A description of malaria-related knowledge, perceptions, and practices in the Artibonite Valley of Haiti: implications for malaria control.
A two-stage cluster survey (n = 200 households) was conducted in the Artibonite Valley of Haiti during the high malaria transmission season in November-December 2006. Knowledge, perceptions, and practices related to malaria were obtained from household representatives using a standardized questionnaire. Blood drops were obtained on filter paper from all household members more than one month of age (n = 714). Determinants of malaria infections and correct malaria-related knowledge were assessed using logistic regression. Respondents in households with more assets were significantly more likely than those in households with fewer assets to have correct malaria-related knowledge. Respondents from households with at least one malaria infection were less likely to have correct malaria-related knowledge. Older children (5-9 years of age) were shown to be at increased risk of malaria infection. Results suggest malaria control in Haiti should focus on enhanced surveillance and case management, with expanded information campaigns about malaria prevention and treatment options.
Keating
Joseph
J
Department of International Health and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana 70112, USA. jkeating@tulane.edu
Eisele
Thomas P
TP
Bennett
Adam
A
Johnson
Dawn
D
Macintyre
Kate
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D002648:Child; D002675:Child, Preschool; D016000:Cluster Analysis; D005260:Female; D006205:Haiti / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D016015:Logistic Models; D016778:Malaria, Falciparum / Q000453:epidemiology* / Q000517:prevention & control* / Q000635:transmission; D008297:Male; D008875:Middle Aged; D009032:Mosquito Control / Q000379:methods; D010963:Plasmodium falciparum / Q000302:isolation & purification*; D012307:Risk Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires