| Author(s) |
National Malaria Control Programme, Ministry of Health, Nairobi, Kenya Kenya National Bureau of Statistics, Nairobi, Kenya ICF International ,Rockville, Maryland, USA |
| Date |
2016-04-01 |
| Country |
Kenya |
| Language |
English |
| Table of contents |
TABLES AND FIGURES ........................................................................................................................ v
FOREWORD ......................................................................................................................................... vii
ACKNOWLEDGEMENTS ...................................................................................................................... ix
EXECUTIVE SUMMARY ....................................................................................................................... xi
MAP OF KENYA.................................................................................................................................. xiv
1 INTRODUCTION........................................................................................................................ 3
1.1 History, Geography, and Economy ............................................................................... 3
1.1.1 History .............................................................................................................. 3
1.1.2 Geography ....................................................................................................... 3
1.1.3 Economy .......................................................................................................... 4
1.2 Basic Demographic Indicators ...................................................................................... 4
1.3 Health Priorities and Strategies for Malaria Prevention ................................................ 5
1.3.1 Kenya Malaria Strategy 2009-2018 (Revised 2014) ........................................ 5
1.3.2 Epidemiology of Malaria in Kenya.................................................................... 6
1.4 Survey Organisation and Methodology ......................................................................... 7
1.4.1 Objectives of the Survey .................................................................................. 7
1.4.2 Survey Organisation ........................................................................................ 8
1.4.3 Sample Design ................................................................................................. 8
1.4.4 Questionnaires ................................................................................................. 8
1.4.5 Anaemia and Malaria Testing .......................................................................... 9
1.4.6 Training .......................................................................................................... 10
1.4.7 Fieldwork ........................................................................................................ 11
1.4.8 Data Processing ............................................................................................. 11
1.4.9 Ethical Considerations ................................................................................... 11
1.4.10 Response Rates............................................................................................. 12
1.4.11 Challenges and Limitations ............................................................................ 13
2 CHARACTERISTICS OF HOUSEHOLDS AND WOMEN ...................................................... 17
2.1 Household Environment .............................................................................................. 17
2.1.1 Drinking Water ............................................................................................... 18
2.1.2 Household Sanitation Facilities ...................................................................... 19
2.1.3 Housing Characteristics ................................................................................. 20
2.2 Household Possessions .............................................................................................. 20
2.3 Wealth Index ............................................................................................................... 21
2.4 House Population by Age, Sex, and Residence ......................................................... 22
2.5 Household Composition .............................................................................................. 23
2.6 Characteristics of Women Respondents..................................................................... 24
3 VECTOR CONTROL ............................................................................................................... 23
3.1 Household Ownership of Mosquito Nets .................................................................... 30
3.1.1 Ownership of Mosquito Nets .......................................................................... 30
3.1.2 Source and Cost of Mosquito Nets ................................................................ 32
3.1.3 Access to Long-Lasting Insecticidal Nets ...................................................... 34
3.2 Use of Mosquito Nets .................................................................................................. 35
3.2.1 Use of Mosquito Nets by Persons in the Household ..................................... 35
3.2.2 Use of Mosquito Nets by Children under Age 5 ............................................. 37
3.2.3 Use of Mosquito Nets by Pregnant Women ................................................... 39
3.2.4 Mosquito Net Condition.................................................................................. 41
3.2.5 Alternative Net Use and Disposal .................................................................. 42
3.3 Attitudes towards Mosquito Nets ................................................................................ 44
3.4 Conclusions ................................................................................................................. 44
3.5 Recommendations ...................................................................................................... 45
4 MALARIA IN PREGNANCY .................................................................................................... 49
4.1 Coverage of Antenatal Care ....................................................................................... 49
4.2 Use of Intermittent Preventive Treatment of Malaria in Pregnancy ............................ 50
4.3 Conclusions ................................................................................................................. 53
4.4 Recommendations ...................................................................................................... 53
5 CASE MANAGEMENT ............................................................................................................ 57
5.1 Prevalence, Diagnosis, and Prompt Treatment of Children with Fever ...................... 57
5.2 Sources of Advice or Treatment ................................................................................. 60
5.3 Type and Timing of Antimalarial Use .......................................................................... 61
5.4 Knowledge and Attitudes about Malaria Case Management in Children ................... 62
5.5 Knowledge of ACT ...................................................................................................... 63
5.6 Conclusions ................................................................................................................. 64
5.7 Recommendations ...................................................................................................... 64
6 MALARIA AND ANAEMIA IN CHILDREN .............................................................................. 69
6.1 Prevalence of Malaria ................................................................................................. 70
6.2 Prevalence of Anaemia ............................................................................................... 74
6.3 Conclusions ................................................................................................................. 76
6.4 Recommendations ...................................................................................................... 77
REFERENCES ...................................................................................................................................... 79
APPENDIX A SAMPLE DESIGN ...................................................................................................... 81
A.1 Introduction ................................................................................................................. 81
A.2 Sample Frame ............................................................................................................. 81
A.3 Sample Design and Implementation ........................................................................... 82
A.4 Sample Probabilities and Sample Weights ................................................................. 84
APPENDIX B ESTIMATES OF SAMPLING ERRORS ..................................................................... 87
APPENDIX C DATA QUALITY TABLES .......................................................................................... 93
APPENDIX D SUPPLEMENTARY TABLES OF SURVEY RESULTS ............................................. 95
APPENDIX E SURVEY PERSONNEL ............................................................................................ 103
APPENDIX F QUESTIONNAIRES .................................................................................................. 109 |
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