International Journal of Social Science & Economic Research
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Title:
THE PREVENTION AND TREATMENT OF CHOLERA OUTBREAK AT HOUSEHOLDS AND PRIMARY HEALTH FACILITIES IN NYATIKE SUB COUNTY, KENYA

Authors:
Tom O. Odhong', Simeon Okuthe, Fred Amimo, George Ayodo

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*Tom O. Odhong', Simeon Okuthe, Fred Amimo, George Ayodo
Department of Public and Community Health, School of Health Sciences, Jaramogi Oginga Odinga University of Science and Technology P. O. Box 210-40601 Bondo, Kenya.
*. Corresponding Author

MLA 8
Odhong, Tom O., et al. "THE PREVENTION AND TREATMENT OF CHOLERA OUTBREAK AT HOUSEHOLDS AND PRIMARY HEALTH FACILITIES IN NYATIKE SUB COUNTY, KENYA." Int. j. of Social Science and Economic Research, vol. 3, no. 11, Nov. 2018, pp. 6166-6180, ijsser.org/more2018.php?id=431. Accessed Nov. 2018.
APA
Odhong, T., Okuthe, S., Amimo, F., & Ayodo, G. (2018, November). THE PREVENTION AND TREATMENT OF CHOLERA OUTBREAK AT HOUSEHOLDS AND PRIMARY HEALTH FACILITIES IN NYATIKE SUB COUNTY, KENYA. Int. j. of Social Science and Economic Research, 3(11), 6166-6180. Retrieved from ijsser.org/more2018.php?id=431
Chicago
Odhong, Tom O., Simeon Okuthe, Fred Amimo, and George Ayodo. "THE PREVENTION AND TREATMENT OF CHOLERA OUTBREAK AT HOUSEHOLDS AND PRIMARY HEALTH FACILITIES IN NYATIKE SUB COUNTY, KENYA." Int. j. of Social Science and Economic Research 3, no. 11 (November 2018), 6166-6180. Accessed November, 2018. ijsser.org/more2018.php?id=431.

References
[1]. Adeleke, S., Marco, S., Abdul, K., Caroline, S., & Regassa, N. (2009). Development aid and access to water and sanitation in Sub-Saharan Africa working paper (140).
[2]. Akter T, Ali AM. Factors influencing knowledge and practice of hygiene in Water, Sanitation and Hygiene (WASH) programme areas of Bangladesh Rural Advancement Committee. Rural and remote health. 2014; 14 (3): 2628.
[3]. Ali M, Lopez AL, You Y, Kim YE, Sah B, Maskery B, et al. The global burden of cholera. Bulletin of the World Health Organization. 2012; 90 (3): 209-18.
[4]. Baum F. (2007). Health for All Now! Reviving the spirit of Alma Ata in the twenty-first century: An Introduction to the Alma Ata Declaration. Social Medicine. 2(1): 34-41.
[5]. Beasley A, Amir LH. (2007). Infant feeding, poverty and human development. Int Breastfeed J. 2:14.
[6]. Bhutta ZA, Lassi ZS, Pariyo G, Huicho L. Global Experience of Community Health Workers for Delivery of Health Related Millennium Development Goals.
[7]. Bolton P, Bass J, Betancourt T, Speelman L, Onyango G, Clougherty KF, (2007). Interventions for depression symptoms among adolescent survivors of war and displacement in northern Uganda: a randomized controlled trial. JAMA. 1; 298 (5): 519-27.
[8]. Cairncross S, Hunt C, Boisson S, Bostoen K, Curtis V, Fung IC, et al. Water, sanitation and hygiene for the prevention of diarrhoea. International journal of Epidemiology. 2010; 39 (supp l1): i193-i205.
[9]. Carr R, Strauss M. Excreta-related infections and the role of sanitation in the control of transmission. L Fewtrell et coll(dir), Water Quality: Guidelines, Standards and Health. 2001: 89-113.
