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Table 3 Knowledge of malaria reported by VMWs and MMWs by zone

From: Village malaria worker performance key to the elimination of artemisinin-resistant malaria: a Western Cambodia health system assessment

 

Overall N = 197

Zone 1 N = 71

Zone 2 N = 126

P value

n

(%)

n

(%)

n

(%)

At least three key malaria symptomsa

92

46.7

40

56.3

61

48.4

0.521

At least four key malaria symptomsb

74

37.6

26

36.6

48

38.1

0.837

Determinants of malaria illness

 Blood test (slide or dipstick)

195

99.0

71

100.0

124

98.4

0.190

 Symptoms

57

28.9

19

26.8

38

30.2

0.614

 Previous experience

22

11.2

5

7.0

17

13.5

0.286

 Doctor’s examination

3

1.5

0

0.0

3

1.5

0.168

 Other

4

2.1

1

1.4

3

2.4

0.642

 Don’t know

–

0.0

–

0.0

–

0.0

–

At least three key signs and symptoms of severe malariac

88

44.7

35

49.3

53

42.1

0.327

At least four key signs and symptoms of severe malariad

48

24.4

18

25.4

30

23.8

0.809

Ways to get malaria

 Mosquito bites

197

100

71

36.0

126

64.0

–

 Sleeping in forest without a net

93

47.2

36

38.7

57

61.3

0.461

 No sleep under a mosquito net

91

46.2

31

34.1

60

65.9

0.593

 Visiting forest

77

39.1

29

37.7

48

62.3

0.704

 Poor hygiene

12

6.1

3

25.0

9

75.0

0.411

 Drinking dirty water

9

4.6

5

7.04

4

3.17

0.212

 Not boiling water

7

3.6

2

2.8

5

3.9

0.675

 Bad food

2

1.0

1

1.4

1

0.8

0.679

 Othere

3

1.5

0

0.0

3

2.38

0.593

Ways to prevent malaria

 Sleep under a mosquito net

182

92.4

63

88.7

119

94.4

0.147

 Use treated mosquito net

180

91.4

68

95.8

112

88.9

0.098

 Wear covered clothing

155

78.7

62

87.3

93

73.8

0.026

 Burn leaves

32

16.2

9

12.7

23

18.3

0.308

 Stay out of forest

15

7.6

7

9.9

8

6.4

0.373

 Repellent

5

2.5

2

2.8

3

2.3

0.852

 Mosquito coil

2

1.0

2

2.8

0

0.0

0.058

 Insecticide spray

1

0.5

9

12.7

23

18.3

0.308

 Boil water

41

20.8

12

16.9

29

23.0

0.310

 Take medicine

1

0.5

1

1.41

0

0.0

0.182

 Otherf

38

19.3

8

11.27

30

23.8

0.032

Consequences of not taking the anti-malarial drugs for the recommended treatment regimen

 Parasite will become resistant

164

83.3

59

83.1

105

83.3

0.966

 Patient gets sick again

155

78.7

62

83.1

93

73.8

0.026

 Patient does not recover

93

47.2

31

43.7

62

49.2

0.454

 Patient will continue to transmit malaria

78

39.6

26

36.6

52

41.3

0.522

 Parasite remains in the body

76

38.6

21

29.6

55

43.7

0.051

 Nothing

1

0.51

0

0.0

1

0.8

1.000

 Othera

7

3.55

0

0.0

7

5.7

0.051

  1. aThree key malaria symptoms include: fever, chills, and headache
  2. bFour key malaria symptoms include: fever, chills, headache, and sweating
  3. cFour key symptoms of severe malaria include: unconscious, very hot, and convulsions
  4. dFour key symptoms of severe malaria include: unconscious, very hot, convulsions, and very pale skin
  5. eOther include: wearing short sleeves
  6. fOther include: clean the surroundings, eliminate mosquito habitat, fill in body of water, light a bonfire, light fire, sanitization, sleep in hammock, use net in the forest, and weeding
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Malaria Journal

ISSN: 1475-2875

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