Cargando…
The influence of the Gilgel-Gibe hydroelectric dam in Ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria
BACKGROUND: Malaria remains the most important public health problem in tropical and subtropical areas. Mothers' or caregivers' ability to recognize childhood malaria-related morbidity is crucial as knowledge, attitudes and health seeking behavior of caregivers towards childhood malaria co...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2010
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2829593/ https://www.ncbi.nlm.nih.gov/pubmed/20146830 http://dx.doi.org/10.1186/1475-2875-9-47 |
_version_ | 1782178120020787200 |
---|---|
author | Yewhalaw, Delenasaw Kassahun, Wondwossen Woldemichael, Kifle Tushune, Kora Sudaker, Morankar Kaba, Daniel Duchateau, Luc Van Bortel, Wim Speybroeck, Niko |
author_facet | Yewhalaw, Delenasaw Kassahun, Wondwossen Woldemichael, Kifle Tushune, Kora Sudaker, Morankar Kaba, Daniel Duchateau, Luc Van Bortel, Wim Speybroeck, Niko |
author_sort | Yewhalaw, Delenasaw |
collection | PubMed |
description | BACKGROUND: Malaria remains the most important public health problem in tropical and subtropical areas. Mothers' or caregivers' ability to recognize childhood malaria-related morbidity is crucial as knowledge, attitudes and health seeking behavior of caregivers towards childhood malaria could influence response to signs of the disease. METHODS: A total of 1,003 caregivers in 'at-risk' villages in close proximity to the Gilgel-Gibe hydroelectric dam in south-western Ethiopia, and 953 caregivers in 'control' villages further away from the dam were surveyed using structured questionnaires to assess their knowledge, perceptions and health seeking behaviour about childhood malaria. RESULTS: Malaria (busa) was ranked as the most serious health problem. Caregivers perceived childhood malaria as a preventable ('at-risk' 96%, 'control' 86%) and treatable ('at-risk' 98% and 'control' 96%) disease. Most caregivers correctly associated the typical clinical manifestations with malaria attacks. The use of insecticide-treated nets (ITNs) was mentioned as a personal protective measure, whereas the role of indoor residual spraying (IRS) in malaria prevention and control was under-recognized. Most of the caregivers would prefer to seek treatment in health-care services in the event of malaria and reported the use of recommended anti-malarials. CONCLUSION: Health education to improve knowledge, perceptions and health-seeking behaviour related to malaria is equally important for caregivers in 'at risk' villages and caregivers in 'control' villages as minimal differences seen between both groups. Concluding, there may be a need of more than one generation after the introduction of the dam before differences can be noticed. Secondly, differences in prevalence between 'control' and 'at-risk' villages may not be sufficient to influence knowledge and behaviour. |
format | Text |
id | pubmed-2829593 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-28295932010-02-28 The influence of the Gilgel-Gibe hydroelectric dam in Ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria Yewhalaw, Delenasaw Kassahun, Wondwossen Woldemichael, Kifle Tushune, Kora Sudaker, Morankar Kaba, Daniel Duchateau, Luc Van Bortel, Wim Speybroeck, Niko Malar J Research BACKGROUND: Malaria remains the most important public health problem in tropical and subtropical areas. Mothers' or caregivers' ability to recognize childhood malaria-related morbidity is crucial as knowledge, attitudes and health seeking behavior of caregivers towards childhood malaria could influence response to signs of the disease. METHODS: A total of 1,003 caregivers in 'at-risk' villages in close proximity to the Gilgel-Gibe hydroelectric dam in south-western Ethiopia, and 953 caregivers in 'control' villages further away from the dam were surveyed using structured questionnaires to assess their knowledge, perceptions and health seeking behaviour about childhood malaria. RESULTS: Malaria (busa) was ranked as the most serious health problem. Caregivers perceived childhood malaria as a preventable ('at-risk' 96%, 'control' 86%) and treatable ('at-risk' 98% and 'control' 96%) disease. Most caregivers correctly associated the typical clinical manifestations with malaria attacks. The use of insecticide-treated nets (ITNs) was mentioned as a personal protective measure, whereas the role of indoor residual spraying (IRS) in malaria prevention and control was under-recognized. Most of the caregivers would prefer to seek treatment in health-care services in the event of malaria and reported the use of recommended anti-malarials. CONCLUSION: Health education to improve knowledge, perceptions and health-seeking behaviour related to malaria is equally important for caregivers in 'at risk' villages and caregivers in 'control' villages as minimal differences seen between both groups. Concluding, there may be a need of more than one generation after the introduction of the dam before differences can be noticed. Secondly, differences in prevalence between 'control' and 'at-risk' villages may not be sufficient to influence knowledge and behaviour. BioMed Central 2010-02-11 /pmc/articles/PMC2829593/ /pubmed/20146830 http://dx.doi.org/10.1186/1475-2875-9-47 Text en Copyright ©2010 Yewhalaw et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Yewhalaw, Delenasaw Kassahun, Wondwossen Woldemichael, Kifle Tushune, Kora Sudaker, Morankar Kaba, Daniel Duchateau, Luc Van Bortel, Wim Speybroeck, Niko The influence of the Gilgel-Gibe hydroelectric dam in Ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria |
title | The influence of the Gilgel-Gibe hydroelectric dam in Ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria |
title_full | The influence of the Gilgel-Gibe hydroelectric dam in Ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria |
title_fullStr | The influence of the Gilgel-Gibe hydroelectric dam in Ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria |
title_full_unstemmed | The influence of the Gilgel-Gibe hydroelectric dam in Ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria |
title_short | The influence of the Gilgel-Gibe hydroelectric dam in Ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria |
title_sort | influence of the gilgel-gibe hydroelectric dam in ethiopia on caregivers' knowledge, perceptions and health-seeking behaviour towards childhood malaria |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2829593/ https://www.ncbi.nlm.nih.gov/pubmed/20146830 http://dx.doi.org/10.1186/1475-2875-9-47 |
work_keys_str_mv | AT yewhalawdelenasaw theinfluenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT kassahunwondwossen theinfluenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT woldemichaelkifle theinfluenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT tushunekora theinfluenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT sudakermorankar theinfluenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT kabadaniel theinfluenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT duchateauluc theinfluenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT vanbortelwim theinfluenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT speybroeckniko theinfluenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT yewhalawdelenasaw influenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT kassahunwondwossen influenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT woldemichaelkifle influenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT tushunekora influenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT sudakermorankar influenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT kabadaniel influenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT duchateauluc influenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT vanbortelwim influenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria AT speybroeckniko influenceofthegilgelgibehydroelectricdaminethiopiaoncaregiversknowledgeperceptionsandhealthseekingbehaviourtowardschildhoodmalaria |