Undertook a baseline survey which used a range of indicators:
- Household and community level
- Personal status, structural and health system indicators
- Involved questionnaire survey, clinical field work, water quality analysis, soil analysis for parasites
Prevalence of malaria parasitaemia
- 45% morbidity in the country
- The only community that had low prevalence because they had mosquito bednets
- Some local people were lending land to the project so wante dot check the baseline for wasting, stunting and underweight.
- Significant stunting.
- Prevalence in the area was low at 1-2%
- But in Freetown and other major urban areas the prevalence was near to 30%
- Questioned community knowledge about HIV infection routes - only just under 4% had adequate knowledge
Analysis of impacts
- Significance of malaria likely to be moderate but if mitigation measures implemented then could be positive/beneficial.
- Management was based on level of impact and who would manage it and developed monitoring indicators to measure process and outcome.
- Should do repeated health indicator surveys at sentinel sites
- Record available routine health data
- Structural indicators - general infrastructure, primary health unit, drinking water points
- Process indicators - availability and u of condoms, availability and use of bednets,
- Outcome indicators - ...