[10]. Centers for Disease Control and Prevention. Cholera-Vibrio cholerae infection. General information. www.cdc.gov/cholera/general/ (CDC, 2013).
[11]. Chan, M. (2008). Address to the 61st World Health Assembly. Geneva: World Health Organisation. [Retrieved 2015, 6 January]; Available from: http://www.who.int/dg/speeches/2008/20080519/en/index.html
[12]. Chatterjee S, Patel V, Chatterjee A, Weiss HA. (2003). Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India. Br J Psychiatry. 82:57-62.
[13]. Chowdhury A, Cash R. A Simple Solution: Teaching Millions to Treat Diarrhea at Home Dhaka: The University Press Limited 1996.
[14]. Commission on Social Determinants of Health (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Geneva: World Health Organisation.
[15]. Coovadia H, Jewkes R, Barron P, Sanders D, McIntyre D. (2009). The health and health system of South Africa: historical roots of current public health challenges. Lancet. 5; 374 (9692): 817-34.
[16]. Curtale F, Siwakoti B, Lagrosa C, LaRaja M, Guerra R. (1995). Improving skills and utilization of community health volunteers in Nepal. Soc Sci Med. 1995 Apr; 40 (8): 1117-25.
[17]. Curtis V, Cairncross S, Yonli R. Review: Domestic hygiene and diarrhoea-pinpointing the problem. Tropical medicine & international health. 2000;5(1):22-32.
[18]. Curtis V, Cairncross S. Effect of washing hands with soap on diarrhoea risk in the community: a systematic review. Lancet Infect Dis. 2003; 3(5): 275-81.
[19]. Dias A, Dewey ME, D'Souza J, Dhume R, Motghare DD, Shaji K.S. (2008). The effectiveness of a home care program for supporting caregivers of persons with dementia in developing countries:
[20]. Fewtrell L, Colford JM, Jr. Water, sanitation and hygiene in developing countries: interventions and diarrhoea--a review. Water science and technology: a journal of the International Association on Water Pollution Research. 2005; 52 (8): 133-42.
[21]. Fulton, B.D, Scheffler, R.M., Sparkes, S.P, Auh EY, Vujicic M, Soucat A. (2011). Health workforce skill mix and task shifting in low income countries: a review of recent evidence. Human Recourse Health. 9(1):1.
[22]. Gilson L, Walt G, Heggenhougen K, Owuor-Omondi L, Perera M, Ross D, (1989). National community health worker programs: how can they be strengthened? J Public Health Policy. 10 (4): 518-32.
[23]. Glenton C, Scheel IB, Lewin S, Swingler GH. (2011). Can lay health workers increase the uptake of childhood immunisation? Systematic review and typology. Tropical Medicine & International Health. 16(9):1044-53.
[24]. Haines A, Sanders D, Lehmann U, Rowe AK, Lawn JE, Jan S, (2007). Achieving child survival goals: potential contribution of community health workers. Lancet. 23; 369 (9579): 2121- 31.
[25]. Hartwell, L & Veres, R (2004): Genetics: From genes to genomes. Boston: Mc-Graw Hill Hubley J. Barriers to health education in developing countries. Health education research. 1986; 1(4): 233-45.
[26]. Huq, A., Sack, R. B., Nizam, A., Longini, I. M., Nair, G. B., Ali, A., Morris, J. G., & Colwell, R. R. (2005). Critical factors influencing the occurrence of vibrio cholerae in an environment of Bangladesh.
[27]. Hutin Y, Luby SS, Paquet C. A large cholera outbreak in Kano City, Nigeria: the importance of hand washing with soap and the danger of street-vended water. Journal of Water and Health 2003;1(1):45-52.
[28]. Jenkins R, Baingana F, Belkin G, Borowitz M, Daly A, Francis P, (2010). Mental health and the development agenda in Sub-Saharan Africa. Psychiatr Serv. 61(3): 229-34.
