Knowledge and health seeking behavior for malaria among the local inhabitants in an endemic area of Ethiopia: implications for control

Kaliyaperumal Karunamoorthi, Abdi Kumera
DOI: 10.4236/health.2010.26085                

Abstract

This cross-sectional study was conducted to assess the knowledge and health seeking behavior for malaria among the local inhabitants in an endemic area of Ethiopia: Implications for control. 98.6% and 80.7% of respondents had awareness about malaria and the cause (‘mosquito bite’) of malaria, respectively. 186 (81.6%) respondents seek treatment for a febrile disease from health care facilities. Chi-square analysis revealed a strong association between the edu- cational status of respondents and the measures they take to prevent malaria (Х2 = 58.7; df = 16; p < 0.001). The findings clearly suggest that the majority of the respondents had adequate knowledge and enviable health seeking behaviour. However, still a sizable faction had misconception and undesirable health seeking behaviour. It’s a major barrier to implement effective malaria control strategies in the resource- limited settings particularly in country like Ethiopia. In this context, appropriate communication strategies apparently inevitable. Therefore, appropriate communication strategies should be designed to promote the knowledge and health seeking behaviour of vulnerable section of the society in this vicinity.

Keywords

Malaria; Knowledge;Health seeking behaviour; Ethiopia

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Snow, R.W., Guerra, C.A., Noor, A.M., Myint, H.Y. and Hay, S.I. (2005) The global distribution of clinical episodes of Plasmodium falciparum malaria. Nature, 434 (7030), 214-217.
[2]	Luxemburger, C., Mc Gready, R., Kham, A., Morison, L., Cho, T., Chongsuphajaisiddi, T., White, N.J. and Nosten, F. (2001) Effects of malaria during pregnancy on infant mortality in an area of low malaria transmission. American Journal of Epidemiology, 154(5), 459-465.
[3]	World Health Organization (1996) Fighting disease, fostering development. Geneva.
[4]	Snow, R.W., Craig, M., Diechmann, U. and Marsh, K. (1999) Estimating mortality, morbidity and disability due to malaria among Africa’s nonpregnant population. Bulletin of the World Health Organization, 77(8), 624-640.
[5]	World Health Organization (2008) World malaria report. Geneva.
[6]	Federal Ministry of Health of Ethiopia (2006) National five years strategic plan for malaria control in Ethiopia: 2006-2010. Malaria and Other Vector-borne Diseases Prevention and Control Team, Diseases Prevention and Control Department, Ministry of Health, Addis Ababa.
[7]	Mabaso, M.L.H., Sharp, B. and Lengeler, C. (2004) Historical review of malarial control in Southern Africa with emphasis on the use of indoor residual house-spraying. Tropical Medicine and International Health, 9(8), 846- 856.
[8]	Ruebush, T.K., Weller, S.C. and Klein, R.E. (1992) Knowledge and beliefs about malaria on the pacific coastal plain of Guatemala. American Journal of Tropical Medicine and Hygiene, 46(4), 451-459.
[9]	White, N.J., Nosten, F., Looareesuwan, S., et al. (1999) Averting a malaria disaster. Lancet, 353(9168), 1965- 1967.
[10]	Winch, P.J., Makemba, A.M., Kamazina, S.R., Lwihula, G.K., Lubega, P., Minjas, J.N. and Shiff, C.J. (1994) Seasonal variation in the perceived risk of malaria: Implication for the promotion of insecticide impregnated bednets. Social Science Medicine, 39(1), 63-75.
[11]	Barat, L.M., Palmer, N., Basu, S., Worrall, E., Hanson, K. and Mills, A. (2004) Do malaria control interventions reach the poor? A view through the equity lens. American Journal of Tropical Medicine and Hygiene, 71 (Suppl 2), 174-178.
[12]	Schultz, L.J., Ettling, M., Chitsulo, L., Steketee, R.W., Nyasulu, Y., Macheso, A. and Nwanyanmu, O.C. (1994) A nation-wide malaria knowledge, attitudes and practices survey in Malawi: Objectives and methodology. Tropical Medicine and Parasitology, 45(1), 54-56.
