Browsing by Author "Ingonga, Johnstone"
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Kiarie, Martha; Nzau, Anastasia; Ngumbi, Philip; Waithima, Abraham; Bowen, Michael; Nzunza, Rosemary; Ingonga, Johnstone; Ngure, Peter (International Journal of Tropical Medicine and Public Health, 2016)[more][less]
Abstract: Objective: To establish the level of knowledge, attitude, practices and beliefs related to kala azar among residents of Marigat sub - County, Baringo County. Methods: The sub-County is divided into 37 sub-locations and of these 8 herein referred to as villages were considered for this study. A total of 670 households were randomly drawn from the 8 villages, and this formed the sample population. Data were collected using structured questionnaires and in-depth interviews of key informants. Results: The findings indicated that the respondents were well informed on kala azar; the cause and treatment. They also had favorable attitude toward the disease. They were aware that the disease was curable and sought treatment from health facilities as opposed to traditional alternatives. In seeking treatment, the residents were faced with challenges such as the long distance to health facilities, long period of treatment and the attendant cost of caring for a leishmaniasis patient. The respondents were aware that the disease was spread by an insect; however, they were not aware of preventive measures. Most live in destitute houses which predisposed them to the infective bite of the vector. Most of the respondents are not employed and the cost of treatment, in addition to attendant costs places a heavy economic burden on them. Conclusion: The results showed good awareness of leishmaniasis, positive attitude and practices among the respondents which are important attributes in community participation. These findings are quite encouraging to researchers planning control programs because such a community would be more receptive to suggested control measures. Description: Published Journal Article URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3543 Files in this item: 1
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Ngure, Peter; Nzau, Anastasia; Kiarie, Martha; Waithima, Abraham; Bowen, Michael; Ingonga, Johnstone; Ngumbi, Philip (Annals of Clinical Cytology and Pathology, 2017)[more][less]
Abstract: Objective: The objective of this study was to assess if improved housing would result in reduced sand fly-human contact which in turn would be assumed to result in reduced chances of leishmaniasis transmission. The transmission of leishmaniasis is heavily influenced by socio-economic factors and this is the main reason why it has been described as the disease of the poor. Methods: This studied compared the sand fly densities in targeted houses before and after improvement. The houses to be improved were selected based on indoor sand fly density, construction materials and economic status of the household. These houses were upgraded to two-roomed corrugated iron sheet houses. Sand fly densities were determined using CDC light traps in the mud and stick-walled grass-thatched houses before moving the occupants to houses made of corrugated iron sheets. 146 houses were used, selected from 670 in the 4 villages. Findings: There were significant differences (p< 0.05) in sand fly densities between the mud, stick-walled houses and the corrugated iron sheet houses; the improved houses had fewer sand flies. The average density of sand flies in stick-walled houses ranged from 32 to 13 compared to 4 to 1 in corrugated iron sheet houses. Conclusion: The improved housing reduces the density of sand flies indoors; in turn reducing the vector–human contact hence reducing the chances of infective bites. This strategy is long lasting and has additional benefits to residents. URI: http://repository.daystar.ac.ke/xmlui/handle/123456789/3566 Files in this item: 1
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