Background
General objective
Specific objectives
-
To identify human and environmental factors that favour malaria endemicity,
-
To evaluate knowledge, attitudes and practices of heads of households as concerns malaria,
-
To identify mother’s behaviour regarding the management of febrile episodes in infants/children,
-
To formulate recommendations that will be used as guidelines in the implementation of control measures.
Methods
Study design
Study sites
Study site N°1
Study site N°2
Sentinel site N°3
Sentinel site N°4
Study duration
Study population
Inclusion criteria
Exclusion criteria
Sampling method
Procedures
Filling of questionnaires
Questionnaire N°1
Questionnaire N°2
Questionnaire N°3
Ethical considerations
Data analysis
Results and discussion
Results
Socio-demographic characteristics
Age (years) | Sites | TOTAL | |||
---|---|---|---|---|---|
Bipindi N (%) | Bélabo N (%) | Meidougou N (%) | Dompta N (%) | N (%) | |
<20 | 1 (0.2) | 46 (5.5) | 59 (8) | 20 (4) | 126 (5.1) |
[20-30[ | 24 (6.3) | 187 (22.4) | 197 (26.5) | 110 (22.1) | 518 (21.1) |
[30-40[ | 63 (16.6) | 217 (26) | 146 (19.5) | 131 (26.3) | 557 (22.6) |
[40-50[ | 88 (23.2) | 137 (16.4) | 119 (16) | 75 (15.1) | 419 (17) |
[50 & above [ | 203 (53.5) | 247 (29.6) | 171 (23) | 71 (14.3) | 692 (28.1) |
Do not know | (0) | 1 (0.1) | 53 (7) | 91 (18.3) | 145(5.9) |
Mean age | 52 ± 16.5 | 41 ± 18.9 | 24 ± 2.75 | 34 ± 13.4 | 37.74 ± 12.88 |
Total | 379 (100) | 835 (100) | 745 (100) | 498 (100) | 2457 (100) |
Educational level | Bipindi | Bélabo | Meidougou | Dompta | TOTAL |
---|---|---|---|---|---|
N (%) | N (%) | N (%) | N (%) | N (%) | |
No level | 51 (13.3%) | 172 (20.6%) | 380 (51.1%) | 270 (54.2%) | 873 (35.6%) |
Primary | 174 (46%) | 470 (56.3%) | 257 (34.5%) | 134 (26.9%) | 1035 (42.2%) |
Secondary and above | 154 (40.7%) | 187 (22.4%) | 108 (14.7%) | 94 (18.9%) | 543 (22.1%) |
TOTAL | 379 (100%) | 829 (100%) | 745 (100%) | 498 (100%) | 2451 (100%) |
Characteristics of the habitats and living conditions in the households
Sites | Bipindi | Bélabo | Meidougou | Dompta | TOTAL | |
---|---|---|---|---|---|---|
N = 155 | N = 319 | N = 275 | N = 150 | N = 899 | ||
Roofs | - Zinc (metal sheets) | 148 (95.48%) | 248 (76.1%) | 77 (28%) | 6 (4%) | 479 (53.28 %) |
- Straw | 4 (2.58%) | 22 (6.7%) | 160 (58%) | 136 (90%) | 322 (35.81 %) | |
- Raffia | 3 (1.94%) | 49 (15%) | 38 (14%) | 9 (6%) | 99 (11.01 %) | |
Ceiling present | 21 (13.55 %) | 35 (10.70%) | 180 (66%) | 131 (84%) | 367 (40.82%) | |
Walls | - Mud | 99 (63.87%) | 227 (69.60%) | 275 (100%) | 150 (100%) | 751 (83.53 %) |
- Semi cement | 33 (21.29%) | 35 (10.7%) | 0 | 0 | 68 (7.56 %) | |
Windows with nets (%) | 3 (2.21 %) | 36 (11%) | 101 (35.8%) | 56 (36.1%) | 196 (21.80%) |
Knowledge, attitudes and practices concerning malaria
Sites | |||||
---|---|---|---|---|---|
Nb (%) | |||||
Signs/symptoms | Bipindi | Bélabo | Meidougou | Dompta | TOTAL |
N | 155 | 323 | 235 | 218 | 931 |
Fever | 43 (27.7%) | 263 (80.7%) | 48 (20.3%) | 53 (24.1%) | 407 (43.7%) |
Headache | 41 (26.4%) | 235 (72.1%) | 52 (21.9%) | 48 (22%) | 376 (40.3%) |
Anorexia | 17 (11.1%) | 237 (72.7%) | 13 (5.4%) | 13 (6%) | 280 (30%) |
Vomiting | 16 (10.1%) | 205 (62.9%) | 36 (15.5%) | 21 (9.5%) | 278 (29.8%) |
Convulsions | 1 (0.7%) | 73 (22.4%) | 4 (1.5%) | 5 (2%) | 83 (8.9%) |
Diarrhea | 2 (1.5%) | 73 (22.4%) | 6 (2.5%) | 5 (2.5%) | 85 (9.1%) |
Joint pains | 16 (10.3%) | 113 (34.7%) | 24 (10.2%) | 32 (14.7%) | 185 (19.8%) |
Sweating/Shivering | - | 137 (42.41%) | 35 (15%) | 29 (13.3%) | 201 (21.5%) |
Discussion
Limitations of the study
Socio-demographic characteristics
Characteristics of the habitats and living conditions in the households
Knowledge, attitudes and practices concerning malaria
Conclusions
-
that sensitization programs on the fight against malaria or any other disease could combine many communication tools such as radio spots, mobile phone messages, focus group discussions using French, the official language in the study sites and local languages of the major ethnic groups,
-
that sensitization messages should insist on the drugs recommended by the MoH for malaria treatment and prevention,
-
that along the pipeline corridor, indoor spraying should not be used as an anti-vectorial control method,
-
that during sensitization campaigns, the myth about impregnated mosquito nets that limit its use (heat under the nets, feeling of being suffocated, etc.). These ideas should be rolled out