IMPACT ASESSMENT OF IEC CAMPAIGN FOR MALARIA

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 IMPACT ASESSMENT OF IEC CAMPAIGN FOR
MALARIA  
Prepared By Maharshi Patel(67) Mihir
Patel(69) Hetal Prajapati(76) Hiral Prajapati(77)
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Introduction

• Communicable diseases present an important
  challenge for public health experts from
  developing countries. Disease once under control
  or on the verge of eradication today, pre threat
  to public health Malaria is one such disease
  entire country can now be declared as malaria
  zone as no part of the country is free from this
  stubborn disease.
• The incidence of malaria worldwide is estimated
  to be 300-500millions clinical cases. Each year
  with about 90 of these occurring in sub-Sahara
  Africa mostly cause by p. falciparum
• It is the major health problems in India.
• In the year 2003
• India 1.65 millions cases
• Gujarat 113372 cases
• Ahmedabad 1357 cases

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• Since inception of malaria control program in
  the country all-malarial control efforts remain
  one sided i.e. through governmental efforts the
  community was not involved at any level disease
  control or vector control. This was the reason we
  could not get the desired result till date. No
  health program can get success until community
  extent full support through active involvement
  participate to fulfill this goal. There is need
  to create awareness among community about causes
  of malaria to encourage community participation
  in prevention control of malaria information,
  education communication with community is an
  essential component of any health program because
  success of any programme depends on community
  perception of their needs, willingness to change
  attitude why need be to participate actively in
  activities of health programme.
• With the background present study was planed
  among the residents of Kagdiwad area during the
  month of June 2005 to august 2005 to increase
  awareness regarding various aspect of malaria.

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AIMS OBJECTIVES

• To know socio-demographic profile of study
  population.
• To know knowledge, attitude, practices of study
  population regarding symptoms, mode of
  transmission of malaria, various preventive
  measures and source of knowledge.
• To impart health education to study population
  recognized above-mentioned aspects of malaria.
• To reassess the knowledge of study after 30 days.
  
• To correlate knowledge with various
  socio-demographic variables.

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Material and methods

• Subject People residing in slums.
• Study area Kagdiwad
• Sample size 100 families
• Selection Randomly selected
• Duration of study 12 weeks
• Activities carried out pre and post assessment
  survey regarding knowledge about malaria.
• Study variables name of patients, age, cast,
  type of family, total family numbers, education,
  occupation, total family income, per capita
  income, socio-economic status.
• Method of study information was collected on a
  pre designed Performa about socio-demographic
  characteristic and attitude regarding spread and
  prevention of malaria was observed by oral
  questionnaire method.
• Tests Suitable statistical tests were applied.

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Resources required for project  
 
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Time line chart for a project lasting 12 weeks
Analysis submitting report
Data entry
Post intervention assessment
Education intervention
Initial assessment
Pre-test questionnaire
Questionnaire preparation
Discussion with professor
0 1 2 3 4 5 6 7 8 9
10 11 12
weeks
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• Observation results discussion
• A. Socio demographic correlates
•                                     I.     
  Contribution of study population as per age

Maximum no. Of people (35) were in age group of
31-40years followed by 33 in age group of 41-50.
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•  
• 1.     Mean
• 2.     SD
• Mean?fx
• N

X 3710 37.1 100 Mean Age group is
37.1  SD ?fx2- (?fx) 2 n-1 11.66
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•  
• Distribution of study population as per sex

Maximum no. Of people are male (54)
followed by 46 female.      III.     
Distribution of study population as per religion
Maximum no. Of people are male (54) followed by
46 female.  
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•  
•  IV. Distribution of study population as per type
  of family

Maximum no. Of family is nuclear (89) followed
by joint (11)  
  V. Distribution of study population as per
occupational status
As per, occupation maximum are labourers (48)
followed by vendor (31)  
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•  
• Distribution of study population as per socio
  economical class
• Modified Prasads classification

