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Evaluation of a Rapid Cholera Response ActivityNyanza Province, Kenya, 2008

Evaluation of a Rapid Cholera Response ActivityNyanza Province, Kenya, 2008 Background.In response to recurrent cholera outbreaks in Nyanza Province, Kenya, a local nongovernmental organization assisted the Ministry of Health by providing cholera education activities to some cholera-affected communities. We evaluated the impact on cholera prevention knowledge and practices.Methods.In NovemberDecember 2008, we conducted a cross-sectional household survey and tested stored water for chlorine in 6 cholera-affected enumeration areas (intervention-EAs) where response activities had occurred between MarchSeptember 2008, and 6 comparison-EAs with no known reports of cholera outbreaks or response activities.Results.We enrolled 358 individuals from intervention-EAs and 365 from comparison-EAs. Overall, >80 knew cholera symptoms and over 60 knew that water treatment prevented diarrhea; <20 had chlorine residual in stored water. More intervention-EA respondents than comparison-EA respondents recalled a cholera outbreak in their community (52 vs 19, P < .0001), and of those, 51 versus 39, respectively, had attended a cholera response event. Detectable chlorine residuals in stored water were found in a higher percentage of intervention-EA and comparison-EA event attendees (21 and 25, respectively) than nonattendees (17 and 8, respectively).Conclusions.There was a gap between knowledge and practice of water treatment as a cholera preventive measure. Cholera event attendance may have modestly motivated increased household water treatment. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Journal of Infectious Diseases Oxford University Press

Evaluation of a Rapid Cholera Response ActivityNyanza Province, Kenya, 2008

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References (12)

Publisher
Oxford University Press
Copyright
Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2013. This work is written by (a) US Government employee(s) and is in the public domain in the US
Subject
AFRICHOL - THE CHOLERA SURVEILLANCE NETWORK IN NINE SUB-SAHARAN AFRICAN COUNTRIES
ISSN
0022-1899
eISSN
1537-6613
DOI
10.1093/infdis/jit198
pmid
24101647
Publisher site
See Article on Publisher Site

Abstract

Background.In response to recurrent cholera outbreaks in Nyanza Province, Kenya, a local nongovernmental organization assisted the Ministry of Health by providing cholera education activities to some cholera-affected communities. We evaluated the impact on cholera prevention knowledge and practices.Methods.In NovemberDecember 2008, we conducted a cross-sectional household survey and tested stored water for chlorine in 6 cholera-affected enumeration areas (intervention-EAs) where response activities had occurred between MarchSeptember 2008, and 6 comparison-EAs with no known reports of cholera outbreaks or response activities.Results.We enrolled 358 individuals from intervention-EAs and 365 from comparison-EAs. Overall, >80 knew cholera symptoms and over 60 knew that water treatment prevented diarrhea; <20 had chlorine residual in stored water. More intervention-EA respondents than comparison-EA respondents recalled a cholera outbreak in their community (52 vs 19, P < .0001), and of those, 51 versus 39, respectively, had attended a cholera response event. Detectable chlorine residuals in stored water were found in a higher percentage of intervention-EA and comparison-EA event attendees (21 and 25, respectively) than nonattendees (17 and 8, respectively).Conclusions.There was a gap between knowledge and practice of water treatment as a cholera preventive measure. Cholera event attendance may have modestly motivated increased household water treatment.

Journal

The Journal of Infectious Diseases – Oxford University Press

Published: Nov 1, 2013

Keywords: attitudes and practices cholera cholera response hand-washing impact knowledge water treatment

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