Evaluation on effectiveness of scaled up control intervetion towards malaria prevalence among children in Chienge district of Luapula province.

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Hamoonga, Emmy
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The University of Zambia
In Chiengi District, more than 10 years after Scaled up malaria control interventions has not seen any drastic reduction in the number of morbidity and mortality of malaria cases. The study aimed at evaluating on effectiveness of scaled up control intervention towards malaria prevalence among children in Chienge District. The independent variables included Diagnostic Methods of Malaria, Malaria Treatment and Preventive measures being implemented in the Control of Malaria. Records indicated that the prevalence of the burden of malaria among the under 5 children in Chienge District was at 30%. Therefore, a cross sectional study or survey using the quantitative approach has helped to cover the prevalence of malaria in Chienge District. The targeted populations of the research study are all the people who were caregivers to children who are susceptible to malaria in Chiengi District. The data that was collected used both the primary and secondary data sources. For primary data, a questionnaire was used which contained both closed and open ended questions and secondary data was collected from statistical records from health facilities. The primary data was processed and analysed using the Statistical Package for Social Sciences (SPSS) computer software version 20. The findings showed that mostly Rapid Diagnosis Test (RDT) is mostly used for testing malaria among the people. The caregivers delay in seeking medical treatment for children in the area which adverse effects treatment. Coartem is mostly used in treatment of malaria of which due to poor practices of not finishing the drugs has resulted into drug resistance among the people. The district has maintained free distribution of ITNs among the vulnerable group. The study noted, people uses the ITNs as fishing nets and children are left without sleeping under the net. The study showed that the proximity of residence to stagnant water and poor use of ITNs are the most dominant risk factors for malaria infection. The study showed that distribution of ITNs coverage is important factor to achieve significant reduction in malaria morbidity and mortality which demands sensitization to increase the levels of awareness of the people regarding the diseases through health education on scaled up control measures using different media, and community based organizations.
Thesis of Master of Public Health.