Factors affecting acceptability of indoor residual spraying (irs) for malaria control in the East Mamprusi District of the Northern Region of Ghana

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November, 2016
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Ghana is one of the developing countries in Sub-Saharan Africa where malaria is the main cause of disease, poverty and the low productivity for several decades. Malaria is considered at the moment to explain near 32.5% of all out-patient attendance and 48.8% of children less than five (5) admissions in the country. The National Malaria Control program indicated that the Northern Region had the highest load of the disease and therefore the highest morbidity and mortality according to 2005 Malaria report. The control of malaria in Sub-Saharan Africa continuous to be a public health challenge and so the World Health Organization (WHO) recommends the indoor residual spraying (IRS) as a measure of control for the malaria vector. According to the US president’s malaria initiative (PMI), Ghana has put the experimental program of the IRS in execution in some Districts in the Northern Region. The objective of the study was to determine the factors that affect the acceptability of IRS in the East Mamprusi District. A descriptive cross-sectional survey using a structured questionnaire was conducted on 400 household heads. The quantitative data were analyzed using SPSS for association of factors and chi-square was used. If (p<0.05) the test was considered statistically significant. The study found that there was a statistically significant association between the use of other malaria control measures and IRS acceptability (P<0.0001). The study showed that the perception of the people about the efficacy of the spraying (chemical) is related to the acceptability of indoor residual spraying in the district (P<0.0012).This study, therefore recommends that the negative perception about the efficacy of IRS programme need to be demystified by the spraying officials, health professionals, opinion leaders and assemble members in the East Mamprusi District.
A thesis submitted to the Department of Health Promotion and Education, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology, in partial fulfillment of requirements for the award of the degree of Master of public health in Health Education and Promotion,