector control in Ethiopia.Malar J 11(1), 139.
Batisso, E., Habte, T., Tesfaye, G., Getachew, D., Tekalegne, A., Kilian, A., Mpeka, B., Lynch, C., 2012. A stitch in time: a cross-sectional survey looking at long lasting insecticide-treated bed net ownership, utilization and attrition in SNNPR, Ethiopia. Malar J 11, 183.
Baume, C.A., Reithinger, R., Woldehanna, S., 2009.Factors associated with use and non-use of mosquito nets owned in Oromia and Amhara Regional States, Ethiopia.Malar J 8, 264.
Beer, N., Ali, A.S., Shakely, D., Elfving, K., Al-Mafazy, A.H., Msellem, M., Petzold, M., Björkman, A., Källander, K., 2013.High effective coverage of vector control interventions in children after achieving low malaria transmission in Zanzibar, Tanzania. Malar J 12, 38.
Bekele, D., Belyhun, Y., Petros, B., Deressa, W., 2012. Assessment of the effect of insecticide-treated nets and indoor residual spraying for malaria control in three rural kebeles of Adami Tulu District, South Central Ethiopia. Malar J 11, 127.
Bhattarai, A., Ali, A.S., Kachur, S.P., Martensson, A., Abbas, A.K., Khatib, R., Al-mafazy, A., Ramsan, M., Rotllant, G., Gerstenmaier, J.F., Molteni, F., Abdulla, S., Montgomery, S.M., Kaneko, A., Bjorkman, A., 2007. Impact of artemisinin-based combination therapy and insecticide-treated nets on malaria burden in Zanzibar. PLoS Med 4(11): e309.,doi:10.1371/journal.pmed.0040309.
Bradley, J., Matias, A., Schwabe, C., Vargas, D., Monti, F., Nseng, G. and Kleinschmidt, I., 2012. Increased risks of malaria due to limited residual life of insecticide and outdoor biting versus protection by combined use of nets and indoor residual spraying on Bioko Island, Equatorial Guinea. Malar J 11, 242.
Castro, M.C, Tsuruta, A., Kanamori, S., Kannady, K., Mkude, S., 2009. Community-based environmental management for malaria control: evidence from a small-scale intervention in Dares Salaam, Tanzania. Malar J 8, 57.
Chau, T.T.H., Mai, N.T.H., Phu, N.H., Luxemburger, C., Chuong, L.V., Loc, P.P., Trang, T.T.M., Vinh, H., Cuong, B.M., Waller, D.J., Sinh, D.., Day, N. P.J., Hien, T.T., White, N.J., 2002.Malaria in injection drug abusers in Vietnam. CID 34, 1317-1322.
Deressa, W., Olana, D., Chibsa, S., 2003. The retirement of malaria control workers as a critical problem for vector control in Oromia, Ethiopia. Ethiop J Health Dev. 17(1), 79-83.
Deribew, A., Birhanu, Z., Sena, L., Dejene, T., Reda, A.A., Sudhakar, M., Alemseged, F., Tessema, F., Zeynudin, A., Biadgilign, S., Deribe, K., 2012. The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia. Malar J 11, 8.
Dev, V., Phookan, S., Sharma, V.P., Anand, S.P., 2004. Physiographic and Entomologic risk factors of malaria in Assam, India. Am. J. Trop. Med. Hyg. 71(4), 451–456.
FMOH, 2006. National Five-Year Strategic Plan for Malaria Prevention & Control in Ethiopia 2006–2010. Addis Ababa, Ethiopia.
Getahun, A., Deribe, K., Deribew, A., 2010. Determinants of delay in malaria treatment- seeking behaviour for under-five children in south-west Ethiopia: a case control study. Malar J 9, 320.
Henry, O.J., Lagoro, K.D., Garimoi, C.O., 2012. Prevalence of malaria and treatment seeking behaviors among pregnant women in post conﬂict internally displaced persons’ camps in Gulu District. ISRN Public Health, doi:10.5402/2012/164935.
Hwang, J., Graves, P.M., Jima, D., Reithinger, R., Kachur, S.P., Ethiopian MIS Working Group, 2010. Knowledge of malaria and its association with malaria-related behaviours—results from the malaria indicator survey, Ethiopia, 2007. PLoS ONE 5, 7.
Kaona, F.A.D., Tuba, M., 2003. Improving ability to identify malaria and correctly use chloroquine in children at household level in Nakonde District, Northern Province of Zambia. Malar J 2, 43.
Karema, C., Aregawi, M.W., Rukundo, A., Kabayiza, A., Mulindahabi, M., Fall, I.S., Gausi, K.,Williams, R.O., Lynch, M., Cibulskis, R., Fidele, N., Nyemazi, J.P., Ngamije, D., Umulisa, I., Newman, R., Binagwaho, A., 2012.Trends in malaria cases, hospital admissions and deaths following scale-up of anti-malarial interventions, 2000-2010, Rwanda. Malar J 11, 236.
Kaufman M. R., Rweyemamu, D., Koenker, H., Macha, J., 2012. “My children and I will no longer suffer from malaria”: a qualitative study of the acceptance and rejection of indoor residual spraying to prevent malaria in Tanzania. Malar J 11, 220.
