Knowledge, Attitude and Practice on Malaria and Associated Factors Among Residents in Pawe District, North West Ethiopia: A Cross-Sectional Study
Science Journal of Public Health
Volume 3, Issue 3, May 2015, Pages: 303-309
Received: Mar. 6, 2015; Accepted: Mar. 18, 2015; Published: Mar. 23, 2015
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Habtamu Bedimo Beyene, Department of Medical Laboratory Sciences, College of Health Sciences, Wollega University,Nekemte, Ethiopia
Nigus Fikrie Telele, Department of Microbiology, Immunology and Parasitology,College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
Asrat Hailu Mekuria, Department of Microbiology, Immunology and Parasitology,College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
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Introduction:A high knowledge score about the cause, transmission and habit of practicing the availablepreventive and control measures by the individual households and the communityat large contribute much to the overall reduction of the malaria burden. Hence this study is aimed to asses the Knowledge, attitude and practice towards malaria and associated factors. Methods:A community-based, cross sectional study was carried out in the period November, 2010 to January, 2011 in Pawi district, North West Ethiopia. A multi-stage random sampling technique was carried out to select representative households. A pre-tested structured questionnaire was used for data collection. Data was entered and analyzed using SPSS 16.0. Proportions, Oddsratio and 95% CI were computed. Results: A total of 406 subjects were included in this study. Two hundred eighty (67%) of them were females. Subjects who mentioned at least three symptoms of malaria constituted 71.5%. Fifty six percent associated malaria with skipping meals, as a cause and most (67%) affirmed that mosquitoes transmit the disease. Significant proportions (79.8%) were aware that mosquitoes bite during night. Sleeping under bed net and avoiding collected water sources were identified as major malaria preventive measures by 89.7% and 34% of subjects respectively. About 69.2% reported that they were using bed nets correctly. Over 50% of therespondents stated that they would not seek treatment within 24 hours of onset of symptoms. Participants who had education> 5th grade and those who received health education from a health facility scored high on knowledge about malaria, correct use of bed nets and early treatment seekinghabits [OR (95%CI) =4.9(1.4-8), 1.8(1.4-2.5), 2.2(1.7-4.1), respectively]. Living in locations away from a health facility with walking time of 60 minutes or longerwas associated with delay in treatment (OR=1.3, 95%CI= (1.1-2.0).Conclusions and recommendations:Though malaria knowledge and Attitude scores were high,the practice of nationally approved malaria preventive and control measures including early treatment seeking behavior were poor. Inaccessibility of health facility, illiteracy, and lack of health education were determinant factors that affected community KAP towards malaria. Hence, a comprehensive health education, promotion of community education and health facility coverage should be prioritized.Responsible bodies are also urged to ensure that all individual in a household use ITNscorrectly, adapt integrated vector control approach and seek treatment early.
Malaria, Determinants, KAP, Pawe, Northwest Ethiopia
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Habtamu Bedimo Beyene, Nigus Fikrie Telele, Asrat Hailu Mekuria, Knowledge, Attitude and Practice on Malaria and Associated Factors Among Residents in Pawe District, North West Ethiopia: A Cross-Sectional Study, Science Journal of Public Health. Vol. 3, No. 3, 2015, pp. 303-309. doi: 10.11648/j.sjph.20150303.11
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