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Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Community knowledge, attitude and practice about malaria in a low endemic setting of Shewa Robit Town, northeastern Ethiopia

Authors: Andargie Abate, Abraham Degarege, Berhanu Erko

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

Since malaria is one of the foremost public health problems in Ethiopia, assessment of situation of the disease, and communities’ knowledge and perceptions about malaria is necesary to institute appropriate preventive and control measures. Thus, the aim of this study was to assess malaria prevalence and knowledge, attitude and practice (KAP) about the disease among ShewaRobit Town community, northeastern Ethiopia.

Methods

A community-based cross-sectional study was conducted in Shewa Robit Town from October to November 2011. A multi-stage random sampling technique was used to select the study participants. A total of 425 individuals were examined for malaria using thin and thick Giemsa stained blood film, and 284 of the participants were interviewed to assess their KAP about malaria. Logistic regression analysis was used to assess predictor factors for malaria prevalence.

Results

All respondents had ever heard of malaria. Most of the respondents (85.2%) attributed the cause of malaria to mosquito bite. However, some of the respondents (>20%) mentioned lack of personal hygiene, exposure to cold weather, hunger, chewing maize stalk, body contact with malaria patient and flies as the causes of malaria. Sleeping under mosquito nets, draining stagnant water and indoor residual spraying were the most frequently mentioned malaria preventive measures perceived and practiced by the respondents. Among 425 individuals examined for malaria, only 2.8% were positive for Plasmodium parasites. Living in houses made of wall without hole, sprayed with insecticide within the last 12 hours and located at a distance of greater than 500 meters from potential mosquito breeding sites as well as knowing and using of mosquito net were significant predictors of low malaria prevalence among the study participants.

