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.

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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.

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