Vol 2 No 5 (2017): IJRDO - Journal of Health Sciences and Nursing
Articles

Malaria Outbreak investigation in Chitulipasi, Beitbridge District, Matebeleland South Province, 2015

Roy Tapiwa Chiruvu
University of Zimbabwe,
Bio
Blessing Kanengoni
Bio
More Mungati
University of Zimbabwe
Bio
Notion Tafara Gombe
UNIVERSITY OF ZIMBABWE
Bio
Donewell Bangure
UNIVERSITY OF ZIMBABWE
Bio
Mufuta Tshimanga
UNIVERSITY OF ZIMBABWE
Bio
Maxwell Mhlanga
UNIVERSITY OF ZIMBABWE
Bio
Published May 31, 2017
Keywords
  • Malaria Outbreak,
  • Risk Factors
How to Cite
Chiruvu, R. T., Kanengoni, B., Mungati, M., Gombe, N. T., Bangure, D., Tshimanga, M., & Mhlanga, M. (2017). Malaria Outbreak investigation in Chitulipasi, Beitbridge District, Matebeleland South Province, 2015. IJRDO - Journal of Health Sciences and Nursing (ISSN: 2456-298X), 2(5), 104-120. Retrieved from https://ijrdo.org/index.php/hsn/article/view/961

Abstract

Background: Cases of Malaria at Chitulipasi clinic in Ward One of Beitbridge district surpassed
epidemic thresholds from week 9 through week 15. In total 223 cases were recorded in ward one
from weeks 9 to 15. We investigated the outbreak of malaria in Ward One.
Methods: A one on one unmatched case control study was conducted among residents in Ward
One. A case was a person from Ward One who presented to Chitulipasi clinic with sudden onset
of intermittent fever associated with any of the following; shivering, sweating, joint and muscle
pains, nausea, vomiting, diarrhoea and headache and was diagnosed malaria with Rapid
Diagnostic Testing, from weeks 7 to 15 of 2015. Sixty cases and 60 controls were systematically
and randomly selected respectively. Written informed consent was obtained from all study
participants. Data were analysed using Epi Info.
Results: Females constituted 53.3% (n=32) and 55.0% (n=33) of cases and controls respectively
(p=0.86). The median ages in years were 22 (Q1=13; Q3=37) and 23 (Q1=17; Q3=35) for cases
and controls respectively (p=0.95). Staying in house with closed eaves (OR 0.05 95% CI 0.01,
0.40), staying 3km away from stagnant water body (OR 0.30 95% CI 0.13, 0.70) and having a
net hanging per sleeping space (OR 0.07 95% CI 0.03, 0.17) were significant protective factors
for contracting malaria.
Conclusion: The outbreak was driven by staying near stagnant water, staying in houses with
open eaves and not using a mosquito net. Emphasis on larviciding, utilization of nets and
sleeping under nets should be made. Health education was provided to the community.

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