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The 2015 Kenya Malaria Indicator Survey (2015 KMIS) was implemented by the National Malaria Control Programme (NMCP) of the Ministry of Health and the Kenya National Bureau of Statistics (KNBS) from July to August 2015. Funding for the KMIS was provided by the Government of Kenya with support from the United States Agency for International Development (USAID), the United States President’s Malaria Initiative (PMI), the Global Fund, the World Health Organization (WHO), the United Kingdom Department for International Development (UKAID), and the United Nations Children’s Fund (UNICEF). ICF International provided technical assistance for the survey through The DHS Program, a USAID-funded project that helps implement population and health surveys in countries worldwide. Additional information about the 2015 KMIS may be obtained from the National Malaria Control Programme of the Ministry of Health, 19982, Kenyatta National Hospital, Nairobi 00202, Kenya; telephone: +254 20 271 6934/5; fax: +254 20 271 6935; e-mail: head.domc@domckenya.or.ke; Internet: www.nmcp.or.ke. Information about The DHS Program may be obtained from ICF International, 530 Gaither Road, Suite 500, Rockville, MD 20850 USA; telephone: 301-407-6500; fax: 301-407-6501; e-mail: info@DHSprogram.com; Internet: www.DHSprogram.com. Photo credits: Chapter 1: ©2009 Georgina Goodwin, Vestegaard Frandsen, Courtesy of Photoshare. Used with permission. Chapter 2: ©2013 Molly Snell, Courtesy of Photoshare. Used with permission. Chapters 3-6: © National Malaria Control Programme, Ministry of Health. Used with permission. Recommended citation: National Malaria Control Programme (NMCP), Kenya National Bureau of Statistics (KNBS), and ICF International. 2016. Kenya Malaria Indicator Survey 2015. Nairobi, Kenya, and Rockville, Maryland, USA: NMCP, KNBS, and ICF International.
CONTENTS TABLES AND FIGURES ........................................................................................................................ v FOREWORD ......................................................................................................................................... vii ACKNOWLEDGEMENTS ...................................................................................................................... ix EXECUTIVE SUMMARY ....................................................................................................................... xi MAP OF KENYA .................................................................................................................................. xiv 1 INTRODUCTION ........................................................................................................................ 3 1.1 History, Geography, and Economy ............................................................................... 3 1.1.1 History .............................................................................................................. 3 1.1.2 Geography ....................................................................................................... 3 1.1.3 Economy .......................................................................................................... 4 1.2 Basic Demographic Indicators ...................................................................................... 4 1.3 Health Priorities and Strategies for Malaria Prevention ................................................ 5 1.3.1 Kenya Malaria Strategy 2009-2018 (Revised 2014) ........................................ 5 1.3.2 Epidemiology of Malaria in Kenya.................................................................... 6 1.4 Survey Organisation and Methodology ......................................................................... 7 1.4.1 Objectives of the Survey .................................................................................. 7 1.4.2 Survey Organisation ........................................................................................ 8 1.4.3 Sample Design ................................................................................................. 8 1.4.4 Questionnaires ................................................................................................. 8 1.4.5 Anaemia and Malaria Testing .......................................................................... 9 1.4.6 Training .......................................................................................................... 10 1.4.7 Fieldwork ........................................................................................................ 11 1.4.8 Data Processing ............................................................................................. 11 1.4.9 Ethical Considerations ................................................................................... 11 1.4.10 Response Rates............................................................................................. 12 1.4.11 Challenges and Limitations ............................................................................ 13 2 CHARACTERISTICS OF HOUSEHOLDS AND WOMEN ...................................................... 17 2.1 Household Environment .............................................................................................. 17 2.1.1 Drinking Water ............................................................................................... 18 2.1.2 Household Sanitation Facilities ...................................................................... 19 2.1.3 Housing Characteristics ................................................................................. 20 2.2 Household Possessions .............................................................................................. 20 2.3 Wealth Index ............................................................................................................... 21 2.4 House Population by Age, Sex, and Residence ......................................................... 22 2.5 Household Composition .............................................................................................. 23 2.6 Characteristics of Women Respondents..................................................................... 24 3 VECTOR CONTROL ............................................................................................................... 23 3.1 Household Ownership of Mosquito Nets .................................................................... 30 3.1.1 Ownership of Mosquito Nets .......................................................................... 30 3.1.2 Source and Cost of Mosquito Nets ................................................................ 32 3.1.3 Access to Long-Lasting Insecticidal Nets ...................................................... 34 Contents • iii
Page 1: REPUBLIC OF KENYA MINISTRY OF HEALT
Page 6 and 7: 3.2 Use of Mosquito Nets ..........