Maximum no. Of people are in class V
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B.Symptoms of malaria  VII. Distribution of
people regarding symptoms of malaria
Pre assessment knowledge regarding symptoms of
malaria is 41, post assessment is 72, so impact
31.
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Distribution of people regarding mode of spread
of malaria
Pre assessment regarding spread of malaria by
mosquitoes bite is 42, post assessment is 74,
so impact is 32 and by breeding place pre
assessment is 52, so impact is 22.
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   IX.Distribution of people regarding
knowledge about prevention
Pre assessment knowledge regarding prevention is
44, post assessment is 71, and therefore impact
is 27.
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                    X. Distribution of people
regarding knowledge of various preventive
measures.
Pre assessment knowledge regarding various
preventive measures is 35, post assessment is
73, and so impact is 38.
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             XI.      Distribution of people
regarding source of malaria
Source of knowledge regarding malaria prevention
maximum is 9from TV followed by 8 by
community.                    XII.     
Previous history of suffering malaria (in last 6
months) is 6. So among 100persons 6had suffered
from malaria within last 6 months.
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•  
•                   XIII.   Distribution of people
  regarding information of malaria control
  responsibility.

Information regarding malaria control
responsibility people answered that 20 by
government 10 by individual and 70 had no
answer.
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                   XIV.Distribution of people
regarding community contribution
 Information regarding community contribution
55 answered that it is community
contribution. XV. Distribution of people
regarding chemo prophylaxis in malaria
Information regarding role of chemoprophylaxis in
malaria by pre assessment is 41, post assessment
72 so impact is 31.
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Summary, conclusion recommendation

• The results of study were evaluated by the
  percentage difference in response of the pre
  post assessment activity regarding the knowledge
  about the symptoms of malaria there was increase
  in their knowledge after educational intervention
  (pre assessment 41 and post assessment 72).
• Also in regarding spread of malaria 42 of
  people had knowledge that increase to 74 in post
  evaluation also knowledge regarding prevention of
  malaria increase by 27 regarding various
  preventive measures impact of increased their
  knowledge by 38. Their major source regarding
  malaria was from TV (9) followed by radio (5).
  6 people had suffered from malaria within last 6
  months.
• Role of chemotherapy in prevention of malaria
  was known to 41 people in pre assessment, which
  increase to 72 people in post assessment from
  the study it was found that people knowledge
  regarding various aspects of malaria was poor but
  was raised significantly after educational
  interventional survey. This calls for further IEC
  campaigns as malaria control can be best achieved
  when community becomes aware of their
  responsibility of the same time of they have
  proper knowledge of different preventive
  measures, mode of spread prevention of malaria.
  Then only they can take action to improve their
  own health.
•  

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Questionnaire

•  
• A)   Socio demographic information
• 1.     Age
• 2.     Sex
• 3.     Caste religion
• 4.     Type of family a) joint
• b) Nuclear
• 5.     Education a) literature
• b) Primary
• c) Secondary
• d) Higher secondary
• e) College
• f) Profession
• 6.     Occupation a) Business
• b) Service
• c) Laborer
• d) Others

22

•  
• 7.     Total family income per month
• 8.     Total family members
• 9.     Per capita income per month
• 10.   Socio economic status
•  
• (B) Specific information
• 1.     Symptoms malaria a) fever with
  rigors
• b) Vomiting
• c) Headache
• d) Dont know
•  
• 2.     Mode of spread of malaria a)
  Mosquitoes
• b) House fly
• c) Contaminated air
• d) Dont know
•  
• 3.   Breeding places of mosquitoes a) Water
  collection

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•  
•  
• 1.     Prevention of malaria yes/no
•  
• If yes- how
• Mosquito nets
• Mats
• Coils
• Repellents
• Screening
•  Spray
• Source reduction
• 2.     Anyone in family with malaria during last
  6 months yes/no
• If yes treatment is taken from a) doctor
• b) vaidh
• c) kodhha

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•  
• 6. Knowledge regarding prevention of malaria
  from
• a)     News paper
• b)    Magazines
• c)     Health personal
• d)    Posters or radio or TV
• 7. Malaria control is responsibility of
• a)     Government
• b)    Individual
• 8. Can community contribute yes/no?
• 9. Role of chemoprophylaxis in malaria
  prevention yes/no?
•