Jacky Kabwe

ENVIRONMENT AND IMPACT OF THE SCREEN IMPREGNATED ON MALARIA AMONG CHILDREN UNDER FIVE IN THE D.R.CONGO

International conference on official statistics

Santiago, Chile 20-22th octobre2010Jacky KABWE

Institut national de la statistique

R.D.Congo

Jacky Kabwe

INTRODUCTION Malaria is an environmental disease

because it’s a tropical or equatorial’s one and it’s expended more in unhealthy arias.

In the D.R.Congo, malaria is an andemic disease which is the major cause of the regular increasing of death rate, particularly among pregnant women and under five years old children.

Fever is the main symptom of malaria.

Jacky Kabwe

GOALS to measure the impact of the insecticid

treated bednet (ITNs) on the malaria among children under the age of five

To have an overall view on the use of bednet across the all country by comparing the provinces situation.

To bring out the influence of an unheathy environment on the impact of ITNs

Jacky Kabwe

CONTEXT Malaria is due to the mosquitoes which are the

vectors for this skill and at the east of the D.R.Congo, the war which took place there favorised bad living conditions of many peoples

PNLP is an official institution which organise and elaborate programmes to reduce the rate of malaria.

PNLP preconise the use of insecticid treated bednets as one of issues to prevent malaria. So, It has been organise some free distribution of ITNs campains across the country in some provinces (more in the Eastern because of the precarity of conditions of peoples striked by the war)

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THE D.R.CONGO MAP WHILE ARMED CONFLICTS

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ANALYSIS METHOD

The data source is DHS-DRC 2007 and we completed with MICS 2

The multivariate analysis: the dependant variable is the fever while the two weeks preceding the survey, while the explicative variable is the use of ITNs the night preceding the survey by children under five. This have been presented also by province for comparability. We integrate the environment data to bring out their influence on ITNs.

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RESULTSvariable Without screen Screen non impregnated Screen impregnated Total

fever 24,3 5,5 2,4 32,2

No fever 48,0 12,0 6,3 66,2

Percentage of children un-der five who make fever

and sleep or not under ITNs the night preceding the

survey Without screenScreen non im-pregnatedScreen impregnated

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PERCENTAGE OF UNDER FIVE WHO MADE FEVER USING OR NOT ITNS AND PERCENTAGE OF MEANS

HYGIENIC SANITARY’S HOUSEHOLD (EVACUATION OF WORM-OUT WATER AND GARBAGE) BY PROVINCE

  Without screen Screen non impregnated

Screen impregnated Total * Hygienic sanitary Means of evacuation of the worn-out waters

* Hygienic sanitary Means of evacuation of the garbage

Kinshasa 19 6,8 2,9 28,8 34,4 61,7

Bas Congo 10,5 5,8 10,2 26,5 9,7 27,6

Bandundu 21,8 5,3 1,1 28,2 1,5 49,7

Equateur 21,6 5,9 0,8 28,2 1,6 13

Oriental 26,2 4,3 1,1 31,5 10 26,8

Nord Kivu 26,4 3,1 1,8 31,3 2 66,3

Maniema 27,2 6,7 4,9 38,9 9,9 0,9

Sud Kivu 25,1 8,4 1,1 34,7 12,3 64,7

Katanga 22,5 7,5 0,7 30,6 9,2 43,7

Kasai Oriental 32,3 2,5 1,6 36,4 5,4 31,4

Kasai Occ 33 4 1,7 38,7 3,7 57,8

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PREVALENCE OF FEVER AMONG CHILDREN UNDERFIVE SLEEPING OR NOT UNDER ITNS BY PROVINCE

Kinsh

asa

Bas C

ongo

Bandu

ndu

Equa

teur

Orient

al

Nord

Kivu

Manie

ma

Sud

Kivu

Katan

ga

Kasai

orie

ntal

Kasai

occ

0

5

10

15

20

25

30

35

Without screenScreen non impregnatedScreen impregnated

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ITNS DISTRIBUTION PROGRAMME MAP OF THE D.R.CONGO

Jacky Kabwe

CONCLUSION PNLP strategy proves to be efficient because the

impact of ITNs is distinctly meaningful. the direct unhealthy environment prevent an

inefficient action of ITNs in general and in the provinces where there are the highest rate of non hygienic means of evacuation of worm-out water and garbage( Maniema and Bas-Congo).

the free distribution of ITNs be assured beforehand when it will be extend first in provinces which have not yet beneficiate of it.

decision-makers, as well as the humanitarian must take more care on programmes of cleaning up the immediate environment. It would permit to get efficient results all over the Congolese population and on children under five in particular.

Jacky Kabwe

THANK YOU FOR YOUR ATTENTION!