Page 8 and 9: Table 5.4 Attitudes towards treatme
Page 11: Acknowledgements • ix
Page 14 and 15: currently owned by households in Ke
Page 16 and 17: xiv • Map of Kenya
Page 19 and 20: 1 INTRODUCTION 1.1 HISTORY, GEOGRAP
Page 21 and 22: ate declined from 3.3 to 2.9 percen
Page 23 and 24: with climate change are likely to i
Page 25 and 26: Group and were translated into Kisw
Page 27 and 28: lumefantrine to those who tested po
Page 29: underwent malaria microscopy testin
Page 33 and 34: 2 CHARACTERISTICS OF HOUSEHOLDS AND
Page 35 and 36: 2.1.2 Household Sanitation Faciliti
Page 37 and 38: A majority of households own a mobi
Page 39 and 40: Table 2.6 Household population by a
Page 41: Table 2.8 Background characteristic
Page 45 and 46: 3 VECTOR CONTROL Key Findings • A
Page 47 and 48: Figure 3.1 compares LLIN ownership
Page 49 and 50: Table 3.2 Source and cost of mosqui
Page 51 and 52: Figure 3.3 Access to an LLIN by the
Page 53 and 54: Table 3.5 presents the percentage o
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Figure 3.5 Use of an LLIN by childr
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Figure 3.6 Trends in use of mosquit
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Table 3.9 Alternative uses of mosqu
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Net use has increased since 2010 am
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4 MALARIA IN PREGNANCY Key Findings
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To assess the use of IPTp, the 2015
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Figure 4.1 Trends in IPTp in malari
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5 CASE MANAGEMENT Key Findings •
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Figure 5.1 highlights the actions t
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Table 5.2 Source of advice or treat
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extremely or very important was low
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While health facilities are providi
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6 MALARIA AND ANAEMIA IN CHILDREN K
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Table 6.2 Prevalence of malaria in
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As Figure 6.3 shows, the decline in
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Table 6.4 Prevalence of anaemia Per
Page 93:
Although malaria prevalence in the
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MEASURE Evaluation, Roll Back Malar
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Table A.1 Enumeration areas and hou
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A.4 SAMPLE PROBABILITIES AND SAMPLE
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APPENDIX B ESTIMATES OF SAMPLING ER
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Table B.1 List of selected variable
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Table B.7 Sampling errors: Coast en
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Table C.2 Age distribution of eligi
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Table D.2 Prevalence of malaria in
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Table D.4 Prevalence of anaemia in
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Table D.6 Comparison of malaria and
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APPENDIX E SURVEY PERSONNEL NATIONA
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LOGISTICIAN Robert Mwaura FIELD TEA
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ICF INTERNATIONAL Sara K. Head Joy
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MALARIA CONTROL UNIT KENYA NATIONAL
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INTRODUCTION AND CONSENT ADMINISTER
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HOUSEHOLD SCHEDULE LINE NO. USUAL R
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HOUSEHOLD CHARACTERISTICS NO. QUEST
Page 135 and 136:
MOSQUITO NET ROSTER NET #1 NET #2 N
Page 137 and 138:
SOURCE AND USES OF MOSQUITO NETS NO
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SOURCE AND USES OF MOSQUITO NETS NO
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INTERVIEWER'S OBSERVATIONS TO BE FI
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Page 145 and 146:
SECTION 1. RESPONDENT'S BACKGROUND
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SECTION 2. REPRODUCTION 212 Now I'd
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SECTION 3. PREGNANCY AND INTERMITTE
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LAST BIRTH NEXT-TO-LAST BIRTH SECON
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LAST BIRTH NEXT-TO-LAST BIRTH SECON
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SECTION 4A. KNOWLEDGE AND ATTITUDES
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CHILD 1 CHILD 2 CHILD 3 NAME NAME N
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HEMOGLOBIN MEASUREMENT AND MALARIA
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CHILD 4 CHILD 5 CHILD 6 121 122 123
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