A Study Of Malaria On The Kano Plains, Kisumu District, Kenya: A Community Study Of Currrent Knowledge, Attitudes And Control Practises; Parasite And Spleen Rates; Mosquito Bionomics And The Feasability Of Vector-control At The Community Level

Citation:
Ongore D. A Study Of Malaria On The Kano Plains, Kisumu District, Kenya: A Community Study Of Currrent Knowledge, Attitudes And Control Practises; Parasite And Spleen Rates; Mosquito Bionomics And The Feasability Of Vector-control At The Community Level.; 1985.

Abstract:

A Study of Malaria on the Kano Plains, Kisumu District,
Kenya was carried out between April and August, 1985. The
study included the following:-
1. A Knowledge, Attitudes and Practices (KAP) Survey
was conducted, it covered 187 households, representing 20%
of the total households in the study area. The responses
were analysed using the Statistical Packages for the Social
Sciences (SPSS) system on the ICL 2950 computer. In general
knowledge about malaria was found to be good, however knowledge
about the life cycle and habits of the mosquito was
found to be poor. Various plants with possible insecticidal
and/or repellent action were mentioned and are discussed.
2. During a clinical and parasitological survey 1216
people of all ages were examined for malaria parasites and

414 children aged 2-9 years were examined for splenomegaly
as well. Malaria was found to be highly endemic in the area
with an 84.1% parasite rate in children aged 2-9 years ..The

spleen rate in the same age group was found to be 50.2%. The

results and further analysis are given and fully discussed.
3. The Entomological Survey was base¢ upon six selected

collection stations. A total of 599 adult mosquitoes and

424 mosquito larvae were collected. All the import ant local
vectors of malaria were found in the area. In addition many
nuisance mosquitoes and potential arbovirus vectors were
found breeding. The species distribution is analysed and
discussed.

4. The validity of clinicaldiagnosis in malaria was
studied by comparing the clinical and blood film findings
in 1216 subjects. 43 people were found with symptoms
suggestive of clinical malaria. The practical usefulness
of clinical diagnosis is discussed on the basis of these
findings.
5. An Intervention Strategy is described based upon
the survey findings. The feasibility of·vector control at
community level is explored with emphasis on environmental
measures and the use of local resources.

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