[29]. Kirn, T (2005): A colonization factor links Vibrio cholerae environmental survival and human infection.
[30]. Lehmann U, Matwa P, Schneider H, Colvin C. (2009). A Map of Community Care Giver Programme Practices in Provinicial Health Departments, Report to the Health Systems Sub-Committee of the South African National AIDS Council (SANAC).
[31]. Lehmann U, Sanders D. (2007). Community health workers: What do we know about them? The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers
[32]. Lehmann U, Van Damme W, Barten F, Sanders D. (2009). Task shifting: the answer to the human resources crisis in Africa? Hum Resour Health. 7:49.
[33]. Mintz ED, Reiff FM, Tauxe RV. Safe water treatment and storage in the home: a practical new strategy to prevent waterborne disease. Jama. 1995; 273 (12): 948-53.
[34]. Nair N, Tripathy P, Prost A, Costello A, Osrin D. (2010). Improving newborn survival in low income countries: community-based approaches and lessons from South Asia. PLoS Med. 7(4):e1000246.
[35]. Nizame FA, Unicomb L, Sanghvi T, Roy S, Nuruzzaman M, Ghosh PK, et al. Handwashing before food preparation and child feeding: a missed opportunity for hygiene promotion.
[36]. Njoh, M. E. (2010). The cholera epidemic and barriers to healthy hygiene and sanitation in Cameroon: A protocol study. Umea University, Department of Epidemiology and Public Health.
[37]. Nkongo, D., & Chong C. (2009). People Living with HIV and AIDS: An Exploratory Study. Water Aid.
[38]. Opare, J. K. L., Ohuabunwo C., Afari e., Wurapa F., Sackey S. O., Der J., Afakye K., & Odei E. (2012). Outbreak of cholera in the east akim municipality of Ghana following unhygienic practices by small-scale gold miners, Ghana field epidemiology and laboratory training programme, School of Public Health, University of Ghana, Legon.
[39]. Patel V. (2009). The future of psychiatry in low- and middle-income countries. Psychological Medicine. 39:1759-62.
[40]. Petersen I, Bhana A, Campbell-Hall V, Mjadu S, Lund C, Kleintjies S, (2009). Planning for district mental health services in South Africa: a situational analysis of a rural district site. Health Policy Plan. 24(2):140-50.
[41]. Rahman A, Malik A, Sikander S, Roberts C, Creed F. (2008) Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster-randomised controlled trial. Lancet. 13; 372 (9642): 902-9.
[42]. Ran MS, Xiang MZ, Chan CL, Leff J, Simpson P, Huang, M.S. (2003). Effectiveness of psychoeducational intervention for rural Chinese families experiencing schizophrenia arandomised controlled trial. Soc Psychiatry Psychiatr Epidemiol. 38(2): 69-75.
[43]. Rosato M, Laverack G, Grabman LH, Tripathy P, Nair N, Mwansambo C, (2008). Community participation: lessons for maternal, newborn, and child health. Lancet. 13;372(9642):962- 71.
[44]. Ryan, K & Ray, G (2004): Sherris Medical Microbiology. McGraw Hill Samb B, Celletti F, Holloway J, Van Damme W, De Cock KM, Dybul M. (2007). Rapid expansion of the health workforce in response to the HIV epidemic. N Engl J Med. 13; 357(24): 2510-4.
[45]. Sanchez, J., & Taylor, D., (1997). Cholera. The Lancet, 349 (9068), 1825-1830.
[46]. Schneider H, Hlophe H, van Rensburg D. (2008). Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects. Health Policy Plan. 23(3):179-87.
[47]. Tan, S.L., Cheng, P.L., Soon, H.K., Ghazali H., & Mahyudin N.A, (2013). A qualitative study on personal hygiene knowledge and practices among food handlers at selected primary schools in Klang valley area, Selangor, Malaysia. International Food Research Journal 20, (1). 71-76
[48]. Thacker, S., Stroup, D. & Parrish, G. (1996). Surveillance in Environmental Public Health: Issues, Systems, and Sources. American Journal of Public Health, 86, (5), 633-638.
