Sokoine University of Agriculture

Patterns and determinants of Cholera outbreaks in Imbo region of Burundi

Show simple item record Irakoze, Laetitia 2021-05-17T09:10:33Z 2021-05-17T09:10:33Z 2020
dc.description Masters Dissertation en_US
dc.description.abstract Cholera is an ancient disease but remains an important public health threat mainly in lowand- middle-income countries. The disease has been reported almost every year in Burundi. Understanding its spatial-temporal distribution and the determinants within the country contribute to early detection and quick response to contain the outbreaks. The objective of this study was to determine the patterns and factors responsible for cholera outbreaks in Imbo Region of western Burundi. Data were collected retrospectively from health districts and hospitals/dispensaries records. A structured questionnaire was administered to selected participants from affected community to get information on determinants of cholera outbreaks. The analysis was done by using R software, version 3.6.1. Temporal patterns were obtained by plotting cholera cases against time (months and weeks). Spatial patterns were established by tagging cholera cases to their locations for each year whereby Burundi provinces, communes, Collins shape files were entered in ArcGIS software, version 10.3. Frequency maps were generated, showing the spatial distribution of cholera disease in the study area. The findings indicate that most of the cholera outbreaks have occurred during dry seasons and were associated with a lack of potable water. The multivariate analysis showed that females were at risk of getting cholera than males (OR=1.85, 95% CI: 1.024 - 3.359) and source of water was a risk factor, whereby use of tap water was protective compared to use of surface water (OR=0.368, 95% CI: 0.168 - 0.740). In conclusion, most of the outbreaks in Imbo Region occur during the dry seasons when potable water is in shortage supply. Improving population access to the potable water distribution system and promoting sanitation and hygiene will likely reduce the occurrence and spread of cholera in the Region. en_US
dc.description.sponsorship Inter-University Council for East Africa en_US
dc.language.iso en en_US
dc.publisher Sokoine University of Agriculture en_US
dc.subject Cholera en_US
dc.subject Imbo region en_US
dc.subject Burundi en_US
dc.title Patterns and determinants of Cholera outbreaks in Imbo region of Burundi en_US
dc.type Thesis en_US

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