Conclusions

A high level of knowledge about the cause, transmission and preventive methods of malaria was detected among the community in Shewa Robit Town. However, a considerable proportion had misconception about the cause and transmission of malaria suggesting the necessity of health education to raise the community’s awareness about the disease.
Literature
1.
go back to reference WHO: World malaria report. 2011, Geneva: World Health Organization 2011 WHO: World malaria report. 2011, Geneva: World Health Organization 2011
2.
go back to reference Federal democratic Republic of Ethiopia Ministry of Health: Ethiopia National Malaria Indicator Survey 2011: Technical Summary. 2012, Ethiopia: Ministry of Health of Ethiopia Federal democratic Republic of Ethiopia Ministry of Health: Ethiopia National Malaria Indicator Survey 2011: Technical Summary. 2012, Ethiopia: Ministry of Health of Ethiopia
3.
go back to reference Degarege A, Animut A, Legesse M, Erko B: Malaria severity status in patients with soil-transmitted helminth infections. Acta Trop. 2009, 112: 8-11. 10.1016/j.actatropica.2009.05.019.CrossRefPubMed Degarege A, Animut A, Legesse M, Erko B: Malaria severity status in patients with soil-transmitted helminth infections. Acta Trop. 2009, 112: 8-11. 10.1016/j.actatropica.2009.05.019.CrossRefPubMed
4.
go back to reference Degarege A, Legesse M, Girmay M, Animut A, Erko B: Malaria and related outcomes in patients with intestinal helminths: A cross-sectional study. BMC Infect Dis. 2012, 12: 291-10.1186/1471-2334-12-291.CrossRefPubMedPubMedCentral Degarege A, Legesse M, Girmay M, Animut A, Erko B: Malaria and related outcomes in patients with intestinal helminths: A cross-sectional study. BMC Infect Dis. 2012, 12: 291-10.1186/1471-2334-12-291.CrossRefPubMedPubMedCentral
5.
go back to reference Deressa W, Ali A, Berhane Y: Review of the interplay between population dynamics and malaria transmission in Ethiopia. Ethiop J Health Dev. 2006, 20 (supp 3): 137-144. Deressa W, Ali A, Berhane Y: Review of the interplay between population dynamics and malaria transmission in Ethiopia. Ethiop J Health Dev. 2006, 20 (supp 3): 137-144.
6.
go back to reference Woyessa A, Deressa W, Ali A, Lindtjørn B: Prevalence of malaria infection in Butajira area, south-central Ethiopia. Malar J. 2012, 11: 84-10.1186/1475-2875-11-84.CrossRefPubMedPubMedCentral Woyessa A, Deressa W, Ali A, Lindtjørn B: Prevalence of malaria infection in Butajira area, south-central Ethiopia. Malar J. 2012, 11: 84-10.1186/1475-2875-11-84.CrossRefPubMedPubMedCentral
7.
go back to reference Graves P, Richards FO, Ngondi J, Emerson PM, Shargie EB, Endeshaw T, Ceccato P, Ejigsemahu Y, Mosher AW, Hailemariam A, Zerihun M, Teferi T, Ayele B, Mesele A, Yohannes G, Tilahun A, Gebre T: Individual, household and environmental risk factors for malaria infection in Amhara, Oromia and SNNP regions of Ethiopia. Trans R Soc Trop Med Hyg. 2009, 103: 1211-1220. 10.1016/j.trstmh.2008.11.016.CrossRefPubMed Graves P, Richards FO, Ngondi J, Emerson PM, Shargie EB, Endeshaw T, Ceccato P, Ejigsemahu Y, Mosher AW, Hailemariam A, Zerihun M, Teferi T, Ayele B, Mesele A, Yohannes G, Tilahun A, Gebre T: Individual, household and environmental risk factors for malaria infection in Amhara, Oromia and SNNP regions of Ethiopia. Trans R Soc Trop Med Hyg. 2009, 103: 1211-1220. 10.1016/j.trstmh.2008.11.016.CrossRefPubMed
8.
go back to reference Adhanom T, Deressa W, Witten KH, Getachew A, Seboxa T: Malaria. the Epidemiology and ecology of health and disease in Ethiopia. Edited by: Berhane Y, Haile-Mariam D, Kloos H. 2006, Addis Ababa: Shama Books, 556-76. Adhanom T, Deressa W, Witten KH, Getachew A, Seboxa T: Malaria. the Epidemiology and ecology of health and disease in Ethiopia. Edited by: Berhane Y, Haile-Mariam D, Kloos H. 2006, Addis Ababa: Shama Books, 556-76.
9.
go back to reference Yeshiwondim AK, Gopal S, Hailemariam AT, Dengela DO, Patel HP: Spatial analysis of malaria incidence at the village level in areas with unstable transmission in Ethiopia. Int J Health Geographics. 2009, 8: 5-10.1186/1476-072X-8-5.CrossRef Yeshiwondim AK, Gopal S, Hailemariam AT, Dengela DO, Patel HP: Spatial analysis of malaria incidence at the village level in areas with unstable transmission in Ethiopia. Int J Health Geographics. 2009, 8: 5-10.1186/1476-072X-8-5.CrossRef
