A Description of Malaria-Related Knowledge, Perceptions, and Practices in the Artibonite Valley of Haiti: Implications for Malaria Control

Joseph Keating Department of International Health and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Hôpital Albert Schweitzer, Deschapelles, Haiti

Search for other papers by Joseph Keating in
Current site
Google Scholar
PubMed
Close
,
Thomas P. Eisele Department of International Health and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Hôpital Albert Schweitzer, Deschapelles, Haiti

Search for other papers by Thomas P. Eisele in
Current site
Google Scholar
PubMed
Close
,
Adam Bennett Department of International Health and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Hôpital Albert Schweitzer, Deschapelles, Haiti

Search for other papers by Adam Bennett in
Current site
Google Scholar
PubMed
Close
,
Dawn Johnson Department of International Health and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Hôpital Albert Schweitzer, Deschapelles, Haiti

Search for other papers by Dawn Johnson in
Current site
Google Scholar
PubMed
Close
, and
Kate Macintyre Department of International Health and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Hôpital Albert Schweitzer, Deschapelles, Haiti

Search for other papers by Kate Macintyre in
Current site
Google Scholar
PubMed
Close
Restricted access

A two-stage cluster survey (n = 200 households) was conducted in the Artibonite Valley of Haiti during the high malaria transmission season in November–December 2006. Knowledge, perceptions, and practices related to malaria were obtained from household representatives using a standardized questionnaire. Blood drops were obtained on filter paper from all household members more than one month of age (n = 714). Determinants of malaria infections and correct malaria-related knowledge were assessed using logistic regression. Respondents in households with more assets were significantly more likely than those in households with fewer assets to have correct malaria-related knowledge. Respondents from households with at least one malaria infection were less likely to have correct malaria-related knowledge. Older children (5–9 years of age) were shown to be at increased risk of malaria infection. Results suggest malaria control in Haiti should focus on enhanced surveillance and case management, with expanded information campaigns about malaria prevention and treatment options.

Author Notes

Reprint requests: Joseph Keating, Department of International Health and Development, Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, Suite 2200, New Orleans, LA, 70112, Telephone: 504-988-1458, Fax: 504-988-3653, E-mail: jkeating@tulane.edu.
  • 1

    Pan American Health Organization, 2000. Roll Back Malaria in Meso America: Report on the Meeting Held in Dominican Republic with the Participation of the Central American Countries, Mexico, Haiti and the Dominican Republic. San Pedro de Macoris, Dominican Republic: Pan American Health Organization/World Health Orgnaization/Roll Back Malaria.

    • PubMed
    • Export Citation
  • 2

    Pan American Health Organization, 2001. Health in the Americas: 1998 Edition. Volume II. Washington DC: Pan American Health Organization.

    • PubMed
    • Export Citation
  • 3

    Hobbs JH, Sexton JD, St Jean Y, Jacques JR, 1986. The biting and resting behavior of Anopheles albimanus in northern Haiti. J Am Mosq Control Assoc 2 :150–153.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Bonnlander H, Rossignol AM, Rossignol PA, 1994. Malaria in central Haiti: a hospital-based retrospective study, 1982–1986 and 1988–1991. Bull Pan Am Health Organ 28 :9–16.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Kachur SP, Nicolas E, Jean-Francois V, Benitez A, Bloland PB, Saint Jean Y, Mount DL, Ruebush TK 2nd, Nguyen-Dinh P, 1998. Prevalence of malaria parasitemia and accuracy of microscopic diagnosis in Haiti, October 1995. Rev Panam Salud Publica 3 :35–39.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6

    Anonymous, 1986. Malaria control in the Americas: a critical analysis. Bull Pan Am Health Organ 20 :304–320.

  • 7

    Anonymous, 1996. Malaria in the Americas. Epidemiol Bull 17 :1–8.

  • 8

    International Task Force for Disease Eradication, 2006. Summary of the Ninth Meeting of the ITFDE (II) (revised). May 12, 2006. Ninth Meeting of the ITFDE (II). Atlanta, GA: The Carter Center.

    • PubMed
    • Export Citation
  • 9

    Mabaso ML, Craig M, Ross A, Smith T, 2007. Environmental predictors of the seasonality of malaria transmission in Africa: the challenge. Am J Trop Med Hyg 76 :33–38.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Sanjana P, Barcus MJ, Bangs MJ, Ompusunggu S, Elyazar I, Marwoto H, Tuti S, Sururi M, Tjokrosonto S, Baird JK, 2006. Survey of community knowledge, attitudes, and practices during a malaria epidemic in central Java, Indonesia. Am J Trop Med Hyg 75 :783–789.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Wiseman V, McElroy B, Conteh L, Stevens W, 2006. Malaria prevention in The Gambia: patterns of expenditure and determinants of demand at the household level. Trop Med Int Health 11 :419–431.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Macintyre K, Keating J, Okbaldt YB, Zerom M, Sosler S, Ghebremeskel T, Eisele TP, 2006. Rolling out insecticide treated nets in Eritrea: examining the determinants of possession and use in malarious zones during the rainy season. Trop Med Int Health 11 :824–833.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Keating J, Macintyre K, Mbogo CM, Githure JI, Beier JC, 2005. Self-reported malaria and mosquito avoidance in relation to household risk factors in a Kenyan coastal city. J Biosoc Sci 37 :761–771.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14

    Barat LM, Palmer N, Basu S, Worrall E, Hanson K, Mills A, 2004. Do malaria control interventions reach the poor? A view through the equity lens. Am J Trop Med Hyg 71 :174–178.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Guthmann JP, Llanos-Cuentas A, Palacios A, Hall AJ, 2002. Environmental factors as determinants of malaria risk. A descriptive study on the northern coast of Peru. Trop Med Int Health 7 :518–525.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Ghebreyesus TA, Haile M, Witten KH, Getachew A, Yohannes M, Lindsay SW, Byass P, 2000. Household risk factors for malaria among children in the Ethiopian highlands. Trans R Soc Trop Med Hyg 94 :17–21.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17

