Effects of community perception and involvement on malaria control using indoor residual spraying with lambda-cyhalothrin in Sigor Bomet District Kenya
Korir, Richard Kibet
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Indoor Residual Spraying with insecticides is a key tool in global efforts to control Malaria morbidity and mortality, particularly in epidemic prone areas. The main objective of this study was to investigate the effects of community perception and involvement in Malaria control using Indoor Residual Spraying with lambdacyhalothrin (Icon 10 WP). Cross-sectional survey and a retrospective design were used in this study. The design was primarily interview survey since many of the informants were not sufficiently literate to read and interpret the research questions by themselves. It was retrospective because the data from the health facilities records were used. Multi- stage sampling was used to select the study area, after which stratified and systematic sampling were used to identify households. Finally, interviews were conducted with 301 heads of households. The study findings indicated that the community has multiple etiologies for Malaria. Of the 301 heads of households interviewed, 288 (96%) associated the cause of the disease to the mosquito. The incidence of malaria before and after the use of IRS showed no statistical difference (P>0.05, t = 0.106, df = 7). Over 79 per cent of the respondents indicated lack of Icon 10 WP as a major constraint. However, the study observed that the community was willing and able to pay for Icon 10 WP. The study concluded that community perception on etiology of malaria was high and it is an important step towards the control of the disease. There was no reduction of malaria incidence after the use of IRS with Icon. Supply of Icon was a major constraint. The study recommends that the government to decentralize and introduce cost sharing scheme in the supply and purchase of Icon.