10.
go back to reference Woyesa A, Gebre-Michael T, Ali A, Daniel K: Malaria in Addis Ababa and its environs: Assessment of magnitude and distribution. Ethiop J Health Dev. 2002, 16: 147-155. Woyesa A, Gebre-Michael T, Ali A, Daniel K: Malaria in Addis Ababa and its environs: Assessment of magnitude and distribution. Ethiop J Health Dev. 2002, 16: 147-155.
11.
go back to reference Marcia CC, Yoichi Y, Doe M, Marcel T, Jurg U, Jennifer K, Burton HS: Integrated urban malaria control: A case study in Dares salaam, Tanzania. Am J Trop Med Hyg. 2004, 71 (Suppl 2): 103-117. Marcia CC, Yoichi Y, Doe M, Marcel T, Jurg U, Jennifer K, Burton HS: Integrated urban malaria control: A case study in Dares salaam, Tanzania. Am J Trop Med Hyg. 2004, 71 (Suppl 2): 103-117.
12.
go back to reference Matthys B, Vounatsou P, Raso G, Tschannen AB, Becket EG, Gosoniu L, Cisse G, Tanner M, Ngoran EK, Utzinger J: Urban farming and malaria risk factors in a medium-sized town in Cote Divoire. Am J Trop Med Hyg. 2006, 75 (supp 6): 1223-1231.PubMed Matthys B, Vounatsou P, Raso G, Tschannen AB, Becket EG, Gosoniu L, Cisse G, Tanner M, Ngoran EK, Utzinger J: Urban farming and malaria risk factors in a medium-sized town in Cote Divoire. Am J Trop Med Hyg. 2006, 75 (supp 6): 1223-1231.PubMed
13.
go back to reference Alemu A, Tsegaye W, Golassa L, Abebe G: Urban malaria and associated risk factors in Jimma town, South-west Ethiopia. Malar J. 2011, 10: 173-10.1186/1475-2875-10-173.CrossRefPubMedPubMedCentral Alemu A, Tsegaye W, Golassa L, Abebe G: Urban malaria and associated risk factors in Jimma town, South-west Ethiopia. Malar J. 2011, 10: 173-10.1186/1475-2875-10-173.CrossRefPubMedPubMedCentral
14.
go back to reference Shewa Robit Town administration health office: Shewa Robit Town administration health office 2010/2011 report. 2011, Shewa Robit Town, Amhara region: Shewa Robit health center Shewa Robit Town administration health office: Shewa Robit Town administration health office 2010/2011 report. 2011, Shewa Robit Town, Amhara region: Shewa Robit health center
15.
go back to reference Daniel WW: Biostatistics: A foundation for analysis in the health sciences. 2009, London, United Kingdom: Wiley Daniel WW: Biostatistics: A foundation for analysis in the health sciences. 2009, London, United Kingdom: Wiley
16.
go back to reference World Health Organization: Basic Laboratory Methods in Medical Parasitology. 1991, Geneva: WHO World Health Organization: Basic Laboratory Methods in Medical Parasitology. 1991, Geneva: WHO
17.
go back to reference Peter O, Anna ME, Mary JH, Monica P, John GA, Kephas O, Piet AK, Laurence S: Malaria and anaemia among pregnant women at first antenatal clinic visit in Kisumu, western Kenya. Trop Med Int Health. 2007, 12 (supp 12): 1515-1523. Peter O, Anna ME, Mary JH, Monica P, John GA, Kephas O, Piet AK, Laurence S: Malaria and anaemia among pregnant women at first antenatal clinic visit in Kisumu, western Kenya. Trop Med Int Health. 2007, 12 (supp 12): 1515-1523.
18.
go back to reference Ghebreyesus TA, Haile M, Witten KH, Getachew A, Yohannes M, Lindsay SW, Byass P: Household risk factors for malaria among children in the Ethiopian highlands. Trans R Soc Trop Med Hyg. 2000, 94 (supp 1): 17-21.CrossRefPubMed Ghebreyesus TA, Haile M, Witten KH, Getachew A, Yohannes M, Lindsay SW, Byass P: Household risk factors for malaria among children in the Ethiopian highlands. Trans R Soc Trop Med Hyg. 2000, 94 (supp 1): 17-21.CrossRefPubMed
19.
go back to reference Salwa MEAE, El-Amin ER, Hayder AG, Abd El-Karim AEF: Knowledge, practices and perceptions which affect acquiring malaria in man-made malarious area in Khartoum State, Sudan. Sudanese J Public Health. 2009, 4 (supp 1): 199-209. Salwa MEAE, El-Amin ER, Hayder AG, Abd El-Karim AEF: Knowledge, practices and perceptions which affect acquiring malaria in man-made malarious area in Khartoum State, Sudan. Sudanese J Public Health. 2009, 4 (supp 1): 199-209.
