Uptake of Indoor Residual Spray as a Malaria Vector Control Strategy among Communities in Migori County Kenya
Loading...
Date
2025-03
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
Globally malaria is ranked among the leading causes of morbidity and mortality. Indoor residual spray (IRS) has been tested and proven to significantly contribute to malaria vector reduction. The study is on indoor residual spray, a malaria vector control strategy among the communities in Migori County, Kenya. The specific objectives being, to establish economic factors relating to indoor residual spray among the communities in Migori County, to find out the cultural factors associated with indoor residual spray among the communities in Migori County, to assess the level of knowledge among the communities on indoor residual spray and to determine the health system factors associated with indoor residual spray. The study was conducted in Migori County, study population of 1083 and 284 sample population. A descriptive cross – sectional study design was applied. Sample size determination I applied Cochrane method and my result showed 90% uptake. There was association between culture (religion) and IRS uptake (p=0.001). From the sampled 284 household heads, there was a 278(98.8%) response rate to the interviews. Indoor residual spray one of the interventions against spread of malaria for vector transmission interruption. Informed consent was obtained from the respondents, privacy and confidentiality were ensured. The study utilized questionnaires, focused group discussion (FGDs) of 10 composed of community health promoters, opinion leaders and community members randomly selected systematically in Rongo Sub County and key informant interviews (KIIs) attended by 15 participants each session to collect data. Cross-sectional quantitative data analysis, findings were presented in tables, graphs and charts while inferential analysis was conducted at 95% confidence intervals, and p-values, as applicable with the aid of the Statistical Packages for Social Science (SPSS Version 2.6), whereas the descriptive qualitative data were analyzed thematically. The primary obstacles to adoption of IRS revolved around the criteria for selecting workers, the effectiveness of those applying the spray, unfavorable past campaign encounters and individual inclinations. Challenges in removing bulky household items and exposure to bed nets treated with insecticides choice as compared to indoor residual spraying. The study highlighted critical fields in the residents’ economic empowerment, ownership, seasonal workers engagement criteria, social mobilization approaches and health systems to be addressed through public engagements. Program managers, county and national governments, policy makers and health stakeholders to re-strategize to improve future IRS implementation. Mobilize financial support to address chemical smell and time management. Additionally, enhance communities’ health education, promote healthy choices and well-being that leads to better life, since a community-led interventions leads to lasting change in the utilizations of health interventions.
Description
A Thesis Submitted for the Award of the Degree of Master of Public Health (Monitoring and Evaluation) in the School of Health Sciences of Kenyatta University, March 2025.
Supervisors
1. Mary W. Gitahi
2. Alloys S.S Orago