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Table 5.5 Knowledge of ACT/AL Percent distribution of women age 15-49 by specific medicine mentioned as the recommended treatment for malaria, and the percentage of women who have seen or heard information about ACT/AL, <strong>Kenya</strong> 2015 Background characteristic ACT/AL SP/ Fansidar Chloroquine Amodiaquine Other Don’t know Total Have heard or seen information about ACT/AL Number of women Residence Urban 39.4 6.2 1.5 2.6 10.4 39.9 100.0 50.9 2,178 Rural 43.4 6.3 2.4 0.8 7.7 39.4 100.0 54.1 3,216 Malaria endemicity Highland epidemic 56.1 5.4 1.3 0.4 4.1 32.8 100.0 60.8 1,042 Lake endemic 71.9 2.0 0.9 0.4 7.9 16.9 100.0 71.1 1,038 Coast endemic 37.9 3.2 0.6 0.1 10.1 48.2 100.0 44.9 379 Semi-arid, seasonal 29.9 8.5 4.0 1.3 5.3 50.9 100.0 48.3 940 Low risk 25.0 8.5 2.3 3.2 13.1 47.9 100.0 42.7 1,995 Education No education 26.3 4.6 0.9 0.5 5.8 62.0 100.0 27.9 419 Primary incomplete 38.5 3.7 0.9 2.3 8.0 46.6 100.0 51.3 672 Primary complete 43.7 7.3 1.7 1.7 9.0 36.5 100.0 55.8 1,812 Secondary+ 43.9 6.5 2.7 1.5 9.3 36.1 100.0 55.3 2,491 Wealth quintile Lowest 32.5 4.5 2.0 0.3 5.0 55.7 100.0 42.4 855 Second 43.6 4.9 2.3 1.3 9.5 38.4 100.0 53.2 969 Middle 47.6 8.2 2.4 0.7 8.7 32.3 100.0 56.7 1,000 Fourth 44.9 6.9 1.7 2.4 9.1 35.0 100.0 54.2 1,141 Highest 39.6 6.3 1.9 2.4 10.3 39.4 100.0 55.0 1,430 Total 41.8 6.3 2.0 1.6 8.8 39.6 100.0 52.8 5,394 ACT = Artemisinin-based combination therapy; AL = artemether lumefantrine 5.6 CONCLUSIONS Treatment seeking for children with fever has been improving, with more than 7 in 10 children who have fever getting advice or treatment for the illness. Public and private health facilities provide most of the care that children with fever receive. Testing for malaria continues to expand, with almost 4 in 10 children with fever having blood taken from a finger or heel prick for testing. Use of ACT is widespread: among children with fever treated with antimalarials, 92 percent received ACT and 60 percent of children who took ACT were treated on the same or next day. Less encouraging is the fact that the majority of mothers do not recognize how critical it is to seek care immediately when a child is ill. Only around half of women are aware of ACT/AL. Perceptions with regard to the affordability of care may also be a barrier to obtaining care for febrile illness in children. 5.7 RECOMMENDATIONS The increase in testing may be attributed to the scale up of malaria diagnostic capacity in public health facilities and commodity security for malaria diagnostics. However, there remains a need to intensify efforts for advocacy and capacity building of both health workers and women on the need for testing. The observed increase in the proportion of children who took ACT compared with any other antimalarials is related to improved uptake of the recommended treatment guidelines and commodity security for malaria diagnostics. It will be important to sustain advocacy on use of the recommended first-line treatment for uncomplicated malaria. 64 • Case Management
While health facilities are providing care for the majority of children with fever, there remains a need to scale up community case management, particularly in endemic areas. ACSM efforts are still needed, particularly to increase awareness of the importance of seeking care immediately after the onset of fever, to broaden awareness of ACT/AL by the public, and to address issues with respect to the affordability of treatment of febrile illness in children. Case Management • 65
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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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Group and were translated into Kisw
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lumefantrine to those who tested po
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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
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Page 47 and 48: Figure 3.1 compares LLIN ownership
Page 49 and 50: Table 3.2 Source and cost of mosqui
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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
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Page 77 and 78: Table 5.2 Source of advice or treat
Page 79: extremely or very important was low
Page 85 and 86: 6 MALARIA AND ANAEMIA IN CHILDREN K
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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 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
Page 127 and 128: MALARIA CONTROL UNIT KENYA NATIONAL
Page 129 and 130: 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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MALARIA CONTROL UNIT KENYA NATIONAL
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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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MALARIA CONTROL UNIT KENYA NATIONAL
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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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