20.
go back to reference Alemu A, Abebe G, Tsegaye W, Golassa L: Climatic variables and malaria transmission dynamics in Jimma town, southwest Ethiopia. Parasites and Vectors. 2011, 4: 30-41. 10.1186/1756-3305-4-30.CrossRefPubMedPubMedCentral Alemu A, Abebe G, Tsegaye W, Golassa L: Climatic variables and malaria transmission dynamics in Jimma town, southwest Ethiopia. Parasites and Vectors. 2011, 4: 30-41. 10.1186/1756-3305-4-30.CrossRefPubMedPubMedCentral
21.
go back to reference Peterson I, Borrell LN, El-Sadr W, Teklehaimanot A: Individual and household level factors associated with malaria incidence in a highland region of Ethiopia: A multilevel analysis. Am J Trop Med Hyg. 2009, 80 (supp 1): 103-111.PubMed Peterson I, Borrell LN, El-Sadr W, Teklehaimanot A: Individual and household level factors associated with malaria incidence in a highland region of Ethiopia: A multilevel analysis. Am J Trop Med Hyg. 2009, 80 (supp 1): 103-111.PubMed
22.
go back to reference Sintasath DM, Ghebremeskel T, Lynch M, Kleinau E, Bretas G, Shililu J, Brantly E, Graves PM, Beier JC: Malaria prevalence and associated risk factors in Eritrea. Am J Trop Med Hyg. 2005, 72 (supp 6): 682-687.PubMed Sintasath DM, Ghebremeskel T, Lynch M, Kleinau E, Bretas G, Shililu J, Brantly E, Graves PM, Beier JC: Malaria prevalence and associated risk factors in Eritrea. Am J Trop Med Hyg. 2005, 72 (supp 6): 682-687.PubMed
23.
go back to reference Brooker S, Clarke S, Njagi JK, Polack S, Mugo B, Estambale B, Muchiri E, Magnussen P, Cox J: Spatial clustering of malaria and associated risk factors during an epidemic in a highland area of western Kenya. Trop Med Int Health. 2004, 9 (supp 7): 757-766.CrossRefPubMed Brooker S, Clarke S, Njagi JK, Polack S, Mugo B, Estambale B, Muchiri E, Magnussen P, Cox J: Spatial clustering of malaria and associated risk factors during an epidemic in a highland area of western Kenya. Trop Med Int Health. 2004, 9 (supp 7): 757-766.CrossRefPubMed
24.
go back to reference Legesse M, Deressa W: Community awareness about malaria, its treatment and mosquito vector in rural highlands of central Ethiopia. Ethiop J Health Dev. 2009, 23 (supp 1): 40-47. Legesse M, Deressa W: Community awareness about malaria, its treatment and mosquito vector in rural highlands of central Ethiopia. Ethiop J Health Dev. 2009, 23 (supp 1): 40-47.
25.
go back to reference Lora LS, Abanish R, Mohamed IB, Mrigendra PS, Jordan T, Blair JW, Katherine MJ, Kojo YA, Neeru S, Davidson HH: Attitudes, knowledge, and practices regarding malaria prevention and treatment among pregnant women in eastern India. Am J Trop Med Hyg. 2010, 82 (supp 6): 1010-1016. Lora LS, Abanish R, Mohamed IB, Mrigendra PS, Jordan T, Blair JW, Katherine MJ, Kojo YA, Neeru S, Davidson HH: Attitudes, knowledge, and practices regarding malaria prevention and treatment among pregnant women in eastern India. Am J Trop Med Hyg. 2010, 82 (supp 6): 1010-1016.
26.
go back to reference Deressa W, Ali A, Enquoselassie F: Knowledge, attitude and practice about malaria, mosquito and antimalarial drugs in rural community. Ethiop J Health Dev. 2003, 17 (supp 2): 99-104. Deressa W, Ali A, Enquoselassie F: Knowledge, attitude and practice about malaria, mosquito and antimalarial drugs in rural community. Ethiop J Health Dev. 2003, 17 (supp 2): 99-104.
27.
go back to reference Erhun WO, Agbani EO, Adesanya SO: Malaria Prevention: Knowledge, attitude and practice in a Southwestern Nigerian community. Afr J Biomed Res. 2005, 8: 25-29. Erhun WO, Agbani EO, Adesanya SO: Malaria Prevention: Knowledge, attitude and practice in a Southwestern Nigerian community. Afr J Biomed Res. 2005, 8: 25-29.
28.
go back to reference Legesse Y, Tegegn A, Belachew T, Tushune K: Knowledge, attitude and practice about malaria transmission and its preventive measures among households in Urban Areas of Assosa Zone, Western Ethiopia. Ethiop J Health Dev. 2007, 21 (supp 2): 157-165. Legesse Y, Tegegn A, Belachew T, Tushune K: Knowledge, attitude and practice about malaria transmission and its preventive measures among households in Urban Areas of Assosa Zone, Western Ethiopia. Ethiop J Health Dev. 2007, 21 (supp 2): 157-165.