[13]	Saeed, I.E. and Ahmed, E.S. (2003) Determinants of malaria mortality among displaced people in Khartoum state, Sudan. Eastern Mediterranean Health Journal, 9(4), 593-599.
[14]	Federal Ministry of Health of Ethiopia (2007) Entomological profile of malaria in Ethiopia. Addis Ababa.
[15]	Hlongwana, K.W., Mabaso, M.L.H., Kunene, S., Govender, D. and Maharaj, R. (2009) Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: A country earmarked for malaria elimination. Malaria Journal, 8(1), 29-37.
[16]	Jima, D., Tesfaye, G., Deressa, W., Woyessa, A., Kebede, D., Ali, A. and Enquoselassie, F. (2003) Knowledge, attitude and practice about malaria, the mosquito and antimalarial drugs in a rural community. Ethiopian Journal of Health Development, 17(2), 99-104.
[17]	Jima, D., Tesfaye, G., Deressa, W., Woyessa, A., Kebede, D. and Alameraw, D. (2005) Baseline survey for the implementation of insecticide–treated mosquito nets in malaria control in Ethiopia. Ethiopian Journal of Health Development, 19 (1), 16-23.
[18]	Ziba, C., Slutsker, L., Chitsulo, L. and Steketee, R.W. (1994) Use of malaria prevention measures in Malawian households. Trop Med Parasitol, 45(1), 70-73.
[19]	Simsek, Z. and Kurcer, M.A. (2005) Malaria: knowledge and behaviour in an endemic rural area of Turkey. Public Health, 119(3), 202-208.
[20]	Yeneneh, H., Gyorkos, T.W., Joseph, L., Pickering, J. and Tedla, S. (1993) Antimalarial drug utilization by women in Ethiopia: a knowledge-attitudes-practice study. Bulletin of the World Health Organization, 71(6), 763-772.
[21]	Deressa, W., Ali, A. and Hailemariam, D. (2008) Malaria-related health seeking behaviour and challenges for care providers in rural Ethiopia: Implications for control. Journal of Biosocial Science, 40(1), 115-135.
[22]	Hamel, M.J., Odhacha, A., Roberts, J.M. and Michael, S.D. (2001) Malaria control in Bangoma district, Kenya: A survey of home treatment of fever, bed net use and attendance at antenatal clinics. Bulletin of the World Health Organization, 79(11), 1014-1123.
[23]	Legesse, Y., Tegegn, A., Belachew, T. and Tushune, K. (2007) Knowledge, attitude and practice about malaria transmission and its preventive measures among house- holds in urban areas of Assosa Zone, western Ethiopia. Ethiopian Journal of Health Development, 21(2), 157- 165.
[24]	Adongo, P.B., Kirkwood, B. and Kendall, C. (2005) How local community knowledge about malaria affects insecticide treated net use in northern Ghana. Tropical Medicine and International Health, 10(4), 366-78.
[25]	Vijayakumar, K.N., Gunasekaran, K., Sahu, S.S. and Jambulingam, P. (2009) Knowledge, attitude and practice on malaria: a study in a tribal belt of Orissa State, India with reference to use of long lasting treated mosquito nets. Acta Tropica, 112(2), 149-155.
[26]	Belay, M. and Deressa, W. (2008) Use of insecticide treated nets by pregnant women and associated factors in a pre-dominantly rural population in northern Ethiopia. Tropical Medicine and International Health, 13(10), 1303-1313.
[27]	Deressa, W., Ali, A. and Enquosellassie, F. (2003) Know- ledge, attitude and practice about malaria, the mosquito and antimalarial drugs in a rural community. Ethiopian Journal of Health Development, 17(2), 99-104.
[28]	Alilio, M.S., Eversole, H. and Bammek, J. (1998) A KAP study on malaria in Zanzibar: implications for prevention and control a study conducted for UNICEF Sub-office Zanzibar. Evaluation and Program Planning, 21(4), 409- 413.
[29]	Pool, R., Munguambe, K., Macete, E., Aide, P., Juma, G., Alonso, P. and Menendez, C. (2006) Community response to intermittent preventive treatment delivered to infants (IPTi) through the EPI system in Manhica, Mozambique. Tropical Medicine and International Health, 11(11), 1670-1678.
[30]	Cropley, L. (2004) The effect of health education interventions on child malaria treatment seeking practices among mothers in rural refugee villages in Belize, Central America. Health Promotion International, 19(4), 445-452.