#DRC NOTETAKER NORTHEASTERN FREE#

Global decline in malaria cases since 2000 has mainly been attributed to the use of insecticide-treated nets, particularly LLINs, indoor residual spraying and improved malaria case management. Transmission in these areas is intense throughout the year with entomological inoculation rates of between 30 and 100 infectious bites per person per year.

Western Kenya around Lake Victoria and the coastal regions have the highest malaria transmission levels in the country. Kenya is one of the sub-Saharan African countries where malaria is most prevalent and the disease accounts for 30% of all hospital outpatient attendance. Sub-Saharan Africa is the most affected by the disease, with nineteen countries accounting for almost 85% of the global malaria burden by 2019. WHO African region recordedВ an estimated 215 million cases in 2019, accounting for about 94% of allВ cases.

Of the 87 countries that were malaria endemic in 2019, 29 accounted for 95% of malaria cases globally. Globally, there were an estimated 229 million malaria cases in 2019 fromВ 87 malaria endemic countries. There is need to investigate the likelihood of outdoor malaria transmission and assess the physical integrity of the existing LLINs and their insecticidal effectiveness in protecting household members against malaria. ConclusionДespite high net coverage and use, a number of households experienced malaria episodes in the study area.

#DRC NOTETAKER NORTHEASTERN FREE#

More than three quarter of the nets were acquired through free mass distribution campaigns and 80% were acquired less than 6 months prior to the survey. Ownership per household ranged from 0 to 6 with a mean of 2.39. Among those who owned LLINs, 98.1% reported using them the previous night. Among the surveyed households, 96.9% owned at least one LLIN and 64.1% owned at least one LLIN for every two people. The average LLIN ownership was 2.4 nets per household and 1.97 persons per LLIN. There were 382 reported LLINs among 753 occupants in the 160 households surveyed. Commonly cited signs and symptoms of malaria were fever (24.1%), headache (17.7%), vomiting (14.5%) feeling cold (12.6%) and loss of appetite (10%). Around 31% of the respondents reported to have at least one member of the household sick with malaria a week before the interview. Children under 5 years of age were reported to be at higher risks of malaria infection (28.6%). Malaria was reported to be the most frequently occurring disease (87.5%) in the area. Variables were presented as proportions and associations between variables tested using PearsonвЂ™s chi-square test. Data was analyzed using IBM Statistical Package for Social Sciences (SPSS) version 21 for windows.

Structured questionnaires were used to collect data on householdsвЂ™ knowledge on malaria, LLINs ownership, utilization and their perceived benefits. A total of 160 households were randomly selected from 16 villages. MethodsДЄ cross-sectional study was conducted in November 2017. This study aimed at assessing LLINs ownership and use following mass distribution campaign in western Kenya. However, their effectiveness may vary depending on their local geographic coverage, ownership and use at household level. Long-lasting insecticidal nets (LLINs) are the most widely used malaria prevention and control intervention in Africa.

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