DOI: 10.7910/dvn/28351
title: Kenya (2014): Malaria TRaC Study among Populations Living in Malarial Zones in Kenya

description: In the last decade, the Government of Kenya (GoK) has emphasized malaria programming with a bid at reducing the infant mortality, and malaria related maternal mortality. PS Kenya has developed an evidence-based programmes aimed at enhancing use of insecticide treated mosquito nets through support of routine net distribution, mass media campaign, and interpersonal campaigns. In order to inform this campaign, PS Kenya, with funding from the DfID plans to implement a national household survey among residents of malarial zones in Kenya. This study design highlights the objectives of the survey, the methodological approach, the ethical consideration, and the data collection tools proposed for the study. We aim in this study to provide national level monitoring data on net ownership, and net usage. Specifically this survey will determine the factors associated with net ownership and use among the target populations, the trends in uptake of nets compared to other national level surveys, the association of exposure to mass media and interpersonal communication with ownership of LLINs with use of LLINs. The investigators propose a cross sectional study design that adopts quantitative approaches to data collection. The investigators propose to implement the study between May and June 2014. The study will include a national sample of 6002 households distributed based on the square root allocation method to the different malarial zones. The investigators will get an additional sample in IPC implementation areas to bring the sample for this area to 2320 to enable conclusion around IPC intervention. The survey proposes a two-stage cluster sampling design. The study will use a sampling frame based on the NASSEP V developed by the Kenya National Bureau of Statistics. Using 298 enumeration areas (EA), the interviewers will include, without replacement, 28 households per. The investigators propose the inclusion of respondents aged 18-49 years who give written, informed, and voluntary consent to participate in the survey. The interviewers will
collect data using mobile phones through the open data kit system. The investigators anticipate that an interview will take between 30 -45 minutes with the interviewers conducting an average of seven interviews per day. SPSS version 21 will aid the analysis for this study. Net use defined as sleeping under an insecticide treated net the night preceding the survey, will be determined through frequencies and proportions, segmented by the malarial zones, age, and gender categories. The study considers net ownership at two levels: ownership of at least one net in a household and universal coverage (owner ship of 1 net for every 2 people in the household). The behavioral factors, based on Leikert Scales, will be assessed using Analysis of Variance to determine possible association to the behavior. The evaluation of the IPCâs association with behavior will be determined using coarsened exact matching to increase comparison accuracy. The influence will then be assessed based on analysis of variance. The investigators will present the findings from this survey in PS Kenyaâs dashboard and study specific report. The investigators will share the report with the donor, the GoK through the MCU, and other stakeholders in malaria prevention. Insights from the report will inform malaria programming in Kenya.