Malaria stratification in a malarious area, a field exercise

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Objective:To conducted a spatial analysis for stratification of priority malaria control areas in Kahnuj County, as part of field exercise.Methods:Information of Health Centers of Kahnuj County has been used for stratification retrospectively.A knowledge, attitudes and practices(KAP) study was arranged to provide preliminary information about the knowledge, attitude and practice related to malaria in the area.Results:Numbers of malaria cases has been decreased in year 2008. There were five important vectors of malaria in this region including:Anopheles stephensi (An. stephensi), Anopheles dthali (An. dthali), Anopheles superpictus (An. superpictus), Anophels culicifacies (An. culicifacies), andAnopheles fluviatilis (An. fluviatilis), but majority of malaria cases in this county was related toPlasmodium vivax (P. vivax). Educational levels of community were38%, 20%, 10% and 32% for illiterate, primary, secondary and university levels, respectively. KAPstudy revealed that about37% of people have got malaria at least once and only27% of people knew that mosquito is the vector of malaria.Conclusions: Malaria in Kahnuj represents a real threat. Transmission occurs in city center.An. stephensi can be suspected for the first peak of malaria cases in late spring in Kahnuj city.An. fluviatilishas a relatively high density in autumn while two malaria cases due toP. falciparum were reported in2008. Based onKAPstudy, the knowledge of respondents seems good but the attitude and practice is low. According to the data such asAPI, main malaria vector, transmission rate, and foreign migrants, the Kahnuj County has been spatially divided into three strata based on various characteristics. The authorities should implement all the interventions based on stratification.
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