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Presented by MIFUMI COBES STUDENT TEAM College of Health Sciences, Makerere University

AN OBSERVATIONAL STUDY TO EVALUATE THE UTILIZATION OF INSECTICIDE TREATED MOSQUITO NETS BY NATIVES OF MIFUMI VILLAGE. Presented by MIFUMI COBES STUDENT TEAM College of Health Sciences, Makerere University drssebadduka@gmail.com. Research Team (All MBChB III students). Daniel Ssebadduka

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Presented by MIFUMI COBES STUDENT TEAM College of Health Sciences, Makerere University

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  1. AN OBSERVATIONAL STUDY TO EVALUATE THE UTILIZATION OF INSECTICIDE TREATED MOSQUITO NETS BY NATIVES OF MIFUMI VILLAGE Presented by MIFUMI COBES STUDENT TEAM College of Health Sciences, Makerere University drssebadduka@gmail.com

  2. Research Team (All MBChB III students) • Daniel Ssebadduka • Doreen Agnes Nambazira • Peris Mbatha Mutuku • Ronald Ogwal • Acleo Sebuliba • Christopher Lwanga • Bernard Maumbe

  3. Outline of Presentation Key word Introduction Problem Statement Justification Objectives Methods Study variables Results Limitations Conclusion Recommendations

  4. Key Word • Utilization This refers to the act of using. However in this study, the term was reserved to mean availability, status and appropriate use of the insecticide treated mosquito nets

  5. Introduction At least 300 million cases and 1 million deaths are estimated to result from Malaria each year with more than 90% of these occurring in Africa. (AbebeAnimut et al, 2001) According to Uganda’s Malaria Control Strategic Plan, the use of Insecticide-treated nets (ITNs) is one of the key strategies indicated and or prescribed for the prevention of malaria. (ITN Policy by MOH) Consistent use of ITNS can reduce malarial transmission by up to 90% and avert as much as 44% of all-cause mortality among children under five years of age (Baume et al 2008)

  6. Introduction Cont’d The 2009 World Malaria Report, indicates that from 2006 to 2008, the Ministry of Health Uganda distributed 5,894,863 long lasting insecticide nets to various households countrywide. (37% operational coverage). Furthermore, the report indicates an increasing number of household ITN ownership from 7% in 2004 to 26% in 2007. In 2008, Uganda had a 25% household ownership of the ITNs. In June 2006 to December 2009, Mifumi Health Centre III, within Kirewa Sub county in Tororo district, distributed 350 ITNs to 170 households within its catchment area. (Mifumi H/C records)

  7. Introduction cont’d: Regarding Mifumi Village • In Kirewa Sub county (Tororo district), an area of 6sq.km with a clustered form of settlement and an estimated population of 650 Households (COBES Report 2010) • The clustered homesteads have at least 2 grass thatched huts, each with 2-5 individuals/household • Most individuals are peasants • The topography of Mifumi is generally flat with tall trees, shrubs and many bushy environments • It’s surrounded by swamps but is generally accessible

  8. Problem Statement • Despite the above intervention, Malaria continues to be the leading cause of morbidity and mortality among the natives of Mifumi Village as evidenced by the high numbers of malarial cases (Mifumi H/C HMIS) • The impact of utilization of the ITNs has never been assessed and this remains a challenge for service providers and policy makers • Thus, little is known about the utilization of the distributed ITNs among the natives of Mifumi Village residing in the malaria prone area.

  9. Justification • Currently there’s no sufficient data to back up decisions by policy makers and service providers to support the continuous distribution of ITNs in Mifumi • Information obtained from this study may help address in part the current gaps regarding utilization of ITNs in this village and also provide some useful insights

  10. Objectives • To briefly describe household details of the respondents • To establish the availability of the ITNs • To describe the state of the ITNs • To assess how the ITNs are being utilized

  11. Methods • Observational study. • Study period of six days between April and May 2010 • All the 170 households that had received the 350 ITNs were consecutively recruited into the study • Data collected using a digital and paper between 8pm-10pm each day, then uploaded on lap top for analysis. • Ethical considerations were followed. • Consent was sought from natives during a consultative meeting. • Data was analyzed using SPSS version 17

  12. DIGITAL PEN AND DIGITAL PAPERS

  13. Study Variables • Brief Household details • Availability of the ITNs • Status of the ITNs • Utilization of the ITNs

  14. Results

  15. Availability of the ITNs

  16. Status of the ITN

  17. SHOWCASE ON FIELDWORK

  18. Utilization of the ITNs

  19. Limitations of the study • Delays in hanging of the ITNs despite their existence in some few households could have comprised the observational study. • Limited scope of information obtained since the study was entirely observational

  20. Conclusion • Generally, it is evident that households in Mifumi Village endeavor to use mosquito nets and to clear their surroundings of stagnant water in broken pots and plastic bowls as well as bushes • It is also apparent that a great number of households hang up their nets appropriately and a majority of nets were in active use. • Much as bed nets are in use, malaria prevalence remains high. This could due attributed to the fact that a good number of nets were damaged, some even beyond repair; and there is a general tendency to spread the nets after dusk. • Furthermore, mosquito nets are shared among households. It was observed that in a good number of households, a single torn net was shared among 2-3 children under five.

  21. Acknowledgement • College of Health Sciences-Makerere University • MIFUMI • Healthnest • National Library of Medicine, USA • Mifumi Health Centre III staff • The natives of Mifumi Village

  22. THANK YOU

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