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A comparison to the results of the 2015 KMIS with findings from earlier surveys indicates that there have been improvements in several key aspects of the diagnosis and treatment of childhood fever. For example, treatment-seeking behaviour is continuing to expand; the proportion of children with fever for whom advice or treatment was sought was 72 percent in the 2015 KMIS compared to 49 percent at the time of the 2008-09 KDHS. The proportion of children with fever for whom a blood test was conducted is continuing to rise, from 35 percent at the time of the 2014 KDHS to 39 percent in the 2015 KMIS. The proportion of children given antimalarials who are being treated with ACT also has risen sharply. In the 2008-09 KDHS, mothers reported that among children ill with fever who were given an antimalarial, one-third received an ACT while, in 2015, 92 percent of children whose fever was treated with an antimalarial were given an ACT. 5.2 SOURCES OF ADVICE OR TREATMENT The 2015 KMIS collected information on the sources from which advice or treatment was sought when a child experienced fever. The question was asked for all children with fever in the 2 weeks before the survey for whom the mother reported advice or treatment was sought from any source. Mothers were asked to name all sources of advice or treatment. Among children with fever for whom treatment or advice was sought, Table 5.2 shows that 70 percent received care at government health facilities. Private health facilities provided care for onequarter of the children with fever for whom any advice or treatment was sought. Much smaller proportions of children received advice or treatment from faith-based facilities (3 percent), shops (3 percent), or community health workers (1 percent). Traditional healers were rarely consulted (less than 1 percent). In all subgroups shown in Table 5.2, the majority of children received care at government facilities. However, the proportion seeking care from government facilities varied by residence. Government facilities were consulted in the case of 75 percent of rural children receiving any advice or treatment for fever compared with 56 percent of their urban counterparts. Government facilities were less likely to have been consulted in low risk zones (59 percent) compared with other zones (68- 76 percent). Advice or treatment was sought from a government health facility in the case of 81 percent of children receiving any care in the lowest wealth quintile compared with 55 percent in the highest wealth quintile. The likelihood that advice or treatment was sought from a government facility also related to the mother’s education, with children whose mothers had primary or less education more likely to have received advice or treatment at a government facility than children whose mothers had a secondary or higher education. 60 • Case Management
Table 5.2 Source of advice or treatment for children with fever Percentage of children under age 5 with fever in the 2 weeks preceding the survey for whom advice or treatment was sought from specific sources, by background characteristics, <strong>Kenya</strong> 2015 Background characteristic Government Private 1 Source of advice or treatment for fever Faithbased 2 Community health worker Shop Traditional healer Other Number of children for whom advice or treatment was sought Age (in months)
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REPUBLIC OF KENYA MINISTRY OF HEALT
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The 2015 Kenya Malaria Indicator Su
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3.2 Use of Mosquito Nets ..........
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Table 5.4 Attitudes towards treatme
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Acknowledgements • ix
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currently owned by households in Ke
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xiv • Map of Kenya
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1 INTRODUCTION 1.1 HISTORY, GEOGRAP
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ate declined from 3.3 to 2.9 percen
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with climate change are likely to i
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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
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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
Page 55 and 56: Figure 3.5 Use of an LLIN by childr
Page 57 and 58: Figure 3.6 Trends in use of mosquit
Page 59 and 60: Table 3.9 Alternative uses of mosqu
Page 61: Net use has increased since 2010 am
Page 65 and 66: 4 MALARIA IN PREGNANCY Key Findings
Page 67 and 68: To assess the use of IPTp, the 2015
Page 69: Figure 4.1 Trends in IPTp in malari
Page 73 and 74: 5 CASE MANAGEMENT Key Findings •
Page 75: Figure 5.1 highlights the actions t
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Page 81: While health facilities are providi
Page 85 and 86: 6 MALARIA AND ANAEMIA IN CHILDREN K
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Page 89 and 90: As Figure 6.3 shows, the decline in
Page 91 and 92: Table 6.4 Prevalence of anaemia Per
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Page 96 and 97: MEASURE Evaluation, Roll Back Malar
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Page 100 and 101: A.4 SAMPLE PROBABILITIES AND SAMPLE
Page 103 and 104: APPENDIX B ESTIMATES OF SAMPLING ER
Page 105 and 106: Table B.1 List of selected variable
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Page 110 and 111: Table C.2 Age distribution of eligi
Page 112 and 113: Table D.2 Prevalence of malaria in
Page 114 and 115: Table D.4 Prevalence of anaemia in
Page 116 and 117: Table D.6 Comparison of malaria and
Page 119 and 120: APPENDIX E SURVEY PERSONNEL NATIONA
Page 121 and 122: LOGISTICIAN Robert Mwaura FIELD TEA
Page 123: 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
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MOSQUITO NET ROSTER NET #1 NET #2 N
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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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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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