M. Ettling et al., MALARIA KNOWLEDGE, ATTITUDES AND PRACTICES IN MALAWI - SURVEY POPULATION CHARACTERISTICS, Tropical medicine and parasitology, 45(1), 1994, pp. 57-60
A national knowledge, attitudes and practices (KAP) survey was conduct
ed in March-April 1992 to examine malaria illness and the people's res
ponse to illness and malaria prevention. Fifty-one households in each
of 30 randomly selected communities were sampled and information was r
ecorded from 1,531 households and 7,025 individuals. The population is
characterized by low income (average household and per capita income
were US $ 490 and $ 122, respectively) and low education levels (among
adult women, 45 % had no formal education and only 3.9 % completed mo
re than 8 years of schooling). Characteristics of the population were
similar to those found in the 1987 national census, suggesting that th
e survey population was representative of the larger population of Mal
awi. Children under 5 years of age made up 15.8 % of the population an
d had the highest rates of fever illness; these children experienced a
n estimated 9.7 cases/year of fever illness consistent with malaria. A
lthough adults reported fever less freguently, women of reproductive a
ge experienced an estimated 6.9 episodes of fever annually. The burden
of malaria morbidity in this population is extremely high and occurs
in all age groups.