Utilization of Pre-travel Health Services Among Kenyan International Travelers in Jomo Kenyatta Airport Conducted From 2nd August to 30th September 2017

Document Type: Original Article

Authors

1 College of Health Sciences, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya

2 Kenya Medical Research Institute, Nairobi, Kenya

3 School of Health Sciences, Kenyatta University, Nairobi, Kenya

Abstract

Introduction: The geographical movement of people from one area to another poses the threat of transmission of infectious diseases. Kenya is among the vulnerable countries when it comes to disease transmission, because it is a major transport hub in East Africa, yet data on the availability and uptake of pre-travel health services is limited.
Methods: A cross-sectional descriptive study was conducted to determine the uptake of pre-travel health services. The systematic sampling method was used to obtain a sample size of 384 travelers among those in the waiting lounge prior to departure; four key informants were chosen purposively. A self-administered questionnaire was used for data collection. The results of data analysis are presented in the form of tables, graphs, charts, and text.
Results: The majority of respondents (70.6%) knew of at least one health service offered to international travelers in Kenya. The most sought-after pre-travel health service was vaccination (70.97%), but very few (13.93%) travelers sought pre-travel health advice on how to stay healthy while abroad. The majority of travelers were positive about pre-travel health services. The Port Health Department focuses more on the health of international arrivals as opposed to departures; there are no functional travel health clinics.
Conclusion: The results indicated that the government pays little attention to departing international travelers. Therefore, it is important for the government to develop policies, guidelines, and structures that will ensure that pre-travel health services are received by travelers prior to departure. Travel clinics need to be set up to increase the uptake of pre-travel health services. Moreover, further research should be conducted.

Keywords


  1. Kenya National Bureau of Statistics. Kenya facts and figures. Nairobi: s.n (2015) Dec.1:4(2)23-30
  2. Field V, Gautret P, Schlagenhauf P, et al. Travel and migration associated infectious diseases morbidity in Europe, 2008. BMC Infect Dis. 2010;10:330. doi:10.1186/1471-2334-10-330.
  3. Leggat PA. Sources of health advice given to travelers. J Travel Med. 2000;7(2):85-88. doi:10.2310/7060.2000.00027.
  4. Askling HH, Nilsson J, Tegnell A, Janzon R, Ekdahl K. Malaria risk in travelers. Emerg Infect Dis. 2005;11(3):436-441. doi:10.3201/eid1103.040677.
  5. Al-Hajri M, Bener A, Eljack I, Balbaid O. Travellers Knowledge, Attitudes and Practices on the Prevention of Infectious Diseases: Qatar-Doha International Airport Study. Middle East Journal of Family Medicine. 2011;9(9):22-28. doi:10.5742/MEJFM.2011.99087.
  6. Omer F, Hassan N, Hussain H, Mana S, Awad O. Travel health, gaps in knowledge, attitudes, and practices among Dubai travellers, Dubai UAE. Int J Prev Med Res. 2015;1(3):126-131.
  7. Al-Abri SS, Abdel-Hady DM, Al-Abaidani IS. Knowledge, attitudes, and practices regarding travel health among Muscat International Airport travelers in Oman: Identifying the gaps and addressing the challenges. J Epidemiol Glob Health. 2016;6(2):67- 75. doi:10.1016/j.jegh.2016.02.003.
  8. Wilder-Smith A, Khairullah NS, Song JH, Chen CY, Torresi J. Travel health knowledge, attitudes and practices among Australasian travelers. J Travel Med. 2004;11(1):9-15. doi:10.2310/7060.2004.13600.
  9. Hamer DH, Connor BA. Travel health knowledge, attitudes and practices among United States travelers. J Travel Med. 2004;11(1):23-26. doi:10.2310/7060.2004.13577.
  10. LaRocque RC, Deshpande BR, Rao SR, et al. Pre-travel health care of immigrants returning home to visit friends and relatives. Am J Trop Med Hyg. 2013;88(2):376-380. doi:10.4269/ajtmh.2012.12-0460.
  11. Zwar N, Streeton CL. Pretravel advice and hepatitis A immunization among Australian travelers. J Travel Med. 2007;14(1):31-36. doi:10.1111/j.1708-8305.2006.00088.x.
  12. Ropers G, Du Ry van Beest Holle M, Wichmann O, et al. Determinants of malaria prophylaxis among German travelers to Kenya, Senegal, and Thailand. J Travel Med. 2008;15(3):162-171. doi:10.1111/j.1708-8305.2008.00188.x.
  13. Heywood AE, Watkins RE, Iamsirithaworn S, Nilvarangkul K, MacIntyre CR. A cross-sectional study of pre-travel health-seeking practices among travelers departing Sydney and Bangkok airports. BMC Public Health. 2012;12:321. doi:10.1186/1471-2458-12-321.
  14. Lopez-Velez R, Bayas JM. Spanish travelers to high-risk areas in the tropics: airport survey of travel health knowledge, attitudes, and practices in vaccination and malaria prevention. J Travel Med. 2007;14(5):297-305. doi:10.1111/j.1708-8305.2007.00142.x.