    Koram KA, Bennett S, Adiamah JH, Greenwood BM, 1995. Socio-economic risk factors for malaria in a peri-urban area of The Gambia. Trans R Soc Trop Med Hyg 89 :146–150.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18

    Aikins MK, Pickering H, Greenwood BM, 1994. Attitudes to malaria, traditional practices and bednets (mosquito nets) as vector control measures: a comparative study in five west African countries. J Trop Med Hyg 97 :81–86.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Agyepong IA, Manderson L, 1999. Mosquito avoidance and bed net use in the Greater Accra Region, Ghana. J Biosoc Sci 31 :79–92.

  • 20

    Coreil J, 1983. Allocation of family resources for health care in rural Haiti. Soc Sci Med 17 :709–719.

  • 21

    Klein RE, Weller SC, Zeissig R, Richards FO, Ruebush TK 2nd, 1995. Knowledge, beliefs, and practices in relation to malaria transmission and vector control in Guatemala. Am J Trop Med Hyg 52 :383–388.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22

    Kroeger A, Meyer R, Mancheno M, Gonzalez M, Pesse K, 1997. Operational aspects of bednet impregnation for community-based malaria control in Nicaragua, Ecuador, Peru and Colombia. Trop Med Int Health 2 :589–602.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23

    Adongo PB, Kirkwood B, Kendall C, 2005. How local community knowledge about malaria affects insecticide-treated net use in northern Ghana. Trop Med Int Health 10 :366–378.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24

    Kachur SP, Phillips-Howard PA, Odhacha AM, Ruebush TK, Oloo AJ, Nahlen BL, 1999. Maintenance and sustained use of insecticide-treated bednets and curtains three years after a controlled trial in western Kenya. Trop Med Int Health 4 :728–735.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25

    Winch PJ, Makemba AM, Makame VR, Mfaume MS, Lynch MC, Premji Z, Minjas JN, Shiff CJ, 1997. Social and cultural factors affecting rates of regular retreatment of mosquito nets with insecticide in Bagamoyo District, Tanzania. Trop Med Int Health 2 :760–770.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26

    Eisele TP, Keating J, Bennett A, Londono B, Johnson D, Lafontant C, Krogstad DJ, 2007. Prevalence of Plasmodium falciparum infection in rainy season, Artibonite Valley, Haiti, 2006. Emerg Infect Dis 13 :1494–1496.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27

    Rutstein SO, Johnson K, 2004. The DHS Wealth Index. DHS, Comparative Reports No. 6. Calverton, MD: Macro International.

    • PubMed
    • Export Citation
  • 28

    Cayemittes M, Placide MF, Mariko S, Barrère B, Sévère B, Alexandre C, 2007. Enquête Mortalité, Morbidité et Utilisation des Services, Haiti, 2005–2006. Calverton, MD: Ministère de la Santé Publique et de la Population, Institut Haïtien de l ’ Enfance et Macro International Inc.

    • PubMed
    • Export Citation
  • 29

    Zimmerman RH, 1992. Ecology of malaria vectors in the Americas and future direction. Mem Inst Oswaldo Cruz 87 (Suppl 3):371–383.

  • 30

    Molez JF, Desenfant P, Jacques JR, 1998. Bioecology in Haiti of Anopheles albimanus Wiedemann, 1820 (Diptera:Culicidae). Bull Soc Pathol Exot 91 :334–339.

  • 31

    Lengeler C, 2004. Insecticide-treated bed nets and curtains for preventing malaria. Cochrane Database Syst Rev 2 :CD000363.

  • 32

    Bradley D, 1991. Morbidity and mortality at Pare-Taveta, Kenya and Tanzania, 1954–66: the effects of a period of malaria control. Feachem R, Jamison D, eds. Disease and Mortality in Sub-Saharan Africa. New York: University Oxford Press, 248–263.

    • PubMed
    • Export Citation
  • 33

    Payne D, Grab B, Fontaine RE, Hempel JH, 1976. Impact of control measures on malaria transmission and general mortality. Bull World Health Organ 54 :369–377.

  • 34

    Kouznetsov RL, 1977. Malaria control by application of indoor spraying of residual insecticides in tropical Africa and its impact on community health. Trop Doct 7 :81–91.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35

    Sharp BL, Kleinschmidt I, Streat E, Maharaj R, Barnes KI, Durrheim DN, Ridl FC, Morris N, Seocharan I, Kunene S, Lag JJ, Mthembu JD, Maartens F, Martin CL, Barreto A, 2007. Seven years of regional malaria control collaboration–Mozambique, South Africa, and Swaziland. Am J Trop Med Hyg 76 :42–47.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 36

    Sharp BL, Ridl FC, Govender D, Kuklinski J, Kleinschmidt I, 2007. Malaria vector control by indoor residual insecticide spraying on the tropical island of Bioko, Equatorial Guinea. Malar J 6 :52.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37

    Wiseman V, Hawley WA, ter Kuile FO, Phillip-Howard PA, Vulule JM, Nahlen BL, Mills AJ, 2003. The cost-effectiveness of permethrin-treated bednets in an area of intense malaria transmission in western Kenya. Am J Trop Med Hyg 68 (Suppl 4):161–167.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38

    Goodman CA, Coleman PG, Mills AJ, 1999. Cost-effectiveness of malaria control in sub-Saharan Africa. Lancet 354 :378–385.

Past two years Past Year Past 30 Days
Abstract Views 180 152 16
Full Text Views 276 3 1
PDF Downloads 73 3 1
 
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save