Legesse, M., Deressa, W., 2009. Community awareness about malaria, its treatment and mosquito vector in rural highlands of central Ethiopia.Ethiop J Health Dev. 23(1), 40-47.
Legesse, Y., Tegegn, A., Belachew, T., Tushune, K., 2007. Knowledge, attitude and practiceabout malaria transmission and its preventive measures among households in urban areas of Assosa Zone, Western Ethiopia. Ethiop J Health Dev.21 (2), 157-165.
Loha, E., Lindtjørn, B., 2012a. Effect of bed nets and indoor residual spraying on spatio-temporal clustering of malaria in a village in South Ethiopia: a longitudinal study. Malar J 11(Suppl 1), 66.
Loha, E., Lindtjørn, B., 2012b. Predictors of Plasmodium falciparum malaria incidence in Chano Mille, South Ethiopia: A Longitudinal Study. Am. J. Trop. Med. Hyg. 87(3), 450–459.
Maroushek, S.R., Aguilar, E.F., Stauffer, W., Abd-Alla, M.D., 2005. Malaria among Refugee Children at Arrival in the United States. Pediatr Infect DisJ 24, 450–452.
MOH, 2003. Malaria Prevention and control Extension Package. Federal Democratic Republic of Ethiopia, Addis Ababa, Ethiopia.
MOH, 2008. Ethiopia malaria indicator survey 2007.Federal democratic republic of Ethiopia, Addis Ababa.
MOH, 2012. National malaria guidelines. Federal democratic republic of Ethiopia 3rd edition, Addis Ababa, Ethiopia.
Murray, C.J.L., Rosenfeld, L.C., Lim, S.S., Andrews, K.G., Foreman, K.J., Haring, D., Fullman, N., Naghavi, M., Lozano, R., Lopez A.D., 2012. Global malaria mortality between 1980 and 2010: a systematic analysis. Lancet 379, 413–31.
Okell, L.C., Paintain, L.S., Webster, J., Hanson, K., Lines, J., 2012.From intervention to impact: modelling the potential mortality impact achievable by different longlasting, insecticide-treated net delivery strategies.Malar J 11, 327.
Otten, M., Aregawi, M., Were, W., Karema, C., Medin, A., Bekele, W., Jima, D., Gausi, Khoti., Komatsu, R., Korenromp, E., Low-Beer, D., Grabowsky, M., 2009. Initial evidence of reduction of malaria cases and deaths in Rwanda and Ethiopia due to rapid scale-up of malaria prevention and treatment. Malar J 8, 14.
Ouedraogo, A., Tiono, A.B., Diarra, A., Bougouma, E.C.C., Nebie, I., Konate, A.T., Sirima, S.B., 2012. Transplacental transmission of plasmodiumfalciparum in a highly malaria endemic area of Burkina Faso. J of Trop Med, doi:10.1155/2012/109705.
Peterson, A.T., 2009. Shifting suitability for malaria vectors across Africa with warming climates. BMC Infect Dis 9, 59.
Rajahram, G.S., Barber, B.E., William, T., Menon, J., Anstey, N.M., Yeo, T.W., 2012. Deaths due to Plasmodium knowlesi malaria in Sabah, Malaysia: Association with reporting as Plasmodium malariae and delayed parenteral artesunate. Malar J 11, 284.
Stratton, L, O’Neill, M.S., Kruk, M.E., Bell, M.L., 2008.The persistent problem of malaria: Addressing the fundamental causes of a global killer. Social Sc & Med 67, 854–862.
TCC, 2007. Report on prevalence and risk factors for malaria and trachoma; a household survey in Amhara, Oromia and Southern Nations, Nationalities and Peoples’ Regions, Ethiopia.
Tobgay, T., Pem, D., Dophu, U., Dumre, S.P., Na-Bangchang, K., Torres, C.E., 2013. Community-directed educational intervention for malaria elimination in Bhutan: quasi-experimental study in malaria endemic areas of Sarpang district. Malar J 12, 132.
WHO, 2008. World malaria report. Global Malaria Programme, Geneva, Switzerland. Availablefrom: http://www.who.int/malaria/wmr2008/malaria2008.
WHO, 2009. World malaria report. Global Malaria Programme, Geneva, Switzerland.
WHO, 2010. World malaria report.Global Malaria Programme, Geneva, Switzerland.
WHO, 2011. World malaria report.Global Malaria Programme, Geneva, Switzerland.
Williams, H.A., Hering, H., Spiegel, P., 2013.Discourse on malaria elimination: where do forcibly displaced persons fit in these discussions?Malar J 12, 121.
Woyessa, A., Deressa, W., Ali, A., and Lindtjørn, B., 2012. Prevalence of malaria infection in Butajira area, south-central Ethiopia. Malar J 11, 84.
Woyessa, A., Gebre-Micheal, T., Ali, A., 2004. An indigenous malaria transmission in the outskirts of Addis Ababa, Akaki Town and its environs. Ethiop J Health Dev. 18(1), 2-7.
Yewhalaw, D., Wassie, F., Steurbaut, W., Spanoghe, P., Van Bortel, W., Denis, L., Tessem, D. A., Getachew, Y., Coosemans, M., Duchateau, L., Speybroeck, N., 2011. Multiple insecticide resistance: An impediment to insecticide-based malaria vector control program. PLoS ONE 6(1), doi:10.1371/journal.pone.001606.