Malaria vector control practices in an irrigated rice agro-ecosystem in central Kenya and implications for malaria control

Peter N Ng'ang'a,Clifford Mutero,Gayathri Jayasinghe,Josephat Shililu,Charity Kabutha,Ephantus Kabiru,John Githure,Violet Kimani,Lucy Kabuage

doi:10.1186/1475-2875-7-146

Abstract

BackgroundMalaria transmission in most agricultural ecosystems is complex and hence the need for developing a holistic malaria control strategy with adequate consideration of socio-economic factors driving transmission at community level. A cross-sectional household survey was conducted in an irrigated ecosystem with the aim of investigating vector control practices applied and factors affecting their application both at household and community level.MethodsFour villages representing the socio-economic, demographic and geographical diversity within the study area were purposefully selected. A total of 400 households were randomly sampled from the four study villages. Both semi-structured questionnaires and focus group discussions were used to gather both qualitative and quantitative data.ResultsThe results showed that malaria was perceived to be a major public health problem in the area and the role of the vector Anopheles mosquitoes in malaria transmission was generally recognized. More than 80% of respondents were aware of the major breeding sites of the vector. Reported personal protection methods applied to prevent mosquito bites included; use of treated bed nets (57%), untreated bed nets (35%), insecticide coils (21%), traditional methods such as burning of cow dung (8%), insecticide sprays (6%), and use of skin repellents (2%). However, 39% of respondents could not apply some of the known vector control methods due to unaffordability (50.5%), side effects (19.9%), perceived lack of effectiveness (16%), and lack of time to apply (2.6%). Lack of time was the main reason (56.3%) reported for non-application of environmental management practices, such as draining of stagnant water (77%) and clearing of vegetations along water canals (67%).ConclusionThe study provides relevant information necessary for the management, prevention and control of malaria in irrigated agro-ecosystems, where vectors of malaria are abundant and disease transmission is stable.

Highlights

Malaria transmission in most agricultural ecosystems is complex and the need for developing a holistic malaria control strategy with adequate consideration of socio-economic factors driving transmission at community level
It is a major threat to socio-economic development in the world and is one of the major disease burdens in sub-Saharan Africa, where 15% of all disability life-years are lost to malaria [3]
Most of the respondents were protestants and formed 54.9% of the total sample followed by catholic (43.8%)

Summary

Introduction

Malaria transmission in most agricultural ecosystems is complex and the need for developing a holistic malaria control strategy with adequate consideration of socio-economic factors driving transmission at community level. It is a major threat to socio-economic development in the world and is one of the major disease burdens in sub-Saharan Africa, where 15% of all disability life-years are lost to malaria [3]. In order to achieve this, the government developed a 10-year National Malaria Strategy (NMS) plan in 2001 with an objective of reducing the level of malaria illness and death in Kenya by 30% and to sustain that improved level of control until 2010 [6]. Malaria control in the country continues to experience many problems including the increasing spread of multi-drug resistant strains of Plasmodium falciparum, poverty, poor health infrastructure and ecosystem degradation

Methods

Results

Conclusion