29.
go back to reference Astatkie A: Knowledge and practice of malaria prevention methods among residents of Arba Minch Town and Arba Minch Zuria District, Southern Ethiopia. Ethiop J Health Sci. 2010, 20 (supp 3): 185-193.PubMedPubMedCentral Astatkie A: Knowledge and practice of malaria prevention methods among residents of Arba Minch Town and Arba Minch Zuria District, Southern Ethiopia. Ethiop J Health Sci. 2010, 20 (supp 3): 185-193.PubMedPubMedCentral
30.
go back to reference Adedotun AA, Morenikeji OA, Odaibo AB: Knowledge, attitudes and practices about malaria in an urban community in South-western Nigeria. J Vect Born Dis. 2010, 47: 155-159. Adedotun AA, Morenikeji OA, Odaibo AB: Knowledge, attitudes and practices about malaria in an urban community in South-western Nigeria. J Vect Born Dis. 2010, 47: 155-159.
31.
go back to reference Safari MK, Fabian M, Joseph RM, Soori EN, Godfrey MK, Robert M, Coleman K, Stephen M, Leonard EGM: Knowledge, attitudes and practices about malaria among communities: Comparing epidemic and non-epidemic prone communities of Muleba district, North-western Tanzania. BMC Public Health. 2010, 10: 395-10.1186/1471-2458-10-395.CrossRef Safari MK, Fabian M, Joseph RM, Soori EN, Godfrey MK, Robert M, Coleman K, Stephen M, Leonard EGM: Knowledge, attitudes and practices about malaria among communities: Comparing epidemic and non-epidemic prone communities of Muleba district, North-western Tanzania. BMC Public Health. 2010, 10: 395-10.1186/1471-2458-10-395.CrossRef
32.
go back to reference Kebede A, Mccann JC, Kiszewski AE, Ye-ebiyo Y: New evidence of the effects of agro-ecologic change on malaria transmission. Am J Trop Med Hyg. 2005, 4 (supp 73): 676-680. Kebede A, Mccann JC, Kiszewski AE, Ye-ebiyo Y: New evidence of the effects of agro-ecologic change on malaria transmission. Am J Trop Med Hyg. 2005, 4 (supp 73): 676-680.
34.
go back to reference Teklehaimanot A, Mejia P: Malaria and poverty. Ann NewYork Acad Sci. 2008, 1136: 32-37. 10.1196/annals.1425.037.CrossRef Teklehaimanot A, Mejia P: Malaria and poverty. Ann NewYork Acad Sci. 2008, 1136: 32-37. 10.1196/annals.1425.037.CrossRef
35.
go back to reference Dickson SN, Anna LN, Henri LFK, Jules CNA, Charles SW, Sarah MN, Alfred KN: Knowledge and practices relating to malaria in Ndu community of Cameroon: Signs and symptoms, causes and prevention. J Public Health Epidemol. 2011, 3 (supp 6): 294-300. Dickson SN, Anna LN, Henri LFK, Jules CNA, Charles SW, Sarah MN, Alfred KN: Knowledge and practices relating to malaria in Ndu community of Cameroon: Signs and symptoms, causes and prevention. J Public Health Epidemol. 2011, 3 (supp 6): 294-300.
36.
go back to reference Khumbulani WH, Musawenkosi LHM, Simon K, Dayanandan G, Rajendra M: Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: A country earmarked for malaria elimination. Malar J. 2009, 8: 29-10.1186/1475-2875-8-29.CrossRef Khumbulani WH, Musawenkosi LHM, Simon K, Dayanandan G, Rajendra M: Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: A country earmarked for malaria elimination. Malar J. 2009, 8: 29-10.1186/1475-2875-8-29.CrossRef
37.
go back to reference Ahmed SM, Haque R, Haque U, Hossain A: Knowledge on the transmission, prevention and treatment of malaria among two endemic populations of Bangladesh and their health-seeking behaviour. Malar J. 2009, 8: 173-10.1186/1475-2875-8-173.CrossRefPubMedPubMedCentral Ahmed SM, Haque R, Haque U, Hossain A: Knowledge on the transmission, prevention and treatment of malaria among two endemic populations of Bangladesh and their health-seeking behaviour. Malar J. 2009, 8: 173-10.1186/1475-2875-8-173.CrossRefPubMedPubMedCentral
Metadata
Title
Community knowledge, attitude and practice about malaria in a low endemic setting of Shewa Robit Town, northeastern Ethiopia
Authors
Andargie Abate
Abraham Degarege
Berhanu Erko
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-312

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