[49]. UNICEF, (2012). Guidance notes on the use of oral polio vaccine
[50]. WHO (2006). The World Health Report 2006: working together for health. Geneva: World Health Organization.
[51]. WHO Weekly Epidemiological Record. (2003). 287-288
[52]. WHO, (2010). Cholera: prevention and control. Retrieved February 14, 2010, from Health topics, http://www.who.int/topics/cholera/control/en/index.html
[53]. WHO. (2008). Primary Health Care: Now More Than Ever. Geneva: World Health Organisation.
[54]. Wokekoro, E., & Inyang M.P. (2014). Waste Disposal Practices in Informal Settlements and its Impact on Health:
[55]. World Health Organization (WHO) (2008): Cholera
[56]. World Health Organization, & Chaignat, (2014). Cholera Fact Sheet. WHO Health Topic
[57]. World Health Organization, (2000). Report on global Surveillance of epidemic-prone infectious diseases department of communicable disease surveillance WHO/CDS/CSR/ISR/2000.1 Geneva.
[58]. World Health Organization, (2004). Assessing the Outbreak Response and Improving Preparedness. Global Task Force on Cholera Control WHO/CDC/CPE/ZFK/2004.4 World Health Organization. Cholera outbreak: assessing the outbreak response and improving preparedness, global task force on cholera control; 2004, who/cds/cpe/zfk/2004.4.
[59]. Zachariah R, Ford N, Philips M, Lynch S, Massaquoi M, Janssens V. (2009). Task shifting in HIV/AIDS: opportunities, challenges and proposed actions for sub-Saharan Africa. Trans R Soc Trop Med Hyg. 103(6): 549-58.
[60]. Zuckerman, J., Rombo, L. & Fisch, A. (2007). The true burden and risk of cholera: implications for prevention and control. The Lancet, 7, 521-528.
[61]. Bellu, L. G. (2011). Development and Development Paradigms A (Reasoned) Review of Prevailing Visions, FAO, Rome

Abstract:

Background
In Kenya, a community health strategy was adopted and one of the goals is to improve the prevention and treatment of infections at the households and primary health facilities. However, key community health indicators have remained low as regards to prevention and control of cholera. No study has investigated the prevention and treatment of cholera at households and primary health facilities.
Objective
The aim of the study was to assess the practices to prevent outbreak of cholera, knowledge of community health care workers on prevention and treatment of cholera and the preparedness of primary health facilities on the management of cholera in Nyatike Sub County.
Method
This was cross-sectional study targeting 244 community healthcare workers and adopted both quantitative and qualitative methods. On the quantitative dimension, semi-structured questionnaire was used and for qualitative, a key informant interview was used on key health personnel. The data was cleaned, entered into a computer, using statistical package for social scientists (SPSS) version 20.
Results
The results of the study revealed low hand washing and water treatment practices at (44.4%) and 55.6 % respectively and low latrine coverage of (49%). There was high knowledge of etiology, signs and symptoms, prevention and control measures at (63%). It is however paradoxical that the knowledge does not translate into practice. The low laboratory diagnostic capacity by (81%) of the health facilities, coupled with inadequate preparedness of health facility in cholera prevention and control ,have compounding causes of cholera in Nyatike sub county.
Conclusion
The study concludes that poor sanitation and hygiene practices are risk factors to cholera outbreak in the study area and the high knowledge on prevention and control does not correlate with the practices. The CHVs as change agents are overburdened due to high work load though the dependency culture appear to derail the prevention efforts. The Health facilities are ill prepared to effectively manage cholera outbreak due to inability to confirm cases, inadequate commodities and supplies, poor waste management and infection prevention